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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Private California Domestic Partnership</title>
    <script src="https://cdn.tailwindcss.com"></script>
    <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.4.0/css/all.min.css">
    <style>
        .floating-form {
            position: fixed;
            bottom: 20px;
            right: 20px;
            z-index: 1000;
            transition: all 0.3s ease;
        }
        .form-container {
            display: none;
            position: fixed;
            top: 50%;
            left: 50%;
            transform: translate(-50%, -50%);
            width: 90%;
            max-width: 800px;
            max-height: 90vh;
            overflow-y: auto;
            z-index: 1001;
            box-shadow: 0 10px 25px rgba(0, 0, 0, 0.2);
        }
        .overlay {
            display: none;
            position: fixed;
            top: 0;
            left: 0;
            width: 100%;
            height: 100%;
            background-color: rgba(0, 0, 0, 0.5);
            z-index: 1000;
        }
        .form-section {
            margin-bottom: 1.5rem;
            padding-bottom: 1rem;
            border-bottom: 1px solid #e2e8f0;
        }
        .form-title {
            font-size: 1.25rem;
            font-weight: bold;
            margin-bottom: 1rem;
            color: #2c5282;
        }
        .required-field::after {
            content: " *";
            color: #e53e3e;
        }
        @media print {
            .no-print {
                display: none !important;
            }
            body {
                background: white !important;
                color: black !important;
            }
            .form-container {
                position: static;
                transform: none;
                width: 100%;
                max-width: 100%;
                max-height: none;
                box-shadow: none;
            }
        }
    </style>
</head>
<body class="bg-gray-50 text-gray-800">
    <!-- Header -->
    <header class="bg-blue-900 text-white py-6">
        <div class="container mx-auto px-4">
            <div class="flex flex-col md:flex-row justify-between items-center">
                <div class="mb-4 md:mb-0">
                    <h1 class="text-3xl font-bold">Private California Domestic Household</h1>
                    <p class="text-blue-200">Under California Family Code Section 297.1</p>
                </div>
                <img src="" alt="Logo" class="h-20">
            </div>
        </div>
    </header>

    <!-- Main Content -->
    <main class="container mx-auto px-4 py-8">
        <div class="bg-white rounded-lg shadow-md p-6 mb-8">
            <h2 class="text-2xl font-bold text-blue-800 mb-4">About Domestic Partnerships</h2>
            <p class="mb-4">Domestic partnerships in California are available to opposite-sex couples, as established under California Family Code Section 297.1.</p>
            
            <div class="grid grid-cols-1 md:grid-cols-2 gap-6 mb-6">
                <div class="bg-blue-50 p-4 rounded-lg">
                    <h3 class="text-lg font-semibold text-blue-700 mb-2">Eligibility Requirements</h3>
                    <ul class="list-disc pl-5 space-y-1">
                        <li>Both partners must be at least 18 years old</li>
                        <li>Not married or in another domestic partnership</li>
                        <li>Not closely related by blood</li>
                        <li>Share a common residence</li>
                        <li>Mutually responsible for each other's welfare</li>
                    </ul>
                </div>
                <div class="bg-green-50 p-4 rounded-lg">
                    <h3 class="text-lg font-semibold text-green-700 mb-2">Benefits</h3>
                    <ul class="list-disc pl-5 space-y-1">
                        <li>Health insurance coverage</li>
                        <li>Hospital visitation rights</li>
                        <li>Tax benefits</li>
                        <li>Inheritance rights</li>
                        <li>Parental rights and responsibilities</li>
                    </ul>
                </div>
            </div>

            <h3 class="text-xl font-semibold text-blue-800 mb-3">How to Register</h3>
            <ol class="list-decimal pl-5 space-y-2 mb-6">
                <li>Complete the Declaration of Confidential Domestic Partnership form (DP-1A)</li>
                <li>Both partners must sign the form in front of a notary public</li>
                <li>Submit the form with the required fee to the Secretary of State</li>
                <li>Receive your Certificate of Domestic Partnership</li>
            </ol>

            <div class="bg-yellow-50 border-l-4 border-yellow-400 p-4 mb-6">
                <div class="flex">
                    <div class="flex-shrink-0">
                        <i class="fas fa-exclamation-circle text-yellow-500 mt-1"></i>
                    </div>
                    <div class="ml-3">
                        <h3 class="text-sm font-medium text-yellow-800">Important Notice</h3>
                        <div class="mt-2 text-sm text-yellow-700">
                            <p>Domestic partnerships are legally binding. Termination requires filing a Notice of Termination of Domestic Partnership (Form DP-3) with the Secretary of State or through the court system.</p>
                        </div>
                    </div>
                </div>
            </div>
        </div>

        <div class="bg-white rounded-lg shadow-md p-6">
            <h2 class="text-2xl font-bold text-blue-800 mb-4">Frequently Asked Questions</h2>
            
            <div class="space-y-4">
                <div class="border border-gray-200 rounded-lg overflow-hidden">
                    <button class="faq-question w-full px-4 py-3 text-left font-medium text-blue-700 bg-gray-50 hover:bg-gray-100 focus:outline-none">
                        <span class="flex items-center justify-between">
                            <span>What is the difference between marriage and domestic partnership?</span>
                            <i class="fas fa-chevron-down transition-transform duration-200"></i>
                        </span>
                    </button>
                    <div class="faq-answer px-4 py-3 bg-white hidden">
                        <p class="text-gray-700">While both provide legal recognition of a relationship, domestic partnerships Today, remain an option for couples who prefer not to marry or for opposite-sex couples where at least one partner is 62 or older.</p>
                    </div>
                </div>
                
                <div class="border border-gray-200 rounded-lg overflow-hidden">
                    <button class="faq-question w-full px-4 py-3 text-left font-medium text-blue-700 bg-gray-50 hover:bg-gray-100 focus:outline-none">
                        <span class="flex items-center justify-between">
                            <span>How much does it cost to register a domestic partnership?</span>
                            <i class="fas fa-chevron-down transition-transform duration-200"></i>
                        </span>
                    </button>
                    <div class="faq-answer px-4 py-3 bg-white hidden">
                        <p class="text-gray-700">The current filing fee is $33. Additional certified copies of the Certificate of Domestic Partnership are $13 each.</p>
                    </div>
                </div>
                
                <div class="border border-gray-200 rounded-lg overflow-hidden">
                    <button class="faq-question w-full px-4 py-3 text-left font-medium text-blue-700 bg-gray-50 hover:bg-gray-100 focus:outline-none">
                        <span class="flex items-center justify-between">
                            <span>How long does it take to process the registration?</span>
                            <i class="fas fa-chevron-down transition-transform duration-200"></i>
                        </span>
                    </button>
                    <div class="faq-answer px-4 py-3 bg-white hidden">
                        <p class="text-gray-700">Processing typically takes 6-8 weeks from the date the Secretary of State receives your completed form and payment. Expedited processing is not available.</p>
                    </div>
                </div>
            </div>
        </div>
    </main>

    <!-- Floating Form Button -->
    <div class="floating-form no-print">
        <button id="formButton" class="bg-red-600 hover:bg-red-700 text-white font-bold py-4 px-6 rounded-full shadow-lg flex items-center">
            <i class="fas fa-file-alt mr-2"></i>
            <span>Start DP-1A Form</span>
        </button>
    </div>

    <!-- Form Overlay -->
    <div id="overlay" class="overlay"></div>

    <!-- Form Container -->
    <div id="formContainer" class="form-container bg-white rounded-lg no-print">
        <div class="p-6">
            <div class="flex justify-between items-center mb-6">
                <h2 class="text-2xl font-bold text-blue-800">Confidential Declaration of Domestic Partnership</h2>
                <button id="closeForm" class="text-gray-500 hover:text-gray-700">
                    <i class="fas fa-times text-2xl"></i>
                </button>
            </div>
            
            <div class="bg-blue-50 p-4 rounded-lg mb-6">
                <p class="text-blue-800 font-medium">California Family Code Section 297.1</p>
                <p class="text-sm">This form is used to establish a domestic partnership in California. Both partners must sign in the presence of a notary public.</p>
            </div>
            
            <form id="domesticPartnershipForm">
                <!-- Section 1: Partner A Information -->
                <div class="form-section">
                    <div class="form-title">Partner A Information</div>
                    
                    <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                        <div>
                            <label for="partnerA_firstName" class="block text-sm font-medium text-gray-700 required-field">First Name</label>
                            <input type="text" id="partnerA_firstName" name="partnerA_firstName" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
                        <div>
                            <label for="partnerA_middleName" class="block text-sm font-medium text-gray-700">Middle Name</label>
                            <input type="text" id="partnerA_middleName" name="partnerA_middleName" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500">
                        </div>
                    </div>
                    
                    <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                        <div>
                            <label for="partnerA_lastName" class="block text-sm font-medium text-gray-700 required-field">Last Name</label>
                            <input type="text" id="partnerA_lastName" name="partnerA_lastName" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
                        <div>
                            <label for="partnerA_suffix" class="block text-sm font-medium text-gray-700">Suffix</label>
                            <input type="text" id="partnerA_suffix" name="partnerA_suffix" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500">
                        </div>
                    </div>
                    
                    <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                        <div>
                            <label for="partnerA_dob" class="block text-sm font-medium text-gray-700 required-field">Date of Birth</label>
                            <input type="date" id="partnerA_dob" name="partnerA_dob" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
                        <div>
                            <label for="partnerA_gender" class="block text-sm font-medium text-gray-700 required-field">Gender</label>
                            <select id="partnerA_gender" name="partnerA_gender" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                                <option value="">Select</option>
                                <option value="male">Male</option>
                                <option value="female">Female</option>
                                <option value="non-binary">Non-binary</option>
                                <option value="other">Other</option>
                            </select>
                        </div>
                    </div>
                    
                    <div class="mb-4">
                        <label for="partnerA_ssn" class="block text-sm font-medium text-gray-700">Social Security Number (last 4 digits) (Not Required here - Form Requirements differ</label>
                        <input type="text" id="partnerA_ssn" name="partnerA_ssn" maxlength="4" class="mt-1 block w-24 border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500">
                    </div>
                    
                    <div class="mb-4">
                        <label for="partnerA_address" class="block text-sm font-medium text-gray-700 required-field">Current Address</label>
                        <textarea id="partnerA_address" name="partnerA_address" rows="2" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required></textarea>
                    </div>
                </div>
                
                <!-- Section 2: Partner B Information -->
                <div class="form-section">
                    <div class="form-title">Partner B Information</div>
                    
                    <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                        <div>
                            <label for="partnerB_firstName" class="block text-sm font-medium text-gray-700 required-field">First Name</label>
                            <input type="text" id="partnerB_firstName" name="partnerB_firstName" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
                        <div>
                            <label for="partnerB_middleName" class="block text-sm font-medium text-gray-700">Middle Name</label>
                            <input type="text" id="partnerB_middleName" name="partnerB_middleName" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500">
                        </div>
                    </div>
                    
                    <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                        <div>
                            <label for="partnerB_lastName" class="block text-sm font-medium text-gray-700 required-field">Last Name</label>
                            <input type="text" id="partnerB_lastName" name="partnerB_lastName" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
                        <div>
                            <label for="partnerB_suffix" class="block text-sm font-medium text-gray-700">Suffix</label>
                            <input type="text" id="partnerB_suffix" name="partnerB_suffix" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500">
                        </div>
                    </div>
                    
                    <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                        <div>
                            <label for="partnerB_dob" class="block text-sm font-medium text-gray-700 required-field">Date of Birth</label>
                            <input type="date" id="partnerB_dob" name="partnerB_dob" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
                        <div>
                            <label for="partnerB_gender" class="block text-sm font-medium text-gray-700 required-field">Gender</label>
                            <select id="partnerB_gender" name="partnerB_gender" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                                <option value="">Select</option>
                                <option value="male">Male</option>
                                <option value="female">Female</option>
                                <option value="non-binary">Non-binary</option>
                                <option value="other">Other</option>
                            </select>
                        </div>
                    </div>
                    
                    <div class="mb-4">
                        <label for="partnerB_ssn" class="block text-sm font-medium text-gray-700">Social Security Number (last 4 digits) (Not Required here - Form Requirements differ</label>
                        <input type="text" id="partnerB_ssn" name="partnerB_ssn" maxlength="4" class="mt-1 block w-24 border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500">
                    </div>
                    
                    <div class="mb-4">
                        <label for="partnerB_address" class="block text-sm font-medium text-gray-700 required-field">Current Address</label>
                        <textarea id="partnerB_address" name="partnerB_address" rows="2" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required></textarea>
                    </div>
                </div>
                
                <!-- Section 3: Domestic Partnership Information -->
                <div class="form-section">
                    <div class="form-title">Confidential Domestic Partnership Information</div>
                    
                    <div class="mb-4">
                        <label for="shared_residence" class="block text-sm font-medium text-gray-700 required-field">Shared Residence Address</label>
                        <textarea id="shared_residence" name="shared_residence" rows="2" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required></textarea>
                    </div>
                    
                    <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                        <div>
                            <label for="date_established" class="block text-sm font-medium text-gray-700 required-field">Date Domestic Partnership Established</label>
                            <input type="date" id="date_established" name="date_established" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
                        <div>
                            <label for="date_signed" class="block text-sm font-medium text-gray-700 required-field">Date Signed</label>
                            <input type="date" id="date_signed" name="date_signed" class="mt-1 block w-full border border-gray-300 rounded-md shadow-sm py-2 px-3 focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
                        </div>
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                                    <p>Both partners must sign this form in the presence of a notary public. The notary will complete the notary section after verifying identities and witnessing signatures.</p>
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