DH 743AFL LocalFillable

Affirmation of Common Children Born in Florida

Palm Beach County Clerk of Court · Marriage

Verified current as of October 27, 2026

Florida Department of Health affirmation filed with a Palm Beach County marriage application listing children the couple had together who were born in Florida (DH 743A).

This form has fillable fields — you can complete it directly in the viewer on the right.
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