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How to write your own Domestic Partnership Termination Form

You can create your customized editable version of this contract document using Human Resources Contract Pack. Follow these steps to get started.


Use the Employee Termination of Domestic Partnership Form for your employees who are terminating a living arrangement that affects their company insurance plan or other company benefits.
Document Length: 1 Page
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1. Get Human Resources Contract Pack, which includes this business contract document.

We include this Domestic Partnership Termination Form in editable Word format that can be customized using your office software.

2. Download and install after ordering.

Once you have ordered and downloaded your Human Resources Contract Pack you will have all the content you need to get started.

3. Customize the contract template with your information.

You can customize the contract document as much as you need. You can also use the included Wizard software to automate name/address data merging.

Domestic Partnership Termination Form

Writing the Domestic Partnership Termination Form document

Termination of Domestic Partnership Current Date. Please complete the following form, signing both employee and partner's names on each line, and return it to the Human Resources Department. NOTE: This Termination of Domestic Partnership Statement may affect any current coverage for your Domestic Partner and/or the rates you pay under any Company Insurance Plans or Company-sponsored benefits. I hereby declare that my former Partner, (please print), and I are no longer Domestic Partners and our Domestic Partnership ended on this date.

Employee Signature Date

Partner Signature Date

Human Resources Representative Date

Phone Phone Number

The complete Domestic Partnership Termination Form - with the actual formatting and layout - is available in this Contract Pack.
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Related documents may be used in conjunction with this document depending on your situation. Many related documents are intended for use as part of a contract management system.

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