
Get the free Domestic Partner Certification Form - CenturyLink Benefits - Home
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Return your form to Benefits Administration Mailstop KSOPKR0301-A 5454 W. 110th St. Overland Park KS 66211 Fax 1-913-397-3767 Phone 1-888-722-4372 DOMESTIC PARTNER CERTIFICATION Plan Year January 1 December 31 Due Date CenturyLink employees who elect benefits can extend coverage to their domestic partners. I understand that domestic partners are defined under the Benefits Plan as two people of the same or opposite sex in a spouse-like relationsh...
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How to fill out domestic partner certification form

How to fill out domestic partner certification form:
01
Gather necessary information: Before filling out the form, make sure you have all the required information. This may include both your personal details and those of your domestic partner, such as full names, addresses, and social security numbers.
02
Read the instructions: Carefully go through the instructions provided with the form. Familiarize yourself with the specific requirements and any supporting documents that may be needed.
03
Complete personal information: Start by filling out your personal information accurately and legibly. Include your name, address, phone number, and any other details requested in the appropriate sections.
04
Provide domestic partner information: Next, provide all necessary information about your domestic partner. Ensure that their details, such as full name, address, and social security number, are correctly entered.
05
Sign and date the form: Make sure to sign the form in the designated area and date it as well. If the form requires the signature of your domestic partner, ensure they also sign and date it accordingly.
06
Review and double-check: Before submitting the form, carefully review all the information you have provided. Check for any errors or omissions that may need to be corrected.
Who needs domestic partner certification form:
01
Individuals in domestic partnerships: The domestic partner certification form is typically needed by individuals who are in domestic partnerships or civil unions. It is a legal document that helps affirm the existence of such relationships.
02
Employers and insurance companies: In some cases, employers or insurance companies may require individuals in domestic partnerships to provide a completed domestic partner certification form. This may be necessary for various reasons, such as determining eligibility for benefits or coverage.
03
Government agencies: Some government agencies may also request a domestic partner certification form for purposes such as taxation, healthcare, or legal matters. It is essential to check the specific requirements of the agency involved.
Note: The need for a domestic partner certification form can vary depending on the jurisdiction or organization involved. It is advisable to consult the relevant authorities or seek legal advice if you are unsure whether you need to complete this form.
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What is domestic partner certification form?
The domestic partner certification form is a document used to officially certify the domestic partnership between two individuals.
Who is required to file domestic partner certification form?
The individuals who are in a domestic partnership are required to file the domestic partner certification form.
How to fill out domestic partner certification form?
To fill out the domestic partner certification form, you will need to provide information about both partners, including their names, addresses, and evidence of the domestic partnership.
What is the purpose of domestic partner certification form?
The purpose of the domestic partner certification form is to establish legal recognition of a domestic partnership, providing certain rights and benefits to the partners.
What information must be reported on domestic partner certification form?
The domestic partner certification form requires information about the partners' names, addresses, dates of birth, and evidence of the domestic partnership.
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