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This document is a declaration form for employees of Illinois State University to certify their domestic partnership for eligibility of university-provided benefits.
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How to fill out ILLINOIS STATE UNIVERSITY STATEMENT OF DOMESTIC PARTNERSHIP DECLARATION

01
Obtain a copy of the Illinois State University Statement of Domestic Partnership Declaration form from the university's website or office.
02
Fill in your personal information, including your full name, address, and contact details.
03
Provide your partner's personal information in the designated sections.
04
Confirm the relationship by including the date when the partnership began.
05
Sign the form to affirm that the information provided is accurate and true.
06
Submit the completed form to the appropriate office at Illinois State University, ensuring you check if any additional documents are needed.

Who needs ILLINOIS STATE UNIVERSITY STATEMENT OF DOMESTIC PARTNERSHIP DECLARATION?

01
Individuals in a committed domestic partnership who seek benefits provided by Illinois State University.
02
Employees or students who wish to declare their domestic partnership for health benefits or university services.
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Complete and sign a Domestic Partnership Affidavit before a notary public. The Clerk's office can provide a notary public. Pay $40.00. You will receive a certificate of domestic partnership and two wallet-sized versions of this certificate.
Eligible dependents of the member include: Spouse (does not include ex-spouses, common-law spouses, a new spouse of a survivor, or persons not legally married). Same-Sex Domestic Partner (enrolled prior to June 1, 2011). Civil Union Partner (Same-Sex or Opposite-Sex).
A cohabitation agreement is a document that details how assets will be divided between the partners if the relationship ends. While some states see cohabitation as common-law marriage, the State of Illinois does not completely accept cohabitation as a bona fide civil union.
The term domestic partner(s), as referred to in Board Rules and Policies, shall mean individuals who (1) are at least 18 years of age; (2) are of the same sex; (3) are unmarried (single, divorced or widowed) and not a party to a civil union; (3) are each other's sole partner; (4) are responsible for each other's common
Domestic Partnership Eligibility and Restrictions Share a common permanent residence and are jointly responsible to each other for the necessities of life. You must bring proof of a common address, such as a lease, joint bank statement, a current bill with both names, etc.

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The ILLINOIS STATE UNIVERSITY STATEMENT OF DOMESTIC PARTNERSHIP DECLARATION is a formal document that recognizes the domestic partnership of individuals and provides them with certain benefits and rights as designated by the university.
Individuals who are in a domestic partnership and wish to access specific benefits offered by Illinois State University, such as health insurance, are required to file this declaration.
To fill out the ILLINOIS STATE UNIVERSITY STATEMENT OF DOMESTIC PARTNERSHIP DECLARATION, individuals should complete the form with accurate information about themselves and their partner, including names, addresses, and signatures, and submit it to the appropriate office at the university.
The purpose of the ILLINOIS STATE UNIVERSITY STATEMENT OF DOMESTIC PARTNERSHIP DECLARATION is to provide recognition and access to benefits for couples who are not legally married but are in a committed domestic relationship.
The information that must be reported includes the names and addresses of both partners, the date of the partnership, any previous partnerships, and the signatures of both individuals.
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