Name of the Organization : Washington State Department of Health
Type of Facility : Court Ordered Name Change on a Birth Certificate
Country : United States of America
Website : http://www.doh.wa.gov/LicensesPermitsandCertificates/BirthDeathMarriageandDivorce/CourtOrderedNameChange
Court Order Name Change Request Form : https://www.statusin.org/uploads/23964-NameChange.pdf
Mail Order Form : https://www.statusin.org/uploads/23964-MailOrderForm.pdf
Court Ordered Name Change on a Birth Certificate :
We only change the names on birth certificates for :
** People who were born in Washington State.
** Parents who have had a legal name change and are changing their name on a birth certificate for a child who was born in Washington State.
Related : Washington State Department of Health How to Correct a Record Birth, Death & Marriage Certificates USA : www.statusin.org/23958.html
Changing a Birth Certificate After a Court-Ordered Name Change :
** To request a change to a birth certificate after a court ordered legal name change,
Send :
** A Certified copy of the court-order name change.
** The court order will be returned to you.
** Certified copies of court orders have an original signature or raised seal from the court clerk. We cannot accept photo copies.
AND one of the following :
** A completed Court Order Legal Name Change Request Form
A letter with the following six pieces of information as listed on current birth certificate :
** Name on record (first, middle, last)
** Date of birth (month, day, year)
** Place of birth (city or county)
** Mother/Parent full name listed on certificate (first, middle, last)
** Father/Parent full name listed on certificate (first, middle, last)
** Contact information (return mailing address and phone number)
** A photo copy or certified copy of the birth certificate.
** We will not return the certified copy.
** If the certified copy was issued within one year, we will replace it at no charge.
** If you would like a certified copy of the birth certificate reflecting the change,
Send :
** A certified copy of the birth certificate for replacement.
** We will exchange birth certificates up to one year from the date issued at no charge.
** The date issued is in the top right hand corner of the birth certificate.
OR
** A Mail-in Request Form (PDF) for a birth certificate.
** A personal check or money order of $20 for each birth certificate(s) you are purchasing.
Send to:
Legal Name Change
DOH – Center for Health Statistics
PO Box 9709 Olympia,
WA 98507-9709
Birth / Death Certificate Mail Order Form :
Instruction :
** Print clearly.
** We issue certificates for births and deaths that occurred in Washington State only.
** For a birth or death before July 1, 1907, contact the local health department where the event occurred.
** We only accept checks or money orders for mail orders. Do not send cash or credit card information.
$20.00 per certificate.
** If adopted, provide your adoptive name and adoptive parents’ information.
** Visit doh.wa.gov for more information and ordering options or call 360-236-4300, Monday through Fridaybetween 8:00 a.m. and 5:00 p.m. Pacific Time.
Make checks or money orders payable to DOH.
Mail Orders To:
Department of Health
PO Box 9709
Olympia WA
98507-9709
Complete payment and mailing information below :
** Total number of certified certificates
** Total number of Heirloom+ birth certificates
** Fee for filing a Paternity Acknowledgment OR an Adoption
** Paternity Verification Letter (copy of parent ID required)
** Paternity Verification Letter ($15) + certified birth certificate ($20)
** First Class Mail (allow 2-3 weeks for delivery)
** No additional charge
** USPS Express Mail Delivery (street address or PO Box)
** Fed Ex to continental US (no PO Box)
** Fed Ex to AK/HI/Canada/Mexico (no PO Box)
Note :
** Additional charges for express delivery are per order, not per certificate.
** Signature is required at time of delivery for USPS Express Mail and Federal Express orders.
** +Go to our website at doh.wa.gov for information on Heirloom Birth Certificates