Domestic Partnership Application

Registrar : Jane Gasparik, CMR, RMC
Vital Statistics, Health Department
900 Leonardville Road, Croydon Hall, Leonardo, NJ 07737

Phone: 732.615.2094 |Fax: 732.671.8697
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Note: The Registrar's Office hours for applying for marriage, civil union, domestic partnership and all certified copies of vital records to be performed by appointment only.

*Effective Feb 19, 2007*
Domestic Partnerships may only be registered by individuals who are each 62 years of age or older, are the same sex or opposite sex, and meet all other requirements for being deemed eligible to register as domestic partners.  Please allow at least a minimum of one month with a maximum of 3 to 6 months before the scheduled event to obtain an appointment to ensure any conflict with your intended ceremony day.

If you are presently registered as domestic partners, you may file for a Civil Union if filing with the same partner.
The couples must meet the following requirements:

• Share a common residence within New Jersey or any other jurisdiction provided at least one applicant is a member of a State-administered retirement system;
• Both persons are jointly responsible for each other's common welfare as evidenced by joint financial arrangements or joint ownership of real or personal property;
• Both persons agree to be jointly responsible for each other's basic living expenses during the domestic partnership;
• Neither applicant is in a marriage or civil union recognized by New Jersey law or a member of another domestic partnership;
• Both persons have chosen to share each other's lives in a committed relationship of mutual caring;
• Neither person is related to the other by blood or affinity up to and including the fourth degree of consanguinity.

What you should bring with you when you apply for a Domestic partnership License:

• If you are divorced or have had a marriage annulled, please bring the divorce decree or the civil annulment documents.
• If your former spouse is deceased, please bring a certified copy of the death certificate.
• Neither person has been a partner in a Domestic Partnership that was terminated less than 180 days prior to the filing of the current Affidavit of Domestic Partnership (except this does not apply if terminated due to the death of one of the partners).
• A valid photo copy of your driver's license or state issued identification along with a certified birth certificate (preferred) or a valid passport if the birth certificate is not available.
• Proof of residency.
• Your social security card or social security number (required by law and will be kept confidential).
• A witness (18 years or older with valid I.D.) who knows both applicants.
• The $28.00 application fee.

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