Common-Law Declarations for Employee Benefits and Insurance

Common-law relationship declaration with wedding rings, a benefits shield and briefcase
In-office7 days a week at 21 King St W (5th Floor) · 9 AM–5 PM
MobileWe come to your home, workplace, hospital or campus · 9 AM–7 PM, 7 days

Many employers, benefit plans, pension plans and insurers let you cover a common-law partner, but they need proof that the relationship exists. Often that proof is a declaration of common-law relationship, signed in front of a commissioner or notary.

Who asks for one

  • group health and dental benefit plans;
  • pension plans naming a spouse or beneficiary;
  • life and other insurance policies;
  • some government programs and agencies.

Each organization defines “common-law” in its own way, often based on how long you have lived together. Check your plan’s definition before completing the form.

This is different from IRCC’s form

If you are applying to IRCC for immigration purposes, you will generally use the IMM 5409 form instead. See our guide to IMM 5409 common-law declarations.

Preparing for your appointment

  1. Use the form provided by your employer, plan or insurer, or ask whether a general statutory declaration is acceptable.
  2. Complete it, including the date you began living together, but leave it unsigned.
  3. Check whether both partners need to sign. Many forms require it.
  4. Bring valid photo ID for each signer.

At the appointment

We confirm each person’s identity, administer the declaration, witness the signatures and apply our stamp. We don’t advise on whether you qualify as common-law under a particular plan.

Related reading

Book with Crown Seal Notary

Crown Seal Notary serves Hamilton and the surrounding area seven days a week. In-office appointments are available at 21 King St W, 5th Floor, and our mobile service comes to your home, workplace, hospital or care home. To book, call 289-207-0851, email info@csnotary.org, or book online. You can also browse all of our services or read our FAQs.

Please note: Crown Seal Notary provides notarization and commissioning services only. We do not provide legal, immigration or financial advice, and we cannot tell you what to write in your document. If you are unsure which document you need, please check with the organization that asked for it or speak with a lawyer or licensed paralegal.

Leave A Reply

Crown Seal Notary is an independent notary public and commissioner of oaths. We are not a government agency and do not issue or renew passports, visas, IDs, licences, permits, certificates or background checks.