The Domestic Partnership Termination Form is the City of Boston Office of the City Clerk document, printed as Statement of Terminating Domestic Partnership, that records two people are no longer Domestic Partners. It also records how and when the former partner was told. You use it when you want to end a domestic partnership with the City Clerk. On FillingPDF you can fill out the form online and download or print the completed PDF; the City of Boston publishes the original at boston.gov, and the form is filed with the City Clerk in person, at the City Hall to Go truck or by mail.
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What is Domestic Partnership Termination Form – Boston, MA?
The Domestic Partnership Termination Form, printed as Statement of Terminating Domestic Partnership, is the City of Boston Office of the City Clerk form used to state that two people are no longer Domestic Partners and that the former partner was notified.
The form is a short sworn statement. It has space for the names of both people (last name, first name and initial), a line where you circle how you notified your former Domestic Partner, in person or by certified mail, and the date of that notice. The signer then declares that the statements are true and accurate to the best of their knowledge under the pains and penalties of perjury, signs, prints a name and dates the form.
The lower part of the page, headed City of Boston Certification, is not for the person completing the form. It is the City Clerk's block: a true copy of the original document filed in the Office of the City Clerk, with an attestation by the City Clerk. The form notes that, per City of Boston Code, Chapter 12-9A.3, Section 2, a fee applies for a certified copy.
The City Clerk's page describes two ways to file the completed form: in person, either at City Hall or at the City Hall to Go truck (drop-offs only), or by mail. A filing fee applies. If you use City Hall to Go, your information is forwarded to the City Clerk, and if the termination is approved the City mails you an official letter within 10 business days.
Who needs to file Domestic Partnership Termination Form – Boston, MA?
A person who wants to end a domestic partnership files this statement with the Boston City Clerk. The City Clerk's page says that if you are the one giving the form to the City Clerk, you must tell your former partner, in person or by certified mail, that you are ending the partnership. The form records which of the two methods you used and the date.
The form names two people, so you will need the full name of your former Domestic Partner as well as your own. Both names are written as last name, first name and middle initial. The signer prints their name beneath the signature.
The sources describe no representative or third-party filing for this form, and the form has no signature line other than the one signer. They also set no eligibility conditions beyond the notice requirement. For questions about whether a particular partnership falls under this process, contact the City Clerk's Office at City Hall.
When to file Domestic Partnership Termination Form – Boston, MA
File the form once the domestic partnership has ended and you have told your former partner, in person or by certified mail. The City Clerk's page requires that notice from the person who gives the form to the City Clerk, and the form asks for the date you gave it, so complete the notice before you file.
No separate deadline is printed on the form or stated on the City Clerk's page. If you use the City Hall to Go truck, your information is forwarded to the City Clerk, and if the termination is approved the City mails you an official letter about it within 10 business days. The City Clerk's Office is open Monday through Friday, 9 a.m. to 4:30 p.m.; the page says to check when the truck will be in your neighborhood, because it handles drop-offs only.
Documents you need
- Payment of the filing fee: cash or a debit card in person, or a check or money order made payable to the City of Boston. Mailed filings use a check or money order.
- A self-addressed, stamped envelope, included in the letter when you file by mail.
How to fill out Domestic Partnership Termination Form – Boston, MA
Enter the first person's name
In the first set of blanks after "I," write the last name, first name and middle initial of the first person.
Enter the second person's name
In the second set of blanks, write the last name, first name and initial of the other former Domestic Partner, so both people are named before "are no longer Domestic Partners."
Circle how you notified your partner
On the line "in person / by certified mail (please circle one)," circle the method you used to notify your former Domestic Partner of the Statement of Termination.
Enter the date of notice
Write the date you notified your former partner in the month, day and year spaces on the notice line.
Sign the declaration
Sign on the "Signed" line. By signing you declare the statements are true and accurate to the best of your knowledge under the pains and penalties of perjury.
Print your name and date
Write your printed name on the "Print Name" line and the date in the month, day and year spaces beside "Date."
Leave the City Certification blank
Do not write in the City of Boston Certification block or the City Clerk's attest line; the City Clerk completes it when a certified copy is made.
Review, download and prepare to file
Check that both names, the circled method and the dates are correct. Download or print the completed PDF from FillingPDF, then file it with payment as described under How to submit.
How to submit Domestic Partnership Termination Form – Boston, MA
You can file the completed form in person at City Hall, at the City Hall to Go truck (drop-offs only) or by mail. Print the completed form first. A filing fee applies in every case; the form and the City Clerk's page state the amount.
- In person: bring the completed form and payment to the City Clerk's Office, 1 City Hall Square, Room 601, Boston, MA 02201. Office hours are Monday through Friday, 9 a.m. to 4:30 p.m. Payment can be cash, a debit card, or a check or money order made payable to the City of Boston.
- City Hall to Go truck: drop-offs only. Your information is forwarded to the City Clerk, and if approved the City mails you an official letter about the termination within 10 business days.
- By mail: send the completed form and payment to Room 601, ATTN: Domestic Partnerships, City Clerk, 1 City Hall Square, Room 601, Boston, MA 02201-2014. Pay by check or money order made payable to the City of Boston, and include a self-addressed, stamped envelope.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Filing without first telling your former partner, in person or by certified mail, that you are ending the partnership; the City Clerk's page requires this from the person giving the form to the City Clerk.
- Not circling in person or by certified mail on the notice line, or leaving the date of that notice blank.
- Leaving the form unsigned or without the printed name and date beneath the signature.
- Writing in the City of Boston Certification block at the bottom, which is the City Clerk's attestation block.
- Mailing the form without a self-addressed, stamped envelope, which the City Clerk's page asks you to include.
- Paying cash by mail; the mail instructions accept only a check or money order made payable to the City of Boston.
- Sending the mailed form without the attention line Room 601, ATTN: Domestic Partnerships.
- Expecting the City Hall to Go truck to take payment on the spot or accept anything but drop-offs; it handles drop-offs only.
Frequently asked questions
What is the Boston domestic partnership termination form?
It is the City of Boston Office of the City Clerk's Statement of Terminating Domestic Partnership. It names two people who are no longer Domestic Partners, records how and when the former partner was notified, and is signed under the pains and penalties of perjury.
Is this the form for a Boston birth certificate?
No. This page covers the Domestic Partnership Termination Form issued by the Boston City Clerk, which ends a domestic partnership. It is not a request for a birth certificate or any other vital record.
Do I have to tell my former partner before filing?
Yes, if you are the one giving the form to the City Clerk. The City Clerk's page says you must tell your former partner, in person or by certified mail, that you are ending the partnership, and the form asks you to circle the method and give the date.
Is there a fee to file the termination form?
Yes, a filing fee applies; the amount is printed on the form and given on the City Clerk's page. In person you can pay with cash, a debit card, or a check or money order payable to the City of Boston. By mail, use a check or money order.
Where do I file the Boston domestic partnership termination form?
Bring it to the City Clerk's Office, 1 City Hall Square, Room 601, Boston, MA 02201, Monday through Friday, 9 a.m. to 4:30 p.m. You can also use the City Hall to Go truck (drop-offs only) or mail it to Room 601, ATTN: Domestic Partnerships, Boston, MA 02201-2014.
How long does it take after I file?
If you use City Hall to Go, your information is forwarded to the City Clerk. If the termination is approved, the City mails you an official letter about it within 10 business days. The page gives no processing time for the other channels.
Can I fill out the termination form online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the form with the City Clerk; you file it in person, at the City Hall to Go truck or by mail.
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