Get Affidavit Of Domestic Partnership - Velocityproofs.com

Completing the Affidavit of Domestic Partnership is an important step for individuals seeking to enroll or delete their domestic partner in a health plan. This guide provides clear, user-friendly instructions to assist you in filling out the form accurately and efficiently.

Follow the steps to successfully complete your Affidavit of Domestic Partnership.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editing software.
2. Input your employee name in the designated field. Ensure that the name matches what's on your health plan records.
3. Fill in your address, including street, city, state, and zip code, to provide your current residence details.
4. Enter your domestic partner's name in the appropriate field.
5. Indicate your shared responsibilities with your partner by confirming that you both are jointly responsible for each other’s welfare, share financial obligations, and reside together for a minimum of 12 continuous months.
6. Check either option I or II to demonstrate your joint responsibility. Choose option I if you have a civil union, or option II if you can provide two or more listed items as proof.
7. For option II, tick the applicable items that you have, such as a Domestic Partnership Agreement or joint ownership of a vehicle.
8. Declare that you and your partner meet the following criteria: not married to anyone, at least eighteen years old, mentally competent, and not related by blood in a way that would bar marriage.
9. Both partners should sign and date the form to validate the information provided.
10. If applicable, indicate if you are dissolving the domestic partnership and provide the date of death or marriage of your partner.
11. Review the completed form for accuracy, then save your changes. You can choose to download, print, or share the form as needed.

Complete your affidavit online to ensure your domestic partnership benefits are securely managed.