DOH Form 422-023 Washington State Fetal Death Certificate - Washington

What Is DOH Form 422-023?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOH Form 422-023?
A: DOH Form 422-023 is the Washington State Fetal Death Certificate.

Q: What is the purpose of DOH Form 422-023?
A: The purpose of DOH Form 422-023 is to document information about a fetal death in Washington State.

Q: Who uses DOH Form 422-023?
A: DOH Form 422-023 is used by healthcare providers, funeral directors, and individuals who need to report or obtain a fetal death certificate in Washington State.

Q: What information is required on DOH Form 422-023?
A: DOH Form 422-023 requires information such as the baby's name (if named), date and place of fetal death, parent's information, and the attending healthcare provider's information.

Q: Are there any fees associated with DOH Form 422-023?
A: Yes, there is a fee for obtaining a certified copy of the Washington State Fetal Death Certificate using DOH Form 422-023. The fee varies depending on the number of copies requested.

Q: What should I do with completed DOH Form 422-023?
A: Once completed, DOH Form 422-023 should be submitted to the Washington State Department of Health Vital Records office or mailed to the address provided on the form.