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If coverage is available domestic partner enrollment requires submission of a signed and notarized Domestic Partner Affidavit or if applicable a copy of a valid Declaration of Domestic Partnership filed with and stamped by the Secretary of State of California. 8480 11/08 RB 01 CASMEEADDON2-50 2 5/04 3 EMPLOYEE / DEPENDENT INFORMATION ist yourself and only those eligible L dependents who are enrolling. An eligible dependent is an employee s lawfu...
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