Spouse

N/A

• Person to whom you are legally married

• Marriage Certificate

Domestic Partners

At least 18 years old

• Meet County Domestic Partner Eligibility Requirements

• County of San Mateo Affidavit of Domestic Partnership ­or-

• Declaration of Partnership filed with the California Secretary of State

Natural Child(ren)

Under Age 26

• Minor or Adult Child(ren) of Employee who is under age 26yrs

• Birth Certificate

Step Child(ren)

Under Age 26

• Minor or Adult Child(ren) of Employee Spouse who is under age 26yrs

• Birth Certificate -and-

• Marriage Certificate showing Spouse as Parent

Children Legally Adopted/Wards

Under Age 26

• Minor or Adult Child(ren) legally adopted by Employee who is married or unmarried under age 26yrs

• Court documentation (Must include presiding Judge Signature & Court Seal)

Children of Domestic Partners

Under Age 26

• Minor or Adult Child(ren) of Employee Domestic Partner who is under age 26yrs

• County of San Mateo Affidavit of Domestic Partnership -and-

• Birth Certificate

Disabled Children

No age limit

• Natural Child, Step Child or Adopted Child of Employee who is over age 26yrs and incapable of self­care due to physical or mental illness.

• Birth Certificate -and-

• Certification of Disability from Social Security ­or-

• Document of Disability from Physician if not SSA Certified

Other Qualifying Relatives

Under Age 24

• Meets Requirements of IRS Code. Sec. 105(b)

• Not married

• Must be a full time student if over the age of 19.

• Birth Certificate Showing Individual to be an Eligible Relative -and-

• County of San Mateo Affidavit of Tax Qualifying Dependant