
POLICY
As defined by the core mission of the University
Cluster of the University of Wisconsin System, the University of Wisconsin-La Crosse is
committed to diversification of the student body, and the faculty and staff, as well as
serving the needs of those diverse groups. Given this commitment, it is critical that all
members of the student body, and faculty and staff, are accorded equal benefits to the
extent allowable under University of Wisconsin System regulations. Therefore, Domestic
Partners of students, faculty and staff will receive all benefits given to spouses of such
groups as allowed by the University of Wisconsin System. Such benefits include, but are
not limited to: use of the Campus Child Care Center; borrowing privileges at Murphy Library;
use of the Employee Assistance Program; donor recognition, family
memberships and use privileges for the Cleary Center; and use of recreation facilities at
Mitchell Hall. The University of Wisconsin System regulations preclude the extension of
health insurance benefits to Domestic Partners.
Approved by Chancellor Kuipers on May 18, 1998.
Domestic Partners are defined as
two individuals who, together, each meet all of the
following criteria set forth in the Domestic Partner Affidavit, UWS-50:
1. Are 18 years of age or older.
2. Are competent to enter into a contract.
3. Are not legally married to, nor the domestic partner of,
any other person.
4. Are not related by marriage.
5. Are not related by blood closer than permitted under
marriage laws of the State of Wisconsin.
6. Have entered into the domestic partner relationship
voluntarily, willingly, and without reservation.
7. Have entered into a relationship which is the functional
equivalent of a marriage, and which includes all of the following:
a. living
together as a couple;
b. mutual
support of each other;
c. mutual
caring and commitment to each other;
d. mutual
fidelity;
e. mutual
responsibility for each other's welfare; and
f. joint
responsibility for the necessities in life.
8. Have been living together as a couple for at least six (6)
months prior to registration with the Subscriber's employer.
9. Intend to continue the domestic partner relationship
indefinitely, while understanding that the relationship is terminable at the
will of either partner.
PROCEDURE
Employees who wish to initiate the process for receiving
domestic partner benefits should complete an
Affidavit of Domestic
Partnership (UWS-50). The original will be filed
with the Office of Staff Benefits & Payroll Policy at UW-System Administration,
with a copy kept locally in UW-L Human Resources. Employees will also be
provided with two copies of the form, one for each partner.
The original form will be kept on file with UW-System
Administration until the employee:
1. changes the partner designation with
UW-System Administration by completing a
new form;
2. requests removal of the document by
completing an Affidavit
of Termination of Domestic Partnership (UWS-51) (any benefit coverage for
the domestic partner and his or her dependent children terminates at the end of
the month in which the relationship ended); or
3. terminates employment with UW-L, unless
the employee is transferring to another campus within the UW-System.
Employees and their domestic partners can use their copy of the Affidavit of Domestic Partnership to receive benefits on campus. For information on registration, call Human Resources at 785-8013. For more information about the benefits available to domestic partners, contact Affirmative Action at 785-8541.
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