State of Hawaii     

HAWAI`I EMPLOYER-UNION HEALTH BENEFITS TRUST FUND

• General Information Domestic Partner Enrollment    
   

• EUTF Declaration of Domestic Partnership     Revised!  December 2004
   

• EUTF Declaration of Termination of Domestic Partnership     Revised!  December 2004
   

• Affidavit of "Dependency" for Tax Purposes     Revised!  December 2004
   

• State of Hawaii PCP - Domestic Partnership Acknowledgment Form (State of Hawaii Employees Only)     Revised March 2007
   

• State of Hawaii PCP - Domestic Partnership Reference Chart (State of Hawaii Employees Only)     Revised March 2007
  
  
  
  

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