Tolleson, AZ · Maricopa County

No notary required

Demolition Utility Clearance Form

Property owners or agents use this form to certify utility disconnection and provide utility company information before a structure is demolished or removed.

What this form is

This form records property and applicant details, utility company information, and the utility type for a property where a structure will be demolished or removed. The owner or agent must notify utilities with service connections, and the form certifies that service has been disconnected and equipment or service lines safely removed, sealed, or capped. A demolition permit is not issued until utility releases are obtained.

Who needs it

A property owner or agent preparing to demolish or remove a structure with utility service connections should complete this form.

How to submit it

Contact the Tolleson Building Department at 9055 W. Van Buren St., Tolleson, Arizona 85353, by phone at (623) 936-7111 or email [email protected].

About notarization

This form is signed and dated without a notary; the signer certifies utility disconnection and safe removal, sealing, or capping.

How to submit this form

  1. 1

    Download The Form

    Download the Demolition Utility Clearance Form PDF.

  2. 2

    Complete The Form

    Fill in the property and applicant information, identify the utility type, and complete the utility company and certification sections.

  3. 3

    Gather Utility Releases

    Obtain releases from utilities with service connections; a demolition permit is not issued until the releases are obtained.

  4. 4

    Contact The Building Department

    Contact the Tolleson Building Department using the address or email shown on the form for submission details.

Frequently asked questions

What is the Demolition Utility Clearance Form for?
It records property and utility company information and certifies that utility service and equipment have been safely disconnected, removed, sealed, or capped before demolition or removal.
Who completes this form?
The form is for an owner or agent preparing to demolish or remove a structure. It requests property, applicant, supervisor, and utility company information.
Do I need a notary for the Demolition Utility Clearance Form?
No. This form is signed and dated without a notary; the signer certifies utility disconnection and safe removal, sealing, or capping.
How do I submit the Demolition Utility Clearance Form?
Contact the Tolleson Building Department at 9055 W. Van Buren St., Tolleson, Arizona 85353, or email [email protected].

Need something notarized?

This Demolition Utility Clearance Form doesn’t need a notary — but if you have another Tolleson form that does, a commissioned online notary can help.