Services (3)

Domestic Partner Affidavit

This form allows an employee to establish a domestic partnership. The domestic partner can be a covered dependent for medical, educational, and sick leave benefits.

Domestic Partner Enrollment Form

This form allows an employee to enroll a domestic partner and/or dependents in medical coverage.

Statement of Termination of Domestic Partnership

This form is used by employees to formally terminate a domestic partnership. It must be submitted within 30 days following the dissolution of the partnership.