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Declaration of Domestic Partnership form - aphis - aphis usda

Declaration of Domestic Partnership form - aphis - aphis usda 2025

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The document is a Declaration of Domestic Partnership, outlining the definition and requirements for a domestic partnership between two adults of the same sex. It includes statements that both partners must attest to, such as being sole partners, sharing a residence, and not being married or partnered with anyone else. The document also specifies the need to inform the relevant agency of any dissolution of the partnership and warns against falsification of information.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the printed name of the Employee/Annuitant, including last name, first name, and middle initial. Ensure accuracy as this information is crucial for identification.
Next, provide the signature of the Employee/Annuitant along with the date signed. This confirms your commitment to the declaration.
Fill in the Social Security number or other employee identifier and, if applicable, include the Civil Service Retirement number.
Proceed to enter the printed name of your Domestic Partner, again including last name, first name, and middle initial.
Have your Domestic Partner sign and date the form. This step is essential for validating your partnership declaration.
Indicate the date when your Domestic Partnership was formed. This provides a timeline for your relationship status.
Finally, ensure that you file this completed form with your current employing agency or retirement system and keep a copy for your records.

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