1. Previous Marriages/Partnerships: Section declaring any previous marriages or domestic partnerships and their termination, used when required by specific employer policies

2. Dependent Children: Information about any dependent children to be covered under the health insurance, used when partners have children

3. Military Service: Special provisions for military service members, used when one or both partners are in the military

4. Tax Implications: Acknowledgment of tax consequences of domestic partner benefits, used when required by employer or jurisdiction

5. Confidentiality: Special privacy provisions for handling sensitive information, used when additional privacy protections are needed

1. Schedule A - Proof of Cohabitation: List of acceptable documents proving shared residence (e.g., lease, utility bills, driver's licenses)

2. Schedule B - Financial Documentation: List of acceptable documents proving financial interdependence (e.g., joint bank accounts, shared credit cards, mutual bills)

3. Schedule C - Employee Benefit Plans: Summary of applicable health insurance plans and coverage details

4. Appendix 1 - Supporting Documentation Checklist: Checklist of all required supporting documents to be submitted with the affidavit

5. Appendix 2 - Change Notification Form: Form to be used for notifying employer/insurer of any changes in domestic partnership status