DOH Form 422-105 Birth / Death Certificate Counter Order Form - Washington

DOH Form 422-105 Birth / Death Certificate Counter Order Form - Washington

What Is DOH Form 422-105?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOH Form 422-105?
A: DOH Form 422-105 is the Birth/Death Certificate Counter Order Form in Washington.

Q: What is the purpose of DOH Form 422-105?
A: The purpose of DOH Form 422-105 is to request a counter order for a birth or death certificate in Washington.

Q: How do I submit DOH Form 422-105?
A: You can submit DOH Form 422-105 in person at a local health department office in Washington.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Washington State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DOH Form 422-105 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 422-105 Birth / Death Certificate Counter Order Form - Washington

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