Palmdale, CA · Los Angeles County

No notary required

C&D Performance Security Deposit Refund Request Form

Applicants use this form to request a refund of a construction and demolition performance security deposit after the city approves compliance documentation.

What this form is

This form requests the return of a construction and demolition (C&D) performance security deposit. The form says the deposit may be returned in full or prorated after C&D compliance and documentation approval, with at least 65% of project waste diverted; it also warns that the deposit may be forfeited if requirements are not met. It asks for project, deposit, original payer, contact, and signature information.

Who needs it

An applicant seeking a refund of a C&D performance security deposit after the project’s compliance and documentation have been approved by the city.

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 is signed and dated without a notary; it mentions no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the C&D Performance Security Deposit Refund Request Form.

  2. 2

    Complete the Request

    Enter the project, deposit, original payer, and contact information, then sign and date the form.

  3. 3

    Gather Compliance Documentation

    The form says refund approval follows C&D compliance and documentation approval, including at least 65% project waste diversion.

  4. 4

    Submit to the City

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

Frequently asked questions

Do I need a notary for the C&D deposit refund form?
No. This form is signed and dated without a notary, and it mentions no notarized or sworn attachment.
Who can request a C&D performance security deposit refund?
An applicant can complete the form to request a refund after C&D compliance and documentation approval.
What information does the refund request form ask for?
It asks for the permit or receipt number, project address, deposit details, original payer and contact information, and the payer’s signature and date.
How do I submit the C&D deposit refund request?
The form does not specify a submission method. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This C&D Performance Security Deposit Refund Request Form doesn’t need a notary — but if you have another Palmdale form that does, a commissioned online notary can help.