Affidavit for Correction English Web - Washington State Department - doh wa 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your name on record in the designated fields: First, Middle, and Last. Ensure that this matches the current information on file.
3. Next, provide the Date of Event and Place of Event (City or County) to specify when and where the event occurred.
4. Complete the sections for Father/Parent Full Birth Name and Mother/Parent Full Birth Name. If applicable, include Spouse A and Spouse B names for marriage or dissolution.
5. Fill in the Name of Person Requesting Correction, along with their relationship to the person on record.
6. Enter your Return Mailing Address, Telephone Number, and Email Address to ensure proper communication regarding your request.
7. In the section for requesting changes, clearly state what is incorrect on the record and what the true fact should be.
8. Finally, sign and date the affidavit at the bottom. If required, include a second parent's signature as well.

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