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HOW TO REGISTER AS A PREMARITAL PREPARATION COURSE (Clay County Florida Clerk of Court and Comptroller)

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HOW TO REGISTER AS A PREMARITAL
PREPARATION COURSE PROVIDER
(Florida Statute Section 741.0305)
INSTRUCTIONS
1. Read Florida Statute 741.0305 (attached)
2. Complete the required attached “Registration Affidavit for Premarital Preparation Course
Provider” and sign it in the presence of the Clerk of the Court, a Deputy Clerk, or a Notary
Public.
3. Return the completed Affidavit to:
CLERK OF THE CIRCUIT COURT
P.O. BOX 698
GREEN COVE SPRINGS, FL 32043
4. Upon receipt of the Affidavit, the Clerk will add your name to the list of the registered course
providers.
5. Questions may be directed to the above address or by telephone: (904) 284-6362.
6. A copy of a Certificate of Completion is attached. You may use it to make copies to give to the
prospective bride and groom upon completion of the premarital course.
Completion of the pre-marital course entitles the prospective bride and groom to a reduced fee
and also waives the three (3) day waiting period for Florida residents. The couple must present
the certificate of completion at the time of applying for the marriage license. The application fee
is reduced from $86.00 to $61.00.
F.S. 741.0305 – Marriage fee reduction for completion of premarital preparation course. –
(1) A man and a woman who intend to apply for a marriage license under s. 741.04 may, together or
separately, complete a premarital preparation course of not less than 4 hours. Each individual shall
verify completion of the course by filing with the application a valid certificate of completion from
the course provider, which certificate shall specify whether the course was completed by personal
instruction, videotape instruction, instruction via other electronic medium, or a combination of
those methods. All individuals who complete a premarital preparation course pursuant to this
section must be issued a certificate of completion at the conclusion of the course by their course
provider. Upon furnishing such certificate when applying for a marriage license, the individuals
shall have their marriage license fee reduced by $25.00.
(2) The premarital preparation course may include instruction regarding:
a. Conflict management
b. Communication skills
c. Financial responsibilities
d. Children and parental responsibilities
e. Data compiled from available information relating to problems reported by married couples
who seek marital or individual counseling.
(3)(a) All individuals electing to participate in a premarital preparation course shall choose from the
following list of qualified instructors:
1. A psychologist licensed under chapter 490
2. A clinical social worker licensed under chapter 491
3. A marriage and family therapist licensed under chapter 491
4. A mental health counselor licensed under chapter 491
5. An official representative of religious institution which is recognized under s. 496.404(23),
if the representative has relevant training.
6. Any other provider designated by a judicial circuit, including, but not limited to, school
counselors who are certified to offer such courses. Each judicial circuit may establish a roster
of area course providers, including those who offer the course on a sliding fee scale or for
free.
(b) The costs of such premarital preparation course shall be paid by the applicant.
(4) Each premarital preparation course provider shall furnish each participant who completes the
course with a certificate of completion specifying the name of the participant and the date of
completion and whether the course was conducted by personal instruction, videotape instruction,
or instruction via other electronic medium, or by combination of these methods.
(5) All area course providers shall register with the clerk of the circuit court by filing an affidavit in
writing attesting to the provider’s compliance with the premarital preparation course requirements
as set forth in this section and including the course instructor’s name and qualifications, including
the license number, if any, or, if an official representative of a religious institution, a statement as
to relevant training. The affidavit shall also include the addresses where the provider may be
contacted.
REGISTRATION AFFIDAVIT FOR
PREMARITAL PREPARATION COURSE PROVIDER
FLORIDA STATUTE SECTION 741.0305
STATE OF FLORIDA
COUNTY OF
Before me, the undersigned authority, personally appeared the individual designated as “Affiant”
in Paragraph 1 of this Affidavit, and after first being duly cautioned and sworn, the said Affiant deposes
and states as follows:
1. Affiant’s name is:
2. Affiant’s address is:
Affiant’s daytime phone number is:
3. Affiant is the provider of a premarital preparation course as prescribed by Chapter 741 Florida
Statutes.
4. The premarital preparation course instructor’s name is:
5. The premarital preparation course instructor’s qualifications are as follows:
(Check applicable qualification(s) and provide license # where it is indicated)
a. Psychologist licensed under Chapter 490, Florida Statutes, with the license number:
b.
Clinical social worker licensed under Chapter 491, Florida Statutes, with the license
number:
c.
Marriage and family therapist licensed under Chapter 491, Florida Statutes, with the
license number:
d.
Mental health counselor licensed under Chapter 491, Florida Statutes with the license
number:
e.
Official representative of a religious institution recognized under Florida Statute
496.404(20). This official has had the following relevant training:
f. A provider designated in writing by the Chief Judge of the Judicial Circuit in
County, Florida.
6. Affiant has complied and will comply with the premarital preparation course requirements set forth
in Section 741.0305, Florida Statutes (1998).
7. Affiant is executing and filing this Affidavit with the
County Clerk of the Circuit
Court to comply with the registration requirements of Florida Statute 741.0305(1998) for providers
of premarital preparation courses.
8. Affiant will notify the Office of the Clerk in writing if any of the information indicated above
changes in any way.
FURTHER AFFIANT SAYETH NAUGHT.
Affiant’s Signature Print Affiant’s Name
Sworn to and subscribed before me this day of , 20
by
, Affiant, who is personally known to me or who produced
the following identification:
Affix Official Seal:
Clerk of the Circuit Court/Deputy Clerk/Notary Public
Name of Notary:
Notary’s Commission:
CERTIFICATE OF COMPLETION
OF PREMARITAL PREPARATION COURSE
1. This Certificate of Completion of a Premarital Preparation Course was issued and given to
Name of Bride and/or Groom – Please Print
by
Name of Provider and Instructor – Please Print
a qualified course provider who is registered with the Office of the Clerk, at the completion of the
course, pursuant to Section 741.0305, Florida Statutes.
2. The premarital preparation course was not less than four (4) hours.
3.
The name(s) of the course participant(s) is/are:
4.
The date of completion is:
5. The manner in which the course was completed, pursuant to Section 741.0305(1) & (4), Florida
Statutes, was by (mark all of the ones that apply):
Personal Instruction
Videotape Instruction
Instruction via other electronic medium
A combination of all of these methods
Name of Instructor – Signature Name of Instructor – Print
Date
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HOW TO REGISTER AS A PREMARITAL PREPARATION COURSE (Clay County Florida Clerk of Court and Comptroller)

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Completed 30 July 2021

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