Adding and Removing a Domestic Partner

Adding Domestic Partner

Information (PDF) on domestic partner eligibility

IRS Regulations Imposing Imputation of Income for Health Benefits

The following forms are required to be submitted

• Declaration of Domestic Partner (PDF) Be sure to include required supporting documentation. Signature of both employee and domestic partner are required.
• IRC 152 – Declaration of Tax Dependent Status (PDF)

Removing Domestic Partner

The following forms are required to be submitted

• Termination of Domestic Partner (PDF)

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