Cohabitation Affidavit
Swear that you and your partner live together in a committed relationship and share household and financial responsibilities. Commonly required by employers and insurance companies to enroll a domestic partner in health, dental, or life insurance benefits, and by landlords or lenders verifying a shared household.
Prefer to fill in by hand?
Download a blank PDF template to print and complete manually.
Download Blank TemplateCohabitation Affidavit Affidavit — Frequently Asked Questions
What is a cohabitation affidavit for domestic partner benefits?
A cohabitation affidavit is a notarized sworn statement that you and your partner live together in a committed relationship and share financial responsibilities. Employers and insurers use it to verify eligibility before extending health, dental, or life insurance coverage to a domestic partner who is not a legal spouse.
What proof of living together do insurance companies accept?
Along with a notarized cohabitation affidavit, insurers commonly accept a joint lease or mortgage, joint bank account statements, utility bills showing both names at the same address, and beneficiary designations naming each other. Most carriers ask for two or more of these documents covering a minimum period, often six to twelve months.
How do I make a cohabitation affidavit affidavit legally valid?
Fill in the cohabitation affidavit affidavit, print it, and sign it in front of a Notary Public — do not sign beforehand. Bring a valid government-issued photo ID. Notaries are available at UPS Stores, banks, law offices, courthouses, and through online notarization services, and fees typically range from $2 to $25 per signature depending on your state.
Is this cohabitation affidavit affidavit template free?
Yes. You can generate a completed cohabitation affidavit affidavit PDF or download a blank printable template completely free, with no sign-up required. Your information is used only to generate the document and is not stored after the PDF is created.