Form preview

Get the free Domestic Partner Affidavit

Get Form
A notarized affidavit required for Domestic Partners to establish eligibility for health benefits with Anthem Blue Cross and Blue Shield.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign domestic partner affidavit

Edit
Edit your domestic partner affidavit form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your domestic partner affidavit form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing domestic partner affidavit online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit domestic partner affidavit. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
With pdfFiller, dealing with documents is always straightforward. Try it now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out domestic partner affidavit

Illustration

How to fill out Domestic Partner Affidavit

01
Obtain a Domestic Partner Affidavit form from your local government office or website.
02
Fill in your personal information, including your full name, address, and date of birth.
03
Provide your partner's personal information using the same format.
04
Indicate the duration of your domestic partnership and any previous partnerships.
05
Both partners must sign the affidavit, usually in front of a notary public.
06
Submit the completed affidavit to the appropriate government office, if required.

Who needs Domestic Partner Affidavit?

01
Couples who are in a committed, non-marital relationship and wish to receive legal recognition.
02
Individuals seeking benefits offered to domestic partners, such as health insurance or tax exemptions.
03
Partners who want to establish legal rights regarding property, inheritance, and decision-making in medical situations.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
62 Votes

People Also Ask about

A domestic partner affidavit is a declaration made by a couple to acknowledge that they are engaged in a domestic partnership under state law. This gives each partner special rights (such as hospital visitation, inheritance, etc.) without being legally married.
If you are asking if two people who are not legally married but are girlfriend-boyfriend can be on the same health insurance policy, the answer is no. They would each have to buy an individual policy. Two married people cannot buy individual policies on the open market, or an Obamacare exchange policy.
Copies of non-confidential domestic partnership filings can be ordered through the California Secretary of State's Sacramento office in person (drop off) or by mail.
A domestic partnership is a legally recognized homosexual or heterosexual couple who is unmarried and living together in a relationship of mutual caring, commitment, and support.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

A Domestic Partner Affidavit is a legal document used to establish a domestic partnership between two individuals who share a committed relationship and wish to register their status for benefits or recognition.
Typically, individuals in a committed relationship who wish to obtain legal recognition of their partnership or access benefits such as health insurance or rights in property may be required to file a Domestic Partner Affidavit.
To fill out a Domestic Partner Affidavit, one must provide personal information such as names, addresses, and dates of birth of both partners; declare the nature of the partnership; and often sign in front of a notary public or authorized official.
The purpose of a Domestic Partner Affidavit is to formally declare a partnership for legal recognition, which can provide benefits in areas like health care, inheritance, and tax advantages.
Information that must be reported on a Domestic Partner Affidavit typically includes the full names, addresses, and dates of birth of the partners, the statement of partnership, and sometimes details regarding the duration of the relationship and shared responsibilities.
Fill out your domestic partner affidavit online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.