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DEPARTMENT OF HEALTH SERVICES Division of Public Health F00123 (Rev. 11/2016)STATE OF WISCONSIN Wis. Stat. 69.21-Page 1 of 2Waushara County WISCONSIN DECLARATION OF DOMESTIC PARTNERSHIP CERTIFICATE
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How to fill out wisconsin declaration of domestic

01
To fill out the Wisconsin Declaration of Domestic, follow these steps:
02
Begin by providing your full legal name and the date of the declaration.
03
Indicate whether you are the declarant or the agent/representative of the declarant.
04
If you are the declarant, specify your relationship status by selecting one of the options provided.
05
If you are the agent/representative, provide the declarant's full legal name and relationship status.
06
Next, state your intentions by selecting 'Domestic Partnership' or 'Termination of Domestic Partnership'.
07
If you are establishing a domestic partnership, provide the name of your partner and select the appropriate gender.
08
Indicate whether your partner is the same or opposite sex as you.
09
Provide the date on which the domestic partnership began.
10
If you are terminating a domestic partnership, provide your partner's name and the date the partnership began.
11
Sign and date the declaration in the presence of a notary public or witness as required by the Wisconsin law.
12
Submit the completed declaration to the appropriate authority or keep a copy for your records.

Who needs wisconsin declaration of domestic?

01
The Wisconsin Declaration of Domestic is needed by individuals who either want to establish a legal domestic partnership or terminate an existing domestic partnership within the state of Wisconsin.
02
This document is used to declare and establish the legal rights and responsibilities of domestic partners, allowing them to access various benefits and protections under Wisconsin law.
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The declaration of domestic in Wisconsin is a legal document that establishes a domestic partnership between two individuals.
Any couple who meets the criteria for a domestic partnership in Wisconsin is required to file the declaration.
The declaration can be filled out by obtaining the form from the Wisconsin Department of Health Services website and submitting it with the required information.
The purpose of the declaration is to provide legal recognition and benefits to couples in a domestic partnership.
The declaration requires information about both individuals in the partnership, including their names, addresses, and any joint assets or liabilities.
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