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This document serves as an affidavit for employees of the City of Burlington to declare their domestic partnership for the purpose of health and dental benefits.
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How to fill out domestic partner affidavit

How to fill out Domestic Partner Affidavit
01
Obtain the Domestic Partner Affidavit form from your local government or online.
02
Fill in your personal information, including your name, address, and date of birth.
03
Provide your domestic partner's information in the corresponding fields.
04
Indicate the duration of your domestic partnership and how long you have been living together.
05
Sign the affidavit in front of a notary public, confirming that the information provided is true.
06
Submit the completed affidavit to the appropriate government office or agency as required.
Who needs Domestic Partner Affidavit?
01
Couples in a committed relationship who are not married but wish to have their partnership recognized for legal or benefits purposes.
02
Individuals seeking to access health benefits, insurance, or legal rights typically afforded to married couples.
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People Also Ask about
What is the affidavit of a domestic partner?
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.
Does my girlfriend qualify as a domestic partner?
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.
What qualifies as a domestic partner in the US?
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.
Does my girlfriend count as a domestic partner?
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.
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What is Domestic Partner Affidavit?
A Domestic Partner Affidavit is a legal document that certifies the existence of a domestic partnership between two individuals for various legal purposes, such as benefits and rights.
Who is required to file Domestic Partner Affidavit?
Typically, individuals who wish to establish legal recognition of their domestic partnership for purposes such as health benefits, tax benefits, or other legal rights are required to file a Domestic Partner Affidavit.
How to fill out Domestic Partner Affidavit?
To fill out a Domestic Partner Affidavit, individuals generally need to provide basic personal information, the duration of the partnership, and may need to have the affidavit signed in the presence of a notary public.
What is the purpose of Domestic Partner Affidavit?
The purpose of a Domestic Partner Affidavit is to formally declare and document the relationship between partners, allowing them to access certain legal rights and benefits typically provided to married couples.
What information must be reported on Domestic Partner Affidavit?
The information that must be reported on a Domestic Partner Affidavit typically includes the names, addresses, date of birth of both partners, the date the domestic partnership was established, and possibly a declaration of shared responsibilities and intent.
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