Spouse Nomination Form
Please complete the Spouse Nomination Form to submit your spouse's information for official records. All fields are required for accurate processing.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Employee or Staff ID
*
Spouse's Full Name
*
First Name
Last Name
Spouse's Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Spouse's Email Address
example@example.com
Spouse's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Marriage or Relationship Start
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Relationship Confirmation
*
Legally Married
Civil Partnership
Common Law
Other
Submit Nomination
Should be Empty: