Common Law Spouse Declaration Form

Common Lawe Spouse Declaration Form

First Name

Last Name

Email:

Address:

Current Employer:

Cell No:

I confirm that the person listed below is my
common-law spouse as defined in the Property (Rights of Spouses) Act 2004 Jamaica, and that
my relationship with this person has existed for a minimum of five (5) years prior to the date of
this declaration.

This individual is the person I have selected to be eligible for membership in the Postal and
Partners Co-operative Credit Union as my spouse and it replaces any other person designated
as my spouse of any previous legal or common law relationship.

I confirm

Name of Common-Law Spouse:

Common-Law Spouse's Date of Birth

Common-Law Spouse's Address:

Member Signature:

Witnessed by:

Date Signed:

“Spouse” includes

(a) in relation to a single man, a single woman who, for a period of not less
than five years, has cohabited with the single man as if she were in law his wife; and

(b) in relation to a single woman, a single man who, for a period of not less
than five years, has cohabited with the single woman as if he were in law her husband