Domestic Partnership

NYSC employees who wish to add a domestic partner to their health coverage must complete and submit this Declaration of Cohabitation & Financial Interdependence Form. Please submit this completed form, with the requested proofs, to the Benefits Department at benefits@nysc.com. Domestic partner benefits may have federal and state tax consequences. You should consult the applicable laws and/or a tax professional before applying to enroll your domestic partner for dependent health coverage.

Declaration of Cohabitation and Financial Interdependence Form