Benefit-eligible employees can complete  the CHRS Domestic Partner Dependent Certification form when they use CHRS eBenefits Employee Self Service (ESS) to submit Life Events, the New Hire/Newly Eligible enrollment transaction and the annual Open Enrollment event. Benefit-eligible employees can use CHRS eBenefits Employee Self Service Life Events, the New Hire/Newly Eligible enrollment transaction and the annual Open Enrollment event only if their benefits primary campus uses full eBenefits ESS.

Forms must be filled out and submitted in order for employees to print them in eBenefits ESS. Note that employees cannot print/download a blank Domestic Partner Dependent Certification form.

• Benefits officers can generate the populated Domestic Partner Dependent Cerification form. The form must have been completed by the employee.
• Employees in full eBenefits campuses complete this form when they use CHRS eBenefits Employee Self Service (ESS) to submit Life Events, New hire events or an Open Enrollment event.
• Employees can also complete the form by going to Menu > Self Service > Benefits > Dependents > Dependent Coverage, and then clicking on the Domestic Partner Dependent Certification link.

Step 1: On the CSU Administrator Homepage, click the CSU Benefits Administrator tile.

• The Update Dependent/Beneficiary page opens by default.

Step 2: On the Update Dependent/Beneficiary page, open the CSU Dependent tab.

Step 3: Use the arrows to find the domestic partner.

Step 4: Select Print Domestic Partner Cert, then click Go.

Benefits Office can also go to the Update Dependent/Beneficiary > CSU Dependent page and update two fields (Certificate on File, Certified By) once they verify the domestic partner supporting documents. It is up to the campus if they want to incorporate this step (or not) as part of their verifying supporting documents process with Domestic Partner Dependent Certification forms

Step 1: On the CSU Administrator Homepage, click the CSU Benefits Administrator tile.

• The Update Dependent/Beneficiary page opens by default.

Step 2: On the Update Dependent/Beneficiary page, open the CSU Dependent tab.

Step 3: Use the arrow buttons to find the dependent that is the domestic partner adult.

Step 4: Enter the tax information:

1. Enter the Effective Date.
2. Check or clear the Tax Dependent check box.
3. Enter the tax year.
4. Check the Certificate on File check box.
5. Enter your name.

Step 5: Click Save.

Benefit-eligible employees with campuses using full eBenefits ESS and view only eBenefits ESS can generate the CHRS Dependent Re-verification Affidavit form by navigating to Menu > Self Service > Benefits > Dependents > Dependent Coverage, and then clicking on the Dependent Re-verification Affidavit link.

Campus Benefits Office staff can generate the populated Dependent Re-verification Affidavit form by following this procedure.

Step 1: On the CSU Administrator Homepage, click the CSU Benefits Administrator tile.

Step 2: Navigate to Employee/Dependent Information > CSU Dependent Verification.

Step 3: Search for the employee:

1. Verify the business unit.
2. Enter search criteria.
3. Click Search.

Step 4: Click Print PDF.

Step 1: On the CSU Administrator Homepage, click the CSU Benefits Administrator tile.

Step 2: Navigate to Employee/Dependent Information > CSU Dependent Verification.

Step 3: Search for the employee:

1. Verify the business unit.
2. Enter search criteria.
3. Click Search.

Step 4: If applicable, enter the date that you received the Dependent Re-verification Affidavit form in the Received Date field.

Step 5: Click the Print PDF button to generate the Dependent Re-verification Affidavit.

Step 6: If needed, update the Effective Date and click the Minus button (-) to delete dependents.

Step 7: Click on the Save button if you made updates.

Step 8: Click on the Print .PDF button to generate the final PDF.