Declaration of domestic partnershipenrollment form addendum 2026

1. Click ‘Get Form’ to open the declaration of domestic partnership enrollment form addendum in the editor.
2. Begin by filling out the Employee Information section. Enter your name, social security number, date of birth, and address. Ensure all details are accurate for proper processing.
3. In the Requested Coverage section, select the types of coverage you wish to enroll your domestic partner in by checking the appropriate boxes for medical, dental, vision, life, or voluntary life.
4. Complete the Domestic Partner’s Information section by providing their name, social security number, date of birth, address, and sex. This information is crucial for eligibility verification.
5. Indicate the date when your domestic partnership was established. This helps in confirming compliance with policy requirements.
6. Review and checkmark at least three items under Certification that demonstrate your joint financial responsibility. This is essential for validating your partnership status.
7. Fill out any relevant information regarding dependent children if applicable. Provide their names and dates of birth as required.
8. Finally, read through the Acknowledgments section carefully before signing. Both you and your domestic partner must sign and date the document to finalize it.

Start using our platform today to easily complete your declaration of domestic partnership enrollment form addendum online for free!