How to Correct a Record

You can use the Affidavit for Correction form and required proof for most corrections. The form summarizes how to make a correction.

• Download the most recent form:
  • Affidavit for Correction (DOH 422-034) (English) (DOCX)
  • Declaración Jurada de Corrección (DOH 422-034) (Español) (PDF)
  • The form is also printed on the back of every certificate. Print the updated form if the revision date is before 1/15/2015.

  How to correct a certificate with the Affidavit for Correction

  For each application, you must submit the following:

  1. A completed and signed Affidavit for Correction (DOH 422-034) (English) (DOCX) or Declaración Jurada de Corrección (DOH 422-034) (Español) (PDF)
  2. Copy of your government issued photo identification card
  3. Proof of relationship, if required
  4. Any required supporting proof documents

  By Mail

  Center for Health Statistics
  Attn: Corrections
  P.O. Box 47814
  Olympia, WA 98504-7814

  Correcting certificates

  Use the webpages below for the certificate you want to correct.

  • For a child under 18
  • For a person 18 or older
  • Demographic changes
  • Cause of death changes

  Ordering a certificate with a correction request

  • Send completed certificate order form with your correction request. Include all required documents referenced on the certificate application instruction page.
  • Certificate will be issued after the correction has been processed.

  Exchanging a certificate with a correction request

  If you currently have a certified copy of a certificate that was issued less than one year ago, send in the certified copy of the certificate with your correction request; we will exchange the certificate at no charge.