Pennsylvania domestic partnership verification form 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Employee Information section. Enter your Social Security Number (SSN), last name, first name, middle initial (MI), date of birth (DOB), and address including city, state, and zip code.
  3. Indicate your gender by selecting either 'Male' or 'Female'. Provide your home and work phone numbers for contact purposes.
  4. Next, enter your Domestic Partner's name and SSN. Ensure that both partners meet the criteria outlined in the Domestic Partnership Criteria section.
  5. Review the Domestic Partnership Acknowledgment section carefully. Each partner must sign and date this affidavit to confirm understanding of the benefits and responsibilities associated with the partnership.
  6. Finally, ensure that the form is notarized before submission. This step is crucial for validating your affidavit.

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As with marriage license applications, you are both required to be present before the clerk and sign an affidavit or certification that you meet the requirements for a domestic partnership.
Generally speaking domestic partnerships no longer exist in Pennsylvania but Cohabitation Agreements can provide some protection to unmarried couples who share finances.
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