Richmond, CA · Contra Costa County

No notary required

Licensed Contractor’s Declaration

Contractors use this declaration to provide their license class, license number, date, and signature.

What this form is

This form records a contractor’s affirmation that they are licensed under the cited provisions of the Business and Professions Code and that their license is in full force and effect. It asks for the license class, license number, date, and contractor’s signature. The document does not specify when the city requires it or what filing it accompanies.

Who needs it

A contractor completing this declaration provides their license class and number, confirms their license is in full force and effect, and signs and dates the form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; it contains an affirmation under penalty of perjury, and the contractor signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Licensed Contractor’s Declaration PDF.

  2. 2

    Complete The Declaration

    Enter the license class, license number, and date.

  3. 3

    Sign The Form

    The contractor signs the declaration affirming that the license is in full force and effect.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Licensed Contractor’s Declaration ask for?
It asks for the contractor’s license class, license number, date, and signature, and includes an affirmation that the license is in full force and effect.
Do I need a notary for the Licensed Contractor’s Declaration?
No. This form has no notary block; it contains an affirmation under penalty of perjury, and the contractor signs and dates it.
How do I submit the Licensed Contractor’s Declaration?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Licensed Contractor’s Declaration doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.