District of Columbia Notice of Termination of Domestic Partnership
Official state formOther requestsFree downloadLast verified November 10, 2026
Use this notice to end a registered domestic partnership in DC. An appointment is required. It goes to the DC Health Vital Records Division.
Who can use this form
- Either partner
- If the partnership ended by death or marriage, the form asks for that date
What to send with it
- Notice with a notarized signature
- ID
- Payment, which is requested after the form is approved
- An appointment (office's domestic partnership page)
Where to send it
- Mail to
- Attn. CSCO Unit Vital Records Division DC Department of Health 2201 Shannon Pl. SE Washington, DC 20020
- State fee
- $25 termination fee + $18 per certificate copy (printed on the form)
- Typical processing
- Not provided
- Form revision
- Revised 03/31/2021
- Source
- Official government page