Same-Gender Domestic Partner Certification Checklist
Can you answer "Yes" to and provide proof of each of the following?
Yes |
No |
|
 |
|
My partner and I are the same gender. |
|
|
My partner and I are not blood relatives. |
|
|
My partner and I are at least 21 years of age. |
|
|
My partner and I are single, not legally married to anyone else. |
|
|
My partner and I are currently in a committed relationship and have been in such for six months or more. |
|
|
My partner and I reside in a common household and share responsibility for the household. |
|
|
I have not received nor requested Domestic Partner Certification with Vanderbilt within the last 12 months. |
|
|
If my partner has a dependent child(ren) who I plan to add to my health or dental coverage, that child(ren) meets the Internal Revenue Service definition of a dependent. |
If you answer "Yes" to each of these questions, the next step to certify your same-gender domestic partner is to contact the Director of Benefits' office to make an appointment.
Vanderbilt University is committed
to principles of equal opportunity and affirmative action.
HR Express 2525 West End Ave Suite 218 Nashville TN 37203 Hours M-F 7:30 - 5:30 Last Updated: October 19, 2009 |
 |