Domestic Partner Certification Form
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_____ please check this item and attach a copy. Web use this form if you are an active saif employee and want to certify that your domestic partner or domestic partner’s children qualify as dependents for the purpose of pretax. $10.00 if either partner is 62 or older this space for office use only declaration statement (do not alter the..
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_____ please check this item and attach a copy. The city of chapel hill extends benefits to. Effective date on the form is the date you and your. Louis to register at the office of the city register. Web domestic partnership registration certificate issued by the office of the city clerk and complete a health benefits application(if you are already.
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