City Clerk

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Domestic Partnership Registration Application

Spanish Translation Guide: Descargue la guía en español (en PDF)

To proceed to the next step, click the "Next" button. At any time, you may return to a previous step by clicking the "Back" button. If you wish to cancel the application at any time, click the "Cancel Application" button at the bottom of the screen.

For complete information on obtaining a Domestic Partnership, visit the Domestic Partnership section of the Office of the City Clerk Web site.

Step 1: Partner 1 - Info

Personal Information

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Surname:

First Name:

Middle Name (Optional):

Phone Number (Optional):

Ethnicity (Optional):

Gender:

Date of Birth (MM/DD/YYYY):

Occupation:

Employed by the City of New York?

No Yes

Current Place of residence

Street Address:

Apartment Number (If applicable):

Country:

City:

State:

ZIP/Postal Code:

Place of Birth

Country:

City:

State:

Father

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Surname:

First Name:

Country of Birth:

State of Birth:

Mother

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Maiden Surname:

First Name:

Country of Birth:

State of Birth:

Help - Personal Information:

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Surname:

The first partner's last name. If there is only one legal name, you may enter it in either the "Surname" or "First Name" fields.

Ethnicity (Optional):

The ethnic group to which Partner 1 most strongly identifies.

Date of Birth:

Those under the age of 18 years old cannot be domestic partners.
Learn about proper identification required for a Domestic Partnership Registration.

Employed by the City of New York?

If the partners do not live within New York City, then at least one partner must be an employee of the City of New York in order to register a Domestic Partnership from the Office of the City Clerk.

Help - Father:

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Surname:

The first partner's father's last name. If there is only one legal name, you may enter it in either the "Surname" or "First Name" fields.

State of Birth:

State only needed if Country selected is United States.

Help - Mother:

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Maiden Surname:

The first partner's mother's maiden last name. If there is only one legal name, you may enter it in either the "Surname" or "First Name" fields.

State of Birth:

State only needed if Country selected is United States.