Ensure full payment for materials and services rendered. Non-payment entitles you to enforce a claim for payment against the real property, known as a construction lien. Public property is not subject to liens. In the event of non-payment for work on a public or privately bonded project, filing a Notice of Nonpayment allows you to make a claim against the bond. It is crucial to note that you have 90 days from your last day of work to serve a Claim of Lien.

*RELEASE OF LIEN IS INCLUDED* PLEASE ENSURE YOU PROCESS THE RELEASE OF LIEN FORM UPON RECEIVING OUTSTANDING PAYMENT*

$65, Plus Postage

Claim of Lien

Name

First Name

Last Name

Your Company Name & Address

Registered clients enter account code

Email, Phone Number

Permit Number

Total Job Value

Remaining/Unpaid Value

Job Name or WO #

Job Address

Project commencement date

MM

DD

YYYY

Last Day on Project

MM

DD

YYYY

Materials and Services Provided

General Contractor's Name & Phone Number

Contractor's Address

Owner's Name & Phone Number

Owner's Address

Electronic Signature

I/W hereby confirm that the aforementioned materials have been utilized or labor/ services have been rendered in the enhancement of the real property specified above. I acknowledge that no exemptions have been made, and the information provided above is truthful and accurate. Furthermore, I/We understand that more than one copy this form may be needed to process. Please proceed with preparing Claim of Lien for our representative's signature