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Get Same Sex Domestic Partner Eligibility - Admin State Nh

Sonnel (603) 271-3261 Commissioner (603)-271-3201 Employee Health Benefit Program Affidavit of Same Sex Domestic Partnership We, and certify that: (Name of State Employee) (Name of Same Sex Domestic Partner) 1. We are of the same gender, are at least 18 years of age, and are mentally competent to consent to contract. 2. We are each other s sole Same Sex Domestic Partner and are responsible for each other s common welf.

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