Domestic partnership harris county texas 2026

1. Click ‘Get Form’ to open the Notice of Termination of Domestic Partnership in the editor.
2. Begin by filling out the Employee Information section. Enter your last name, first name, middle initial, today's date, employee ID (Emplid), mail station, home address (street and apartment number), city, state, zip code, work phone number, work fax number, and county.
3. Next, move to the Domestic Partner Information section. Provide your partner's last name, first name, social security number, gender (select Male or Female), middle initial, date of birth, home address (street and apartment number), city, state, zip code, and county.
4. In the Statement of Termination section, declare that you and your domestic partner are no longer partners. Fill in your partner's name and the dissolution date.
5. Sign and date the form in the Signature Information section. Ensure all required fields are completed.
6. Complete the Notary Information section by having a notary public witness your signature.
7. Finally, send the completed Notice of Termination to U.S. Bank Benefits at the provided address.

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