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NINTH JUDICIAL DISTRICT COURT EMPLOYEES ASSOCIATION BENEFIT FUND APPLICATION FOR DOMESTIC PARTNER COVERAGE 1. Complete and Sign the Application for Domestic Partner Coverage. Please read each question

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How to fill out domestic partner enrollment form

01

Obtain a copy of the domestic partner enrollment form from your employer or HR department.

02

Fill out the form with your personal information including name, address, and contact details.

03

Provide information about your domestic partner including their name, address, and relationship to you.

04

Sign and date the form to certify the accuracy of the information provided.

05

Submit the completed form to your employer or HR department for processing.

Who needs domestic partner enrollment form?

01

Anyone who is in a domestic partnership and wants to receive benefits through their partner's employer may need to fill out a domestic partner enrollment form.

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What is domestic partner enrollment form?

The domestic partner enrollment form is a document used to register a domestic partnership.

Who is required to file domestic partner enrollment form?

Any individuals in a domestic partnership are required to file the enrollment form.

How to fill out domestic partner enrollment form?

To fill out the domestic partner enrollment form, you will need to provide detailed information about both partners and sign the form.

What is the purpose of domestic partner enrollment form?

The purpose of the domestic partner enrollment form is to officially register a domestic partnership and receive legal recognition.

What information must be reported on domestic partner enrollment form?

Information such as personal details of both partners, date of partnership start, and declaration of partnership must be reported on the form.

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