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 Health Officer:
  JOHN THEESE

DEPARTMENT OF HEALTH
Madison Civic Center
28 Walnut Street
Madison, New Jersey 07940

TEL #: (973) 593-3081

Domestic Partnership

To register a Domestic Partnership in the State of New Jersey, applicants must:

An  Affidavit of Domestic Partnership form must be completed in front of a Notary Public.  This form can be picked up at your local Health Department.

File the notarized Affidavit of Domestic Partnership form with the Local Registrar of Vital Statistics in any municipality in New Jersey to obtain a Certificate of Domestic Partnership: and

Remit payment of the registration fee as established by the appropriate New Jersey Regulations.

Provide valid identification for each applicant that establishes name, age, and date of birth.

Identify a common residence in the State of New Jersey or share a common residence in another jurisdiction if at least one of the applicants is a member of a New Jersey State administrated retirement system.

Provide proof of joint financial responsibility as evidenced by one or more of the following:

 -  Joint deed, mortgage agreement or lease;

 -  Joint bank account;

 -  Designation of one of the persons as primary beneficiary in the other person's will;

 -  Designation of one of the persons as primary beneficiary in the other person's life insurance policy or retirement plan; or

 -  Joint ownership of a motor vehicle.

 

A DOMESTIC PARTNERSHIP IS NOT CONSIDERED REGISTERED UNTIL THE ABOVE REQUIREMENTS HAVE BEEN SATISFIED.

 

 

 

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