Domestic Partnership

CITY OF WEST PALM BEACH DOMESTIC PARTNERSHIP REGISTRY

In February 2005, the City Commission adopted legislation that affords certain rights and benefits to qualified committed relationships that have registered with the City of West Palm Beach.

To the extent not superseded by federal, state, or county law or ordinance, Registered Domestic Partners in the City of West Palm Beach shall have the following rights:

  • The same right as a spouse to visit a partner at health care facilities located within, or under the jurisdiction of the City of West Palm Beach;
  • The same right as a spouse to make health care decisions for an incapacitated partner;
  • The same right as a surviving spouse with regard to funeral/burial decisions and disposition of the decedent partner’s body;
  • The right to receive notification in those situations where notification of family is mandated or permissible;
  • The right to be designated and to serve as a preneed guardian;
  • A dependent of a Registered Domestic Partner shall have the same visitation rights as a patient’s child.

Partners need not be West Palm Beach residents. To register in person, go to the Clerk’s Office Monday through Friday, from 8:30 a.m. to 5:00 p.m. at City Hall, first floor, 401 Clematis Street, West Palm Beach, Florida 33401. You can register by mail sending the registration form to P.O. Box 3366, West Palm Beach, Fl 33402. The registration fee is $50.00 per couple. For more information, please contact the City Clerk’s Office at 561-822-1210.

» Domestic Partnership Ordinance No. 3838-05

Domestic Partnership Registration

Instructions:

Download the Domestic Partnership-Registration Form in PDF format .

  1. Download to complete the form (Original Signatures)
  2. Have the form Notarized
  3. Make a photocopy for your records
  4. Enclose a check made payable to the City of West Palm Beach for the the $50.00 filing fee (required)

Please send the completed form with original signatures to:

Office of the City Clerk
P.O. Box 3366
West Palm Beach, FL 33402

Once the registration process is successfully completed, you will receive a Domestic Partnership Certificate. This certificate is your notification that your registration has been completed.

Declaration of Termination of Domestic Partnership

Instructions:

Download the DOMESTIC PARTNERSHIP TERMINATION FORM – ONE PARTY or DOMESTIC PARTNERSHIP TERMINATION – TWO PARTY in PDF format.

  1. Download to complete the form (Original Signature/s)
  2. Have the form Notarized
  3. Make a photocopy for your records
  4. Please send the completed form with original signature/s to:
    Office of the City Clerk
    P.O. Box 3366
    West Palm Beach, FL 33402

Please Note: Accessing documents in PDF format requires use of Adobe’s Reader, which may be installed free. Download Adobe Reader here. OrdinanceNo3838-05