Washington State Department of Health Forms

This form is used for documenting the interview process and monitoring water quality in Washington state.

This document is used to notify users of a water system in Washington about a violation of chemical monitoring.

This form is used for reporting the annual summary of cross-connection control activities for public water systems in Washington state.

This door hanger is used in Washington to inform residents about the importance of boiling water. It is available in English and Spanish.

This document notifies residents of Washington about a violation of the Maximum Contaminant Level (MCL) for E. Coli in the drinking water.

This Form is used for reporting monthly operations for fluoridation in Washington state.

This document is a monthly operations report form for sodium fluoride saturators used to monitor and report on the process of fluoridation in Washington State.

This form is used for reporting Mycobacterium isolates in the state of Washington. It is essential for tracking and monitoring the presence of this bacterium in the public health system.

This form is used for reporting and tracking cases of rabies in Washington state. It helps public health officials monitor and control the spread of the disease.

This form is used for birth parents of adopted children in Washington to indicate their contact preferences.

This form is used for capturing the medical history of birth parents in Washington state. It helps healthcare professionals understand any hereditary or genetic conditions that may impact the health of the child.

This document is a supporting affidavit form used in Washington state. It is used to provide additional information or evidence in support of a legal proceeding or claim.

This document is used in Washington for requesting a counter order for birth or death certificates.

This Form is used for obtaining a Disinterment Permit in Washington.

This document is used to request a marriage/divorce certificate at the counter in Washington.

This Form is used to request a search for a record by mail at the Washington Department of Health.

This Form is used for filing a birth certificate in the state of Washington.

This Form is used for registering a birth in the state of Washington in Spanish.

This form is used for requesting a record search by mail in Washington.

This form is used for notifying users of a water system in Washington about an initial monitoring violation regarding lead and copper levels.

This form is used for submitting a contract operator public listing to the Department of Health in Washington.

This document is used in Washington to notify consumers about lead and copper levels in drinking water. It also includes a sample site verification form.

This type of document is used to request a birth/death certificate at a counter in Washington.

This document is for providing notice to water system users in Washington about an annual nitrate monitoring violation. It is available in both English and Spanish.

This document is used for reporting quarterly nitrate monitoring violations in Washington state. It is a form that must be filled out by individuals or organizations who have violated nitrate monitoring regulations.

This form is used for reporting lead and copper monitoring violations in Washington. It is available in both English and Spanish.

This Form is used for ordering birth or death certificates by mail in the state of Washington. It allows individuals to request official copies of these vital records without visiting in person.

This Form is used for requesting a birth or death certificate by mail in Washington.

This form is used for submitting an affidavit to request a correction in Washington state.