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Certification of Marriage or Domestic Partnership Declaration of DependentsSECTION I (Please print):Employee: Last NameFirstMISpouse: Last NameFirstMIDate of Birth: SS#: DomesticPartner: Last NameFirstMIDate
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Section I is the first section of the document.
All employees are required to fill out Section I.
Section I should be completed with accurate and up-to-date information.
The purpose of Section I is to collect important information about the employee.
Information such as name, address, date of birth, and citizenship status must be reported on Section I.
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