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Last Updated: Jan 29, 2025, 12:05 PM
Form Title: Statement of Domestic Partnership
Description: Use this form to request a domestic partnership.
Usage Notes: This form is used so domestic partners can have access to benefits provided solely by the University and not State of Illinois Benefits.
Use Documentation: None available.
To be used by: Campus Use
Posted on: 16 May 2012
Posting by: Human Resources
Contact email: formadm@siu.edu
Form ID: hro1056