Get the free Statement of Domestic Partnership

This form is used to enroll or delete a Domestic Partner in health benefits with Blue Shield of California. It requires the employee to declare the establishment or dissolution of a domestic partnership

How to fill out statement of domestic partnership

How to fill out Statement of Domestic Partnership

1. Obtain the Statement of Domestic Partnership form from your local government website or office.
2. Fill in your full name and contact information as the first party.
3. Fill in the full name and contact information of your domestic partner as the second party.
4. Provide the date that your domestic partnership commenced.
5. Indicate any other required information, such as the address where you both reside.
6. Sign and date the form at the designated areas.
7. Have your partner sign and date the form as well.
8. Submit the completed form to the appropriate office, along with any required fees.

Who needs Statement of Domestic Partnership?

1. Couples who wish to establish legal recognition of their domestic partnership.
2. Individuals seeking benefits similar to marriage, such as health insurance or inheritance rights.
3. Partners in same-sex relationships, especially where marriage is not an option.
4. Couples who want to formalize their relationship without getting married.

People Also Ask about

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.

Does my girlfriend count as a domestic partner?

For example, any relative, like your uncle, your sister, your father, etc. Related by marriage. For example, your husband, your sister-in law, your brother-in law, etc. Relationship that is similar to the nature of marriage, like your live-in partner.

What is an example of a domestic relationship?

Health insurance providers may ask applicants to prove their domestic partnership through: letters from family and friends verifying the relationship, having the same permanent residence for the past six or more months, and sharing the costs of running a household.

For pdfFiller’s FAQs

What is Statement of Domestic Partnership?

A Statement of Domestic Partnership is a legal document that establishes a domestic partnership between two individuals who choose to live together and share a domestic life, similar to marriage, without formalizing it through marriage.

Who is required to file Statement of Domestic Partnership?

Individuals who wish to legally recognize their domestic partnership in jurisdictions that allow for it are required to file a Statement of Domestic Partnership.

How to fill out Statement of Domestic Partnership?

To fill out a Statement of Domestic Partnership, individuals typically need to provide personal information such as names, addresses, and possibly details about their relationship and any dependents. It often requires both parties to sign the document in the presence of a witness or notary.

What is the purpose of Statement of Domestic Partnership?

The purpose of a Statement of Domestic Partnership is to legally recognize the relationship between partners, granting them certain rights and responsibilities similar to those of married couples.

What information must be reported on Statement of Domestic Partnership?

The information reported typically includes the full names of the individuals involved, their addresses, the date the partnership began, and any pertinent details regarding dependents or shared financial responsibilities.