Affidavit of Domestic Partnership
Form to establish domestic partnership and add your partner to benefits coverage.
Forms and information for establishing or terminating domestic partnership benefits coverage.
Complete the Affidavit of Domestic Partnership to add your domestic partner to your benefits coverage. This form must be submitted along with required documentation to establish eligibility.
Along with the affidavit, you may need to provide additional documentation such as joint financial records, shared living arrangements, or other evidence of domestic partnership.
If your domestic partnership ends, you must complete the Termination of Domestic Partnership form within 31 days to remove your partner from benefits coverage.
Download the appropriate form for establishing or terminating domestic partnership benefits.
Form to establish domestic partnership and add your partner to benefits coverage.
Form to terminate domestic partnership and remove your partner from benefits coverage.