AFFIDAVIT OF DOMESTIC PARTNERSHIP - employeebenefits ri - employeebenefits ri 2025

1. Click ‘Get Form’ to open the AFFIDAVIT OF DOMESTIC PARTNERSHIP 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 Section 1, carefully review and circle two items that demonstrate financial interdependence. Ensure you attach any required documentation as specified.
4. For Section 2, acknowledge your responsibility to notify the Office of Employee Benefits about any changes in your domestic partnership status within thirty-one days.
5. Complete Section 3 by understanding who is eligible for insurance coverage under this affidavit. Make sure all information is accurate.
6. Sign and date the affidavit at the bottom, ensuring both you and your domestic partner complete their respective signatures and provide Social Security numbers.
7. Finally, submit your completed affidavit through our platform for processing, ensuring all attachments are included.

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