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Subject to the definition of "spouse or common-law partner" as defined in FSD 2 – Definitions, and copied below, this declaration is a request to designate an individual as a common-law partner for purposes of the Foreign Service Directives and for the relevant allowances and benefits to be accorded thereunder.
We, _________________________ and _________________________ solemnly declare that our relationship is and has been demonstrated by our cohabitation in a conjugal relationship. This relationship is and has been recognized for a period of at least one year*** in the community or communities in which we have lived.
We understand that documents must be provided with this declaration demonstrating to the satisfaction of the deputy head that the employee and the person to be designated as a common-law partner for the purpose of the Foreign Service Directives have cohabitated for a period of at least one year and that they are in a conjugal relationship which is recognized in the community or communities in which they have lived.
Where these conditions cease to exist, we acknowledge the right of the deputy head to cease payments made on the basis of the existence of such conditions.
Where these conditions do not in fact exist, we acknowledge the right of the deputy head to recover the amounts of money paid on the basis of the existence of such conditions.
Definition of "spouse or common-law partner”
Spouse or common-law partner (époux ou conjoint de fait) means the person married to the employee, or an individual who, with the employee, has signed the declaration in Appendix A of this directive; where the declaration is used, the common-law partner shall not be considered a dependant for purposes of the Foreign Service Directives unless the acceptability of the common-law partner accompanying the employee has been agreed to by the Deputy Minister of Foreign Affairs following consultation with the Head of Mission and the deputy head.
*** In specific cases, this declaration may be used where there has been a break in the period of cohabitation for reasons beyond the control of the employee or the individual to be designated as common-law partner. See Appendix B of this directive. See Appendix B of FSD 2 – Definitions.
SIGNATURES
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Employee
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Individual to be Designated as Common-Law Partner
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Date
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Designation Approved by the Deputy Head
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Date