El Segundo, CA · Los Angeles County
Owner's Affidavit & Authorization
Property owners and applicants or representatives complete this form to provide affidavits and authorize a representative to handle matters related to a city application.
What this form is
This form records the property owner’s affidavit and authorization for a named representative to handle matters related to an application. It also includes an affidavit for the applicant or representative. The form asks for the owner’s and representative’s names, signatures, and dates; the owner names the authorized representative, who will be the exclusive project contact and receive correspondence.
Who needs it
Property owners and applicants or representatives involved in a city application complete the relevant affidavit sections and owner authorization.
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 form has no notary block, so sign and date it without a notary; its owner and applicant/representative affidavit statements are described as sworn.
How to submit this form
- 1
Download The Form
Download the Owner's Affidavit & Authorization PDF.
- 2
Complete The Affidavits
Complete the owner and applicant/representative affidavit sections and name the authorized representative.
- 3
Gather Application Materials
The form refers to documents and plans attached to the application; gather those application materials as applicable.
- 4
Sign And Date
The owner and applicant or representative sign and date their respective sections.
- 5
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
- Do I need a notary for the Owner's Affidavit & Authorization?
- No. The form has no notary block. Its affidavit statements are described as sworn, but the form instructs signers to sign and date it without a notary.
- How do I submit the Owner's Affidavit & Authorization?
- Submit it to the city department named on the form; check the city website for current contact details.
- Who completes this form?
- The property owner completes the owner affidavit and authorization, and the applicant or representative completes the applicant/representative affidavit.