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Get MD Affidavit for Domestic Partnership and Domestic Partner's Dependents 2009-2022

Tic Partnership: I, _________________________________ and (Employee/Retiree) ________________________________________, (Domestic Partner) certify that we are Domestic Partners (as defined in the benefits guide) and that we: (1) Are each at least 18 years old; (2) Are not related to each other by blood or marriage within four degrees of consanguinity under civil law rule; (3) Are not married, in a civil union, or in a domestic partnership with another individual; (4) Have been in a committed re.

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