Get the free Use this form to add a domestic partner to your coverage

The signing member must notify their employing entity within 31 days after such death or change by completing a Termination of Domestic Partnership form and a midyear change form. After submitting the forms the member may not file a new Affidavit of Domestic Partnership for the purpose of enrolling a new partner for six months from the date the Termination of Domestic Partnership form is received by the employing entity. Rev 08/15/2016 500 Summer Street NE E-88 Salem OR 97301-1063 Phone...

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