bw logoCaltech Benefits

Dependent Eligibility Certification Documents

The following is a list of documents you may provide to prove your dependent meets the eligibility requirements for the Caltech benefits program (which are described in the Benefits Handbook.)

If you do not have the required documentation, there are a variety of online resources that provide legal documents quickly and inexpensively.

Also, for marriage and birth documentation, you can write to the recorder's office in the county in which you were married or your child was born.

Dependent Documentation Required
Spouse Copy of a certified marriage license
Domestic partner

One of the following:
dot copy of domestic partner registration
dot copy of civil union registration, or
dot proof requested in Affidavit of Domestic Partnership

Newborn child Copy of birth certificate (for a newborn, a hospital certificate is acceptable until the official birth certificate is available.
Child - full-time student
Copy of birth certificate and copy of approved school transcript/invoice
Child - disabled Copy of birth certificate and copy of medical documentation of the disability or mental handicap
Stepchild

Copy of birth certificate

Child of a domestic partner Copy of birth certificate or copy of legal document granting guardianship to the domestic partner
Adopted child Copy of birth certificate and copy of legal adoption document
Foster child Copy of legal document that grants foster care custody
Child - court ordered custody Copy of court order or other legal documents granting custody
Child covered under a qualified medical child support order Copy of QMCSO or other legal document requiring coverage
Child living with ex-spouse (when you are not the custodial parent and do not claim the child for tax purposes) Copy of birth certificate

Contact Us If You Have Questions

Campus Benefits Office
Monday through Friday, 7:30 a.m. to 5:00 p.m.
399 South Holliston
(626) 395-6443

JPL Benefits Office (T1720)
Monday through Friday, 7:30 a.m. to 4:30 p.m.
(818) 354-3760
benefits@jpl.nasa.gov

 

 

This communications does not change the terms of your benefit plans or the official documents that control. If there are any inconsistencies between this and the official plan documents, the plan documents will govern. Caltech reserves the right to change, suspend or terminate its benefits programs, in whole or in part, at any time and for any reason.

Rev. 9/2009