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Division of Child SupportFrequently Asked Questions...

Paternity Affidavit materials Order Form

If you are a parent who needs to receive a Washington State Paternity Affidavit for personal use, do not use this on-line ordering form. Instead, please call 1-800-442-5437. The receptionist can arrange to mail you the affidavit form and other written information.
Organization
Hospital or organization name:
Name of operating unit
(if hospital):
Street Address:
Please do not use PO Box
City:
State:
Zip:

Person placing the Order:
First Name:Last Name:
Phone:E-mail:

Materials you may order on-line:
Paternity Affidavit (DOH/CHS 011)
How many in English?
How many in Spanish?
Establish Paternity for Your Child's Sake
Brochure (DSHS 22-586)		 
How many in English?
How many in Spanish?
The Paternity Affidavit Program Video 
How many in English (VHS)?
How many in Spanish (VHS)?
How many in English (DVD)?
How many in Spanish (DVD)?
Provider Guide (DSHS 22-273)
How many?
Invoice Voucher forms (DSHS 17-122)
(check box if yes)