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12-9A.8 Forms.
The City Clerk shall distribute copies of the forms following this Section to those who request them. Said forms shall be considered a part of this Section, and consist of the following:
(A) Statement of Domestic Partnership;
(B) Statement of Terminating Domestic Partnership; and
(C) Statement of Additional Dependents.
(CBC 1985 12-9A.8; Ord. 1993 c. 12 § 8)
Editor’s note:
The copies of the forms referred to herein may be found at the end of this Section.
12-9A.9 Employee Health Insurance Study.
(A) The city shall conduct a study of:
(1) Possible cost-saving measures which would reduce the city’s costs for the provision of health insurance benefits to its employees; and
(2) Costs and other issues related to the extension of health insurance benefits to city employees’ domestic partners and their dependents.
(B) This study shall be completed, and copies shall be made available to the Boston City Council, by June 30, 1994.
(Ord. 1993 c. 12 § 9)
FORM A: STATEMENT OF DOMESTIC PARTNERSHIP
CITY OF BOSTON OFFICE OF THE CITY CLERK Statement of Domestic Partnership We, Full name Date of Birth: / / Month/Day/Year and Full name Date of Birth: / / Month/Day/Year declare that: (1) we share basic living expenses; (2) we assume responsibility for each other’s welfare and for the welfare of any dependents listed below; (3) we are at least eighteen years of age; (4) we are competent to enter into a contract; (5) we are each other’s sole domestic partner; (6) we are not married to anyone, nor related to each other by blood closer than would bar marriage in the Commonwealth of Massachusetts; and (7) we shall notify the City Clerk of any change in the status of our domestic partnership. We became each other’s domestic partner on Our domestic partnership is a family which includes the following dependents I declare under the pains and penalties of perjury that to the best of my knowledge the foregoing statements are true and correct. Signed: Printed Name: Date: Signed: Printed Name: Date: |
FORM B: STATEMENT OF TERMINATING
DOMESTIC PARTNERSHIP.
CITY OF BOSTON OFFICE OF THE CITY CLERK Statement of Terminating Domestic Partnership I declare that: __________________________ (1) and I are Full name of domestic partner No longer domestic partners; and (2) I notified my former domestic partner of this statement in person/by certified mail (please circle one) on Date I declare under the pains and penalties of perjury that to the best of my knowledge the foregoing statements are true and accurate. Signed: Printed Full Name: Date: |
FORM C: STATEMENT OF ADDITIONAL
DEPENDENTS.
CITY OF BOSTON OFFICE OF THE CITY CLERK Statement of Additional Dependents Our domestic partnership/extended family (circle appropriate term) now includes the following additional dependents: I declare under the pains and penalties of perjury that to the best of my knowledge the foregoing statements are true and correct. Signed: Printed Full Name: Date: |
The construction or rehabilitation of new large-scale real estate development projects in the city, especially in conjunction with other market forces, results in lost employment opportunities for Boston’s low or moderate income residents who have their existing employment or promotional opportunities diminished, or who are unable to successfully compete for new employment opportunities resulting from such construction or rehabilitation. The existence of such unemployment or underemployment in the city constitutes a serious and growing menace, injurious and inimical to the safety, health, morals and welfare of the residents of the city and sound growth of the city; and the existence of such lack of adequate employment opportunities contributes substantially to crime necessitating excessive and disproportionate expenditure of public funds for the preservation of the public health and safety, for crime prevention, correction, prosecution, punishment and the treatment of juvenile delinquency and for the maintenance of adequate Police, fire and accident protection and other public services and facilities, which constitutes an economic and social liability, substantially impairs or arrests the sound growth of the city. Because of the economic and social interdependence of different areas within the city, the full employment of all those who can and wish to work not only in the “downtown” commercial areas but also in decadent areas is necessary in order to: promote the sound growth of the city; to achieve permanent and comprehensive elimination of existing slums and substandard and decadent conditions; and to prevent the recurrence of such substandard or decadent conditions or their development in other parts of the city; and the abandonment of existing industries and employment opportunities in such areas exacerbates decadent or substandard conditions; and the menace of underemployment or unemployment is beyond remedy and control solely by the regulatory process in the exercise of the police power and such menace has not been dealt with effectively by the ordinary operations of private enterprise. Limited public resources require that government dollars for job training, re-training, adult literacy and job counseling programs be highly leveraged by private investment; and the development of employment training and employment opportunities eliminating underemployment and unemployment in the city is a public use and purpose for which public money may be expended; and the aforesaid conditions have not been corrected by the ordinary operations of private enterprise in a regulated market; now, the following is declared to be in the public interest.
(CBC 1985 12-11.1; Ord. 1987 c. 11 Preamble)
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