Washington Domestic Partnership Dependent Certification Form

State:
Multi-State
Control #:
US-153EM
Format:
Word; 
Rich Text
Instant download

Description

Employees may use this form to determine their tax liability status for domestic partnership benefits. The Washington Domestic Partnership Dependent Certification Form is a vital document used to establish the dependency of individuals in a domestic partnership in Washington State. This form is specifically designed for domestic partners who require health insurance coverage for their dependents. It serves as proof of the dependent's eligibility to access health benefits through the domestic partner's insurance plan. Keywords: Washington Domestic Partnership, Dependent Certification Form, domestic partnership, dependency, health insurance coverage, health benefits, insurance plan. In Washington, there are two main types of Domestic Partnership Dependent Certification Forms: 1. Initial Domestic Partnership Dependent Certification Form — This form is used when a domestic partnership is established, and the dependents are being enrolled for the first time. It requires detailed information about the domestic partners, such as their names, addresses, Social Security numbers, and the effective date of the domestic partnership. Additionally, it requires comprehensive information about the dependents, including their names, dates of birth, and relationship to the domestic partners. 2. Renewal Domestic Partnership Dependent Certification Form — This form is required annually to update and maintain the dependent's eligibility for health insurance coverage. It includes similar information as the initial form but mainly aims to ensure that the dependent still meets the criteria for coverage, providing updated personal details and any changes in the dependent's situation. Both types of forms are essential to establish and maintain health insurance coverage for dependents in a Washington domestic partnership. It is crucial to complete these forms accurately to ensure the uninterrupted access to health benefits for domestic partners and their dependents. Keywords: Initial Domestic Partnership Dependent Certification Form, Renewal Domestic Partnership Dependent Certification Form, health insurance coverage, domestic partnership, dependents, enrollment, eligibility, personal details, relationship, criteria, uninterrupted access.

The Washington Domestic Partnership Dependent Certification Form is a vital document used to establish the dependency of individuals in a domestic partnership in Washington State. This form is specifically designed for domestic partners who require health insurance coverage for their dependents. It serves as proof of the dependent's eligibility to access health benefits through the domestic partner's insurance plan. Keywords: Washington Domestic Partnership, Dependent Certification Form, domestic partnership, dependency, health insurance coverage, health benefits, insurance plan. In Washington, there are two main types of Domestic Partnership Dependent Certification Forms: 1. Initial Domestic Partnership Dependent Certification Form — This form is used when a domestic partnership is established, and the dependents are being enrolled for the first time. It requires detailed information about the domestic partners, such as their names, addresses, Social Security numbers, and the effective date of the domestic partnership. Additionally, it requires comprehensive information about the dependents, including their names, dates of birth, and relationship to the domestic partners. 2. Renewal Domestic Partnership Dependent Certification Form — This form is required annually to update and maintain the dependent's eligibility for health insurance coverage. It includes similar information as the initial form but mainly aims to ensure that the dependent still meets the criteria for coverage, providing updated personal details and any changes in the dependent's situation. Both types of forms are essential to establish and maintain health insurance coverage for dependents in a Washington domestic partnership. It is crucial to complete these forms accurately to ensure the uninterrupted access to health benefits for domestic partners and their dependents. Keywords: Initial Domestic Partnership Dependent Certification Form, Renewal Domestic Partnership Dependent Certification Form, health insurance coverage, domestic partnership, dependents, enrollment, eligibility, personal details, relationship, criteria, uninterrupted access.

How to fill out Washington Domestic Partnership Dependent Certification Form?

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Washington Domestic Partnership Dependent Certification Form