El Dorado County, CA · El Dorado County
Contractors Online Supplemental Application Disclosures & Forms
This supplemental application gathers project, workers’ compensation, deed restriction, and permit acceptance information from contractors applying for construction permits.
At a glance
- Issued by
- City of El Dorado County · El Dorado County, El Dorado County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- eldoradocounty.ca.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Contractors applying for construction permits use this supplement to identify the project and declare workers’ compensation coverage. It also includes deed restriction certification, permit conditions, and the applicant’s acceptance and declaration. The contractor or authorized agent provides identifying and license information and signs and dates the form; an Authorization of Agent form is required before issuance when an agent signs, unless unlimited authorization is on file.
Who needs it
Contractors applying for a construction permit, or agents authorized to act on their behalf, need to complete this supplement.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer signs and dates the declaration, and the document does not identify a notarized attachment.
How to submit this form
- 1
Download the Supplement
Download the Contractors Online Supplemental Application PDF.
- 2
Complete the Declarations
Identify the project, select and complete the applicable workers’ compensation declaration, and review the deed restriction and permit statements.
- 3
Gather Required Authorization
If an authorized agent signs, provide the Authorization of Agent form before permit issuance unless unlimited authorization is on file.
- 4
Sign and Submit
Print the signer’s name and contractor license number, sign and date the declaration, and submit it to the county department named on the form.
Frequently asked questions
- What is the Contractors Online Supplemental Application?
- It is a supplement for contractors applying for construction permits, with project identification, workers’ compensation declarations, deed restriction certification, permit conditions, and applicant declarations.
- Who can sign the supplement?
- A California licensed contractor or someone authorized to act on the contractor’s behalf may sign. When an agent signs, an Authorization of Agent form is required before permit issuance unless unlimited authorization is on file.
- Do I need a notary for the Contractors Online Supplemental Application?
- No. The document is signed and dated without a notary, and it does not identify a notarized attachment.
- How do I submit the Contractors Online Supplemental Application?
- Submit it to the county department named on the form; check the county website for current contact details.