Who can complete the Notice of Termination of Domestic Partnership?

One or both partners may declare that the domestic partnership has ended. The notice states that only one partner is required to complete it.

What information does the notice ask for?

It provides spaces for each partner’s printed name, street address, and signature, as well as the date the partnership is terminated.

Do I need a notary for the Notice of Termination of Domestic Partnership?

No. This document is signed without a notary. The signer completes the termination date and signs; the form identifies no notarized attachment or related step.

How do I submit the Notice of Termination of Domestic Partnership?

Submit it to the City of Cleveland Division of Assessments and Licenses at 601 Lakeside Avenue, Room 122, Cleveland, Ohio 44114. The form also lists an email contact.

Cleveland, OH · Cuyahoga County

No notary required

Notice of Termination of Domestic Partnership

This notice lets one or both domestic partners declare that their partnership has ended and request its removal from Cleveland’s domestic partnership registry.

What this form is

The notice declares that a domestic partnership has been dissolved and terminated, and says the former partner’s name is removed from Cleveland’s domestic partnership registry. Only one partner is required to complete it. The form asks for partner names, addresses, and signatures, and provides a space for the termination date. It also reminds former partners to notify third parties providing benefits or rights based on the partnership.

Who needs it

A domestic partner ending a registered partnership in Cleveland can complete this notice; only one partner is required to do so.

How to submit it

Submit the notice to the City of Cleveland Division of Assessments and Licenses, 601 Lakeside Avenue, Room 122, Cleveland, Ohio 44114. The form also lists [email protected] as a contact email.

About notarization

This document is signed without a notary; the signer completes the termination date and signs, and the form identifies no notarized attachment or related step.

How to submit this form

1
Download The Notice
Download the Notice of Termination of Domestic Partnership PDF.
2
Complete The Notice
Enter the partner information and termination date. Only one partner is required to complete the notice.
3
Gather Attachments
The notice does not identify any required attachments.
4
Submit To The City
Submit the completed notice to the City of Cleveland Division of Assessments and Licenses at the address shown on the form.

Frequently asked questions

Who can complete the Notice of Termination of Domestic Partnership?: One or both partners may declare that the domestic partnership has ended. The notice states that only one partner is required to complete it.
What information does the notice ask for?: It provides spaces for each partner’s printed name, street address, and signature, as well as the date the partnership is terminated.
Do I need a notary for the Notice of Termination of Domestic Partnership?: No. This document is signed without a notary. The signer completes the termination date and signs; the form identifies no notarized attachment or related step.
How do I submit the Notice of Termination of Domestic Partnership?: Submit it to the City of Cleveland Division of Assessments and Licenses at 601 Lakeside Avenue, Room 122, Cleveland, Ohio 44114. The form also lists an email contact.

Need something notarized?

This Notice of Termination of Domestic Partnership doesn’t need a notary — but if you have another Cleveland form that does, a commissioned online notary can help.