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Health, Education And Life Planning (Help) Affidavit - Hillsborough County Board Of County Commissioners

HILLSBOROUGH COUNTY AND CITY OF TAMPA

HEALTH, EDUCATION AND LIFE PLANNING (HELP) AFFIDAVIT

Designating A Support Person Per Hillsborough County Ordinance No.14-32

INSTRUCTIONS:

Review the HELP Affidavit form and the Hillsborough County Ordinance No. 14-32 before signing the

affidavit.

The Hillsborough County Official Records Department does not and will not provide legal advice. If you

have any questions about this form, you should consult with an attorney.

1. Review the attached 3-page HELP Affidavit.

2. Type or print the information on the lines shown, except for those lines indicating signatures.

This form is for two people who want to designate each other for the same rights. A separate

form is needed for each person designating a HELP support person if the rights are not

identical.

3. Have two witnesses and a notary present when you are ready to sign the affidavit. Witnesses

must not be a blood relative or a spouse.

4. Have the notary witness your signature.

5. Have the witnesses sign after watching you sign the affidavit.

6. You may either mail the completed, notarized affidavit to Hillsborough County Clerk, Attn:

Official Records, P.O. Box 3249, Tampa FL 33601 or bring the completed, notarized affidavit to

any Hillsborough County Official Records Department location.

Go to the

Official Records Department Contacts page

for a list of all locations.)

8. A fee of $50 per form is required. You may pay in person by cash, check, or credit card; or pay

by check if mailing the document. Checks must be made payable to the Hillsborough County

Clerk of the Circuit Court.

9. Once recorded, the original affidavit and an identification card will be returned to the address

specified on the bottom of page 3 of the form. (The mailing address does not have to be a

home address.)

Copies of the recorded affidavit will be viewable and printable from the

Hillsborough County Clerk of

Circuit Court’s

website.

Health, Education And Life Planning (Help) Affidavit - Hillsborough County Board Of County Commissioners