BAffidavitb of Common Law bMarriageb Request for Enrollment of bb 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and Social Security Number in the designated fields. This information is crucial for identification purposes.
3. Next, provide your common law spouse’s name and Social Security Number. Ensure accuracy as this will be used for enrollment verification.
4. Answer the questions regarding your marital relationship status. Select 'Yes' or 'No' as applicable, and provide the date you entered into your common law marriage along with the state of residence at that time.
5. Indicate whether you have joint property or accounts by answering the relevant questions. If applicable, upload supporting documents such as tax statements or account statements directly through our platform.
6. List any children born to you and your spouse, including their names and birth dates. If requesting coverage for them, ensure to include necessary documentation.
7. Finally, review all entered information for accuracy before signing. Remember that a notarized signature is required at the end of the form.

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