Free Affidavit of Domestic Partnership Template

An affidavit of domestic partnership is a sworn statement in which two partners confirm they live together in a committed relationship. Both partners sign it.

Employers, insurers, and other organizations often ask for one before adding a partner to a benefit or an account. The signed statement gives them a record of the relationship.

This document describes a relationship that already exists. Signing it does not create a legal status, register a partnership, or change either partner’s marital status.

Because it carries the weight of sworn evidence, both partners confirm the facts under oath. So accuracy matters far more than length here.

This affidavit also differs from a marriage certificate. An official office issues a certificate, whereas partners write and sign an affidavit themselves. One is a record the government keeps, and the other is a statement you provide on request.

Most people prepare one because an organization asked for proof of a shared life. That request usually arrives during enrollment, an application, or an intake process.

Typical requests come from:

• Employers — adding a partner to health coverage during benefits enrollment.
• Insurers — extending an existing policy to cover a partner.
• Landlords and housing offices — adding a partner to a lease or a rental application.
• Hospitals and care facilities — establishing who may visit or receive updates.
• Universities and membership programs — extending family rates or campus access.

Each requester defines a partnership its own way, however. One employer may want evidence of shared finances, while another accepts a signed statement on its own. Ask exactly what the organization needs before you fill anything in.

Timing matters just as much. Enrollment periods and application windows often close on a fixed date, and paperwork that arrives afterward may wait until the next cycle. Therefore, ask about deadlines while you are asking about the checklist, so the documents and the calendar line up.

Tip: Request the organization’s checklist up front. Some accept the affidavit by itself, and others expect supporting paperwork attached. Knowing which applies to you prevents a second submission.

An affidavit of domestic partnership works best when it covers both partners, the shared household, and the commitment itself. Each section below answers a question a reviewer will have.

Both Partners’ Information

Full legal names, dates of birth, and the address you share. Include both partners, since a single signature is rarely enough.

Shared Residence

The address where you live together and, where relevant, how long you have shared it. Keep this factual and brief.

Statement of Commitment

A short declaration that you are in a committed relationship, that you are each other’s sole domestic partner, and that neither of you is married to someone else.

Financial Interdependence

A description of how you share expenses or accounts. Reviewers tend to look for concrete signs, such as:

• A joint lease or mortgage — shows you share a home.
• Bank accounts held together — show you share money day to day.
• Utility bills in both names — show you both maintain the household.
• Beneficiary designations naming each other — show you plan around one another.

Effective Date

The date your partnership began, if the requester asks for it. Some organizations use that date to decide when coverage or access starts, so check before you leave the field empty.

Supporting Documents

A list of whatever you are attaching, so the reviewer can match your list against the envelope.

Signatures, Date, and Notary Space

Both signatures and the date, plus space for a notary block in case the requester asks for notarization.

Termination Acknowledgment

Many organizations want partners to report when a partnership ends. One brief line acknowledging that duty answers the question before it comes up.

Recognition depends on where you live and who is asking. Rules vary by state and by organization, so confirm the details before either partner signs.

Begin with the requester. Ask whether they accept an affidavit of domestic partnership, whether they require notarization, how many supporting documents they expect, and whether they would rather you use their own form.

Next, check your state’s official website for how domestic partnerships are treated in your area. A local clerk’s office can point you toward the right department.

Knowing the limits of the document helps, too. This affidavit records a relationship for the organization asking about it; it does not by itself grant tax treatment, inheritance rights, or immigration status. For anything touching those areas, talk with a local attorney before relying on the affidavit alone.

Sign only after both partners have read the finished statement and agree that every detail is accurate. Both partners sign the same document.

1. Confirm the requester’s checklist and preferred format.
2. Fill in both partners’ details and the shared address.
3. Gather any supporting documents you plan to attach.
4. Sign together, before a notary if the requester asks for notarization.
5. Submit it the way the organization prefers, and keep a copy each.

Both partners should carry photo identification to a notary appointment. Anyone who cannot attend at the same time as their partner should ask the notary first, since some want both signers present.

Plan for updates as well. A change of address, a new supporting document, or the end of the partnership may each call for fresh notice to the organization. Ask who to contact and in what format, then keep that detail with your copy so neither partner has to hunt for it later.

Document Genius turns this into a short, guided form. Answer a few questions, then download, print, or e-sign your affidavit of domestic partnership. Start yours in minutes.