Birth and Death Certificates

Use this form to order copies of birth and death certificates online.

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Please be sure to enter each required field, marked with a red asterisk, before submitting the form.

Immediately after you submit this application, please send your required proof of identity and eligibility documents to VRSCANDOCS@TPCHD.ORG. We will void any requests without required documents before 1 p.m. each business day. For a full list of documents to provide, return to the Birth and Death Certificate webpage: https://www.tpchd.org/healthy-people/birth-records . Proof of eligibility documentation are documents that link you to the requested birth certificate. If you are listed on the record and your identity documentation sufficiently links you to the record (i.e. self or parents), your proof of eligibility requirement is met. If you are not listed on the record or your identity documentation doesn’t sufficiently link you to the record, you must provide additional documentation to prove eligibility. Please contact us at 253-649-1402 if you need any further information.

Fees

Certificate Type
  * Type:            
 

How would you like it sent?

        
* format (xxx) xxx-xxxx
Birth Certificate Information
  * Copies:
  * First Name on Record:
  * Middle Name on Record:
  * Last Name on Record:
  * Date of Birth:
  * City or County of Birth:
  * Parent/Mother's First Name:
  * Parent/Mother's Middle Name:
  * Parent/Mother's Maiden (birth) Name:
  * Parent/Father's First Name:
  * Parent/Father's Middle Name:
  * Parent/Father's Last (birth) Name:
  * Gender:   Male      Female      Other
Death Certificate Information
  * Copies:
  * Deceased First Name:
  * Deceased Middle Name:
  * Deceased Last Name:
  * Date of Death:
  * Age at time of death:
  * City of Death:
  * Name of Funeral Home:
Requestor Information
  * Contact Name:
  * Email Address:
  * Address Line 1:
  Address Line 2:
  * City:
  * State:
  * Zip:
  * Phone: format (xxx) xxx-xxxx
  Your relationship:
Shipping
  * Shipping Method:
Credit Card Payment
  * Payment:
  * First Name on Card:
  * Last Name on Card:
 
  * Billing Address:
  * Billing City:
  * Billing State:
  * Billing Zip:
  * Card Number:
  * Security Number:
  * Expire Date:
Charges
  Certificate Fees:
  Processing:
  Email/Fax Fee:
  Additional Options:
  Handling/Mailing Fee:
  Grand Total:

SS_BD_CHARGE_DISCLAIMER
RCW 70.58A.530 and WAC 246-491-300 through 330 requires applicants to provide information and prove their identity and qualifying relationship with documentation to receive a certified Washington State birth or death certificate. If we do not receive the required information and/or documentation within the 30 days, your order will be closed and no refund will be given.