| A | 
What is your legal marital or same-sex civil partnership status?
Person 1
| 
					 
 civil partnership | |
| 
					 
 
 
 
 
 
 
 
 | 
					 
 | 
How is Person 2 related to Person 1?
Husband or wife
Same-sex civil partner
Partner
Son or daughter
Step-child
Brother or sister
Step-brother or step-sister
Mother or father
Step-mother or step-father
Grandchild
Grandparent
Relation – other
Unrelated (including foster child)
A
| B | 
| 
			 PERSON 1 MARITAL STATUS 
 
 
 
 | 
			 RELATIONSHIP TO PERSON 1 
 
 _________________________ 
 | 
| C | 
PERSON 1
| Which one of these statements is true about your legal marital / civil union status? 
 If you have had more than one legal marriage / civil union, answer for your most recent. 
 
 
 
 | 
			 | 
			 Relationship to Person 1: 
 
 _____________________________ | 
| File Type | application/msword | 
| Author | Jeffrey Kerwin | 
| Last Modified By | mom | 
| File Modified | 2010-01-22 | 
| File Created | 2010-01-22 |