Updating...
Skip to main content
(opens in a new tab)
Sign In
Show Applications Menu
UHR Client Portal
Sign In
Home
Services
More Applications
Skip to Services content
Services A-Z
Search
Services
Service Catalog
University Human Resources Forms
Domestic Partners
Domestic Partners
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.
Popular Services
Student Employee Information Sheet
Educational Benefits Request Form: Employee
Educational Benefits Request Form: Qualified Dependent
Payroll Expense Accounting Correction (PEDS)
Timesheet for Student Employees
My Recently Visited Services
Voluntary Short-Term FTE Reduction
Beneficiary Designation Form
VSP Vision Care Out-of-Network Claim
Request for Incumbent Position Review
Anthem International Claim Form
Popular Tags
No tags have been applied.