AFFIDAVIT OF DOMESTIC PARTNERSHIP - employeebenefits ri - employeebenefits ri 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Employee Name and Domestic Partner Name in the designated fields at the top of the form.
  3. In the Evidence and Certification section, confirm that both partners meet all criteria by checking each box as applicable. Ensure you circle two items from the financial interdependency options provided.
  4. For the Termination of Domestic Partnership section, acknowledge your responsibility to notify the Office of Employee Benefits about any changes in your relationship status within thirty-one days.
  5. Complete the Insurance Coverage section by reviewing who is eligible for coverage under this affidavit.
  6. Finally, sign and date the document where indicated, ensuring that both partners complete their respective sections and have it notarized if required.

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An affidavit of domestic partnership is a legal document signed by two individuals who wish to become domestic partners to receive certain rights and benefits of a married couple. This process is typically completed through the city or county clerks office where the partners reside.
If you have a civil union (or registered domestic partnership) from Rhode Island or another state, Rhode Island will grant you the same rights and benefits, and hold you to the same responsibilities, as a married couple in Rhode Island.
Documentation / Proof of Relationship Partnership affidavit (as defined by the employer/insurer) Municipal domestic partnership registration. State domestic partnership registration. State civil union license. State marriage license. Marriage licenses issued in other countries.

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