DOMESTIC PARTNER DECLARATION - Benefits from MetLife 2025

1. Click ‘Get Form’ to open the DOMESTIC PARTNER DECLARATION in the editor.
2. Begin by entering the 'Name of Group Customer/Employer' and 'Group Customer #' at the top of the form. This information identifies your employer's benefits plan.
3. Fill in your personal details, including 'Employee Name', 'Date of Birth', and 'Address'. Ensure accuracy as this information is crucial for processing your declaration.
4. Next, provide your domestic partner's information: 'Domestic Partner Name', 'Date of Birth', and their 'Address'. This section confirms your relationship.
5. Review the declarations regarding your partnership. Confirm that all statements are true by checking each box provided.
6. Sign and print your name in the designated areas, along with the date signed. This step finalizes your declaration.
7. Finally, return the completed form to either your Employer/Benefits Administrator or directly to MetLife as instructed at the bottom of the document.

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