District of Columbia Withdrawal of Domestic Partnership Termination
Official state formOther requestsFree downloadLast verified November 10, 2026
Use this form to withdraw a termination notice within the six month termination period. It goes to the DC Health Vital Records Division.
Who can use this form
- Either partner (Partner 1 or 2)
- The withdrawal date must fall within the six month termination period
What to send with it
- Form with a notarized signature
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- $10 (office's domestic partnership page; not printed on the form)
- Typical processing
- Not provided
- Source
- Official government page