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AFFIDAVIT OF DOMESTIC PARTNERSHIP
GROUP NAME:
GROUP NUMBER:
A. Partner Certification
We,
and
certify that we are domestic partners in accordance with the following
criteria and eligible for benefits
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02
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03
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01
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What is group name?
Group name is the name given to a collection of individuals or entities who are connected in some way.
Who is required to file group name?
The entity or individual responsible for the group must file the group name.
How to fill out group name?
Group name can be filled out by providing the necessary information about the individuals or entities included in the group.
What is the purpose of group name?
The purpose of group name is to identify and categorize a set of related individuals or entities for organizational or administrative purposes.
What information must be reported on group name?
Information such as names, contact details, and relationships between the individuals or entities in the group must be reported on group name.
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