I/We, formerly domestic partners, pursuant to Chapter 10, Article 2 of the Code of the City of Lawrence, Kansas, 2006 Edition, hereby request removal from the Domestic Partner Registry;

I/We understand the City Clerk’s Office shall provide the domestic partner(s) who filed the Request for Removal from the Domestic Partner Registry with two copies of the Request marked “filed.”  Unless the Request for Removal was filed jointly, the partner filing the Request, shall within five days send a copy of the filed Request to the other partner’s last known address;

I/We understand if I/We have given a copy of the Declaration of Domestic Partnership to any third party to qualify for any benefit or right and if that right or benefit has not otherwise terminated, I/We shall notify the third party in writing of the Request for Removal from the Domestic Partner registry, at the last known address of the third party;

I/We understand the City of Lawrence shall have no duty to provide notice of Removal from the Domestic Partner Registry to third parties;

I/We understand no individual who has previously filed a Declaration of Domestic Partnership in this City may file a new Declaration of Domestic Partnership until at least 90 days after the date that a Request for Removal from the Domestic Partnership was filed (we understand this prohibition does not apply if the previous domestic partnership ended because one of the partners died);

I/We understand the information provided on this Request for Removal from the Domestic Partner Registry will become a part of a public record and may be viewed pursuant to the Kansas Open Records Act.

I/We understand the request shall be effective upon filing this Request for Removal from the Domestic Partner Registry with the City by one or both of us or on the date of the death of one partner;