Nevada Domestic Partnership Tracking Form

National Office

120 Wall Street
19th Floor
New York, NY 10005
Phone: 212-809-8585

Are you part of a same-sex or different-sex couple?
Same-sex couple Different-sex couple	Years together?
Have you obtained, or do you intend to obtain, a domestic partnership in Nevada?
Yes No	When?
Are you registered as a Domestic Partnership?
Yes No	Where?
Are you in a civil union elsewhere
Yes No	Where?
Have you been legally married to each other?
Yes No	Where?
Do you plan to get married somewhere soon?
Yes No	Where?
Do you have any children?
Yes No
How old are the children?
Under 18 Over 18
Are you in the process of becoming foster parents or adopting?
Yes No
If you have experienced any problems getting respect for your relationship and being treated equally, please describe.

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