Alhambra, CA · Los Angeles County
Licensed Contractor Declarations
Contractors complete this form for a building permit to provide license details and declarations about workers’ compensation, construction lending, and property access.
What this form is
The Licensed Contractor Declarations form collects the contractor’s license information and declarations related to workers’ compensation, construction lending, and authorization for city inspections. It is tied to work for which a building permit is issued. The form asks for the property address and permit number, contractor and business license details, applicable insurance or exemption information, lending agency details, and signatures and dates.
Who needs it
A licensed contractor completing declarations for work covered by a building permit should fill in the applicable sections and sign 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; its workers’ compensation and construction-lending statements are affirmed under penalty of perjury, but no notarized attachment is listed.
How to submit this form
- 1
Download The Form
Download the Licensed Contractor Declarations fillable PDF.
- 2
Complete The Declarations
Enter the property address, permit number, license details, and applicable workers’ compensation and lending agency information.
- 3
Review And Sign
Complete the authorization of entry section and sign and date the applicable declarations.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does the Licensed Contractor Declarations form ask for?
- It requests the property address and permit number, contractor and business license information, workers’ compensation details or an exemption declaration, lending agency information, and signatures.
- Who completes this form?
- A licensed contractor completing declarations for work covered by a building permit fills in the applicable sections, including the contractor license and workers’ compensation declarations.
- Do I need a notary for the Licensed Contractor Declarations form?
- No. The form is signed without a notary. Its workers’ compensation and construction-lending statements are affirmed under penalty of perjury, and no notarized attachment is listed.
- How do I submit the Licensed Contractor Declarations form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Licensed Contractor Declarations doesn’t need a notary — but if you have another Alhambra form that does, a commissioned online notary can help.