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Common Law Marriages

common law marriage affidavit.qxp

COMMON LAW MARRIAGE AFFIDAVIT. The following information is required before a request to add a common law spouse or a dependent child. Insured's .
http://www.bcbsok.com/pdf/common_law_marriage_affidavit.pdf

The requirements for a common law marriage are as follows:

  • affidavit in support of common-law marriage state ... - DFAS

    AFFIDAVIT IN SUPPORT OF COMMON-LAW MARRIAGE. STATE . Spouse) and to assume all of the duties and responsibilities of a marriage relationship. 2.
    http://www.dfas.mil/dms/dfas/rapay/pdf/AffidavitSupportCommonLaw.pdf

  • 552-0690 Affidavit of Common Law Marriage - Benefits - State of Iowa

    STATE OF IOWA. AFFIDAVIT OF COMMON LAW MARRIAGE. We,. , and. , being. (Print Name of Employee). (Print Name of Common Law Spouse) duly sworn .
    http://benefits.iowa.gov/forms/affidavit_of_common_law_marriage_552-0690.pdf

  • AFFIDAVIT REGARDING COMMON LAW MARRIAGE THE STATE ...

    It acknowledges that you and the other signatory are legally married. Any changes in your common-law marriage, such as a divorce, will require a court order. It.
    http://people.rice.edu/uploadedFiles/People/Forms_and_Templates/Affidavit-CommonLawMarriage.pdf

  • common-law-affidavit _3_.doc - Weld County

    AFFIDAVIT DECLARING DEPENDENTS AND COMMON-LAW MARRIAGE . (a) the dependent children of my common-law marriage to said spouse, if any; and.
    http://www.co.weld.co.us/assets/124aCc5bB7Ba3816501c.pdf

  • Affidavit of Common-law Marriage - Western State College

    Affidavit of Common-law Marriage. Check coverage that applies: Health. Dental. Vision. Life. THIS SECTION MUST BE COMPLETED. Subscriber Member .
    http://www.western.edu/administration/hr/forms-files/insurance/Anthem%20Common%20Law%20Aff.pdf

affidavit attesting to the existence of common law marriage - PEBTF

By signing this Affidavit below, you represent that you have established a valid marriage under common law. A valid common law marriage is a marriage under  .
http://www.pebtf.org/uploads/publications/1279799133.pdf

Common law marriage is recognized only in the following states:

  • Alabama
  • Colorado
  • District of Columbia
  • Georgia (if created before 1/1/1997)
  • Idaho (if created before 1/1/1996)
  • Iowa
  • Kansas (both age 18 or older)
  • Montana
  • Common Law Marriage Affidavit - South Carolina Public Employee ...

    Common Law Marriage Affidavit. SOUTH CAROLINA PUBLIC EMPLOYEE BENEFIT AUTHORITY. INSURANCE BENEFITS. This affidavit is to attest that the  .
    http://www.eip.sc.gov/publications/CL_Marriage_Affidavit.pdf

  • Ohio (if created before 10/10/1991)
  • Oklahoma (if created before 11/1/1998)
  • Pennsylvania (see below)
  • Rhode Island
  • South Carolina
  • Texas ("informal marriage")
  • Utah (only if validated by court/administrative order)

Affidavit of Common Law Marriage - Inside Mines

DPA/DHR. Rev 9/2006. State of Colorado. Affidavit of Common Law Marriage. Upon signing this form, we, the undersigned, attest to the following facts: 1. I, .
http://inside.mines.edu/UserFiles/File/hr/Benefits/Faculty/Affidavit%20of%20Common%20Law%20Marriage%2010.2012.pdf

COMMON-LAW MARRIAGE AFFIDAVIT

We hereby execute this Common-Law Marriage Affidavit as evidence of our mutual agreement, and with the understanding that it may be used as verification of .
https://d1tpfj3hind0fx.cloudfront.net/Media/Documents/GrpSelfService/CommonLaw.pdf

Affidavit of Common Law Marriage - Marriage - About.com

Description and information about an affidavit of common law marriage.
http://marriage.about.com/od/commonlaw/g/comlawaffidavit.htm

Affidavit of Common Law Marriage - Colorado Attorney General

Sample Affidavit. STATE OF COLORADO. AFFIDAVIT OF COMMON LAW MARRIAGE. We, the undersigned, attest to the following facts: 1. We are at least 18 .
http://www.coloradoattorneygeneral.gov/sites/default/files/uploads/sample_affidavit.pdf

AFFIDAVIT OF COMMON LAW MARRIAGE State Of Kansas Health ...

Page 1. Rev. 02/08. AFFIDAVIT OF COMMON LAW MARRIAGE. State Of Kansas Health Plan. Request for Enrollment of Common Law Spouse. You are .
http://www.k-state.edu/hr/forms/NCommLawSps.pdf

Affidavit of Common Law Marriage (ADM 4731) - State of Ohio

after first being duly cautioned and sworn, state. (Print employee name) the following: ?. I have mutually consented and agreed to be married to .
http://das.ohio.gov/LinkClick.aspx?fileticket=nbFFaoGylwE%3D&tabid=216

affidavit of common law marriage - Freescale Semiconductor

Page 1 of 2. AFFIDAVIT OF COMMON LAW MARRIAGE/DOMESTIC PARTNER STATUS. We, the undersigned (hereinafter referred to as the “Employee” and .
http://www.freescale.com/files/benefits/2012_COMMONLAW_AFFIDAVIT.pdf

Affidavit of Common Law Marriage - Writing Professional RFP Letters

Affidavit of Common Law Marriage. Get 47 Other Free Affidavit Form Samples, Examples, Templates, and RFP-related Documents.
http://rfptemplates.technologyevaluation.com/rfp/for/affidavit-of-common-law-marriage.html

State Common Law Marriage Requirements
Alabama

COP Affidavit of Common Law Marriage FINAL.pdf - ConocoPhillips

ConocoPhillips Medical and Dental Assistance Plan (Plan). AFFIDAVIT of COMMON LAW MARRIAGE. We, the undersigned, being of lawful age, attest to the .
http://hrcpdocctr.conocophillips.com/Documents/DEVA/COP%20Affidavit%20of%20Common%20Law%20Marriage%20FINAL.pdf

Colorado

Iowa Common Law Affidavit - UHC River Valley

AFFIDAVIT OF COMMON LAW MARRIAGE. We, . We are each other's sole common law spouse and intend to remain so indefinitely and are responsible for our .
https://www.uhcrivervalley.com/downloads/brokers/iowacommonlaw.pdf

District of Columbia

AFFIDAVIT OF COMMON LAW MARRIAGE Employee Name ...

Rev. August 2012. State of Rhode Island & Providence Plantations. Office of Employee Benefits. One Capitol Hill. Providence, RI 02908-5860. Office: (401) 222- .
http://web.uri.edu/hr/files/CL_affidavit_12.pdf

Iowa

Affidavit of Common Law Marriage

Rev. 03/10. Page 1. STATE EMPLOYEE HEALTH PLAN (SEHP). Affidavit of Common Law Marriage. Request for Enrollment of Common Law Spouse. You are .
http://www.kdheks.gov/hcf/sehp/Forms/AffidavitCommonLawMarriage100111.pdf

Kansas

affidavit of common-law marriage - businessnet.kp.org - Kaiser ...

REQUEST FOR ENROLLMENT OF. COMMON-LAW SPOUSE. Please be advised the State of Colorado views common-law marriage as a legal institution.
https://businessnet.kp.org/static/pdfs/co/small/DC-CommonLawAffidavit.pdf

Montana

Common Law Spouse - Mobile County

Application for Dependent Coverage for Common Law Spouse . with the documents described on page 2 and the completed affidavits on pages 3, 4, 5 and 6.
http://www.mobilecountyal.gov/files/common_law_spouse.pdf

Oklahoma

AFFIDAVIT OF MARRIAGE BY COMMON LAW

AFFIDAVIT OF MARRIAGE. BY COMMON LAW. We the undersigned hereby acknowledge that our marriage by operation of common law commenced on.
https://www.bcbsmt.com/BlueDocs/SMC_CommonLawAffidavitofMarriage.pdf

Pennsylvania verbal exchange between the couple expressing intent and agreement to be married
Rhode Island

Common Law Marriage affidavit - Marriage Forum - GardenWeb

I am needing to word an affidavit declaring a common law marriage.Very strange situation so I will give a small background. We have been .
http://ths.gardenweb.com/forums/load/marriage/msg0811222016291.html

South Carolina couple intends for others to believe the couple is married
Texas

CBC 12890-39 Affidavit of Common Law Marriage

Page 1 of 1. CBC 12890-39 (Rev 1/5/2012). Department of the Navy. Civilian Benefits Center. Affidavit of Common. Law Marriage. You have requested to .
http://www.public.navy.mil/donhr/Benefits/resources/Documents/CBC%2012890-39%20Affidavit%20of%20Common%20Law%20Marriage.pdf

Utah

Affidavit of Common Law Marriage - University of Denver

Affidavit of Common Law Marriage. The University of Denver offers employee benefits to spouses (opposite sex) in common law marriages. A valid common law .
http://www.du.edu/hr/forms/Affidavit_of_Common_Law_Marriage.doc

See also the discussion of common law marriage on the home web site and on the common last names e web site.

 

 
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Affidavit of Common Law Marriage - Colorado State University

Feb 6, 2012 . Affidavit of Common Law Marriage. Student Name (please print). CSUID. Spouse Name (please print). CSUID (if applicable). The concept of .
https://wsnet.colostate.edu/CWIS231/onet/Rosie/Store/Current/05/33/Common%20Law%20OD.pdf


AFFIDAVIT OF COMMON LAW MARRIAGE - Medical Network

Jan 10, 2005 . The employee and common law spouse both must complete and sign the Affidavit of Common Law Marriage, a notary must witness.
http://www.mymednet.com/wps/wcm/connect/db13490040f588c1b05cff74e1e6f338/Common+Law+Affidavit.pdf?MOD=AJPERES&CACHEID=db13490040f588c1b05cff74e1e6f338


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