Get Highmark 3660-b 2013-2025

The Highmark 3660-B form is essential for documenting a domestic partnership. This guide will assist you in filling out the form accurately and effectively in an online environment.

Follow the steps to complete the Highmark 3660-B effortlessly.

1. Click ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. Begin by entering the state and county where the affidavit is completed. This information is typically placed at the top of the form.
3. In the first section, both partners must affirm that they are at least eighteen years old and unmarried. If applicable, provide evidence of any previous marriage terminations.
4. Next, affirm that both partners are not related by blood in a way that would prevent marriage under New York State law.
5. Indicate that both partners have been each other's sole domestic partner for at least the last six months, and express the intent to remain partners indefinitely.
6. Confirm that both partners have lived together continuously for at least six months. This will establish a proof of cohabitation.
7. Indicate whether one partner is enrolled in an employer group health insurance program, which is a requirement for the form.
8. Confirm that neither partner has been registered in another domestic partnership within the last six months.
9. The enrollee should affirm their responsibility to file a Termination of Domestic Partnership form if the relationship status changes within 30 days.
10. Both partners must acknowledge that providing false information can lead to financial responsibility and legal actions.
11. Fill out the personal details of both partners, including print names, street addresses, city, state, and zip code.
12. Each partner should provide their signature on the form, confirming the provided information is accurate.
13. Complete the notary section by indicating the date and signature of the notary public affirming the affidavit.
14. Gather the necessary proofs of cohabitation and financial interdependence as specified in the document. Ensure to have the correct number of proofs ready.
15. Once the form is accurately completed, save any changes and proceed to download, print, or share the form as needed.

Take the steps to complete your Highmark 3660-B form online today.