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EMPLOYEE BENEFITS DIVISION New York State Health Insurance Program (SHIP) Domestic Partner Enrollment ApplicationPS425 (10/19)PLEASE READ PAGES 47 BEFORE YOU COMPLETE AND SUBMIT THIS APPLICATION. EMPLOYEE
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Who needs domestic partner enrollment application?

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Anyone who wishes to enroll their domestic partner in a specific program, such as employee benefits or insurance, may need to fill out a domestic partner enrollment application. The exact eligibility requirements and purposes may vary based on the program and the organization offering it.
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Domestic partner enrollment application is a form that allows individuals to register their domestic partnership with the appropriate authorities.
Any individuals who wish to establish a legal domestic partnership must file a domestic partner enrollment application.
Domestic partner enrollment application can typically be filled out online or submitted in person at the designated office. It requires basic information about the partners and their relationship.
The purpose of domestic partner enrollment application is to legally recognize and provide benefits to couples in a domestic partnership.
Information such as names, addresses, dates of birth, and declaration of domestic partnership are typically required on the domestic partner enrollment application.
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