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DEPARTMENTAL
AFFIDAVIT OF DOMESTIC PARTNERSHIP
Pima County Personnel Policies 8106 and 8108SECTION I, certify that:
Name of Employee (Print)
and I are domestic partners and have been since:
Name of
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How to fill out domestic partner affidavit non-insurance

How to fill out domestic partner affidavit non-insurance
01
Obtain the domestic partner affidavit non-insurance form from the appropriate authority or organization.
02
Fill out your personal information, such as your name, address, and contact information.
03
Provide your domestic partner's personal information, including their name, address, and contact details.
04
Indicate the nature of your domestic partnership and how long you have been in a committed relationship.
05
Sign and date the affidavit in the presence of a notary public or authorized witness.
06
Have the notary public or authorized witness certify and sign the affidavit.
07
Submit the completed and notarized domestic partner affidavit non-insurance form to the relevant authority or organization as required.
Who needs domestic partner affidavit non-insurance?
01
Anyone who is in a domestic partnership and requires proof of their relationship for non-insurance related purposes would need a domestic partner affidavit non-insurance. This may include individuals seeking to establish their partnership for legal, financial, or other relevant reasons.
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What is domestic partner affidavit non-insurance?
Domestic partner affidavit non-insurance is a form that allows an individual to declare their domestic partnership for the purpose of obtaining insurance benefits.
Who is required to file domestic partner affidavit non-insurance?
Individuals who are in a domestic partnership and wish to qualify for insurance benefits are required to file the domestic partner affidavit non-insurance.
How to fill out domestic partner affidavit non-insurance?
To fill out the domestic partner affidavit non-insurance, individuals must provide information about themselves and their domestic partner, including their names, addresses, and evidence of the partnership.
What is the purpose of domestic partner affidavit non-insurance?
The purpose of domestic partner affidavit non-insurance is to allow individuals in domestic partnerships to access insurance benefits that may otherwise be restricted to married couples.
What information must be reported on domestic partner affidavit non-insurance?
Information such as the names, addresses, and evidence of the domestic partnership must be reported on the domestic partner affidavit non-insurance form.
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