“Person A” or “Person B” named on the marriage or divorce record may request an amendment to:
- Change their own personal facts with the Affidavit for Correction form and one (1) proof document
- Change the other person’s personal facts with the Affidavit for Correction form signed by both parties and one (1) proof document
- Change the Date of Decree section with a certified divorce decree
Acceptable Proof Documents
Acceptable proof documents include:
- Hospital/medical record
- Full Numident Report (Social Security)
- Social Security Abstract
- Birth, marriage, or divorce record
- Copy of passport or enhanced identity document
- Certificate of Naturalization
- Permanent resident card (I-551)
- Health or life insurance policy
- Military record (DD-214)
- Official school transcripts
- Government agency records for establishment of benefits (such as social services or Medicaid
We do not accept a Driver’s License, Social Security Card, family bible, or hospital decorative birth certificate as proof documents.
Proof documents must:
- Show the true facts that are being requested to be changed
- Include full name and date of birth
- Match exactly the correction requested on the Affidavit for Correction. Example, if you are requesting a correction from “Mary Doe” to “Mary Ann Doe”, the proof must show the name to be Mary Ann Doe. Proof cannot show “Mary A. Doe” or “M. Ann Doe”.
- Be from independent sources, when more than one proof document is required
- Have been established over five years ago (it could have been printed more recently) OR have been established within five years of birth, if correcting the child's information and child is under five.
Only documents listed below are exempt from the five-year rule and will be accepted from any period of time:
- Passport
- Permanent resident card (I-551)
Forms
You must use the Affidavit for Correction form.
- Affidavit for Correction (DOH 422-034) (English) (PDF)
- Declaración Jurada de Corrección (DOH 422-034) (Español) (PDF)
The form is also printed on the back of every certificate. Print the most recent form if the revision date is before March 2020.
Ordering a new certificate or exchanging a certificate with your application
You can exchange or order a certificate when you change a vital record.
- If you have a certified copy of a certificate issued less than one year ago, send in the certified copy of the certificate with your correction application. We will exchange the certificate at no charge. Include a copy of a phot identification and proof of relationship, if required.
- To order a certified copy of a certificate, fill out the birth certificate order form and send it in with your correction application. Follow the instructions on the order form to avoid delays.
- Certificate will be issued after the correction has been processed.
Submitting the Affidavit for Correction Application
You can submit your completed application to the Department of Health by mail or in-person.
1) By Mail
Center for Health Statistics
Attn: Amendments
P.O. Box 47814
Olympia, WA 98504-7814
2) In Person by appointment