Domestic Partner Certification Form
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_____ please check this item and attach a copy. This form cannot be completed or submitted online. Web 3190 domestic partner affidavit page 1 of 3 instructions: 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. Web domestic.
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The city of chapel hill extends benefits to. $10.00 if either partner is 62 or older this space for office use only declaration statement (do not alter the. Albany, ithaca, new york city, and rochester. Ad save and print your blank affidavit of domestic partnership forms. The domestic partner certification form allows you to change your domestic partner imputed tax.
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