Corte Madera, CA · Marin County
Authorization of Agent to Act on Licensed Contractor’s Behalf
Licensed contractors use this form to authorize agents to apply for, sign, and file documents needed to obtain a permit for a construction project.
What this form is
This form authorizes one or two named agents to apply for, sign, and file documents needed to obtain a permit for a construction project. It asks for the project address and description, agent contact details, and the licensed holder’s license number and contact information. The license holder declares the information accurate and signs and dates the form.
Who needs it
A licensed contractor or listed CSLB personnel who wants another person to handle permit documents for a construction project needs this form.
How to submit it
Submit it to the Community Development Department at 300 Tamalpais Drive, Corte Madera, CA 94925; the form lists (415) 927-5062.
About notarization
This form is signed without a notary; the signer declares under penalty of perjury and signs and dates the authorization.
How to submit this form
- 1
Download the Form
Download the Authorization of Agent to Act on Licensed Contractor’s Behalf form.
- 2
Complete the Form
Enter the project details, agent contact information, and license holder information requested.
- 3
Review Attachments
The form text does not identify any required attachments.
- 4
Submit to the Town
Submit the completed form to the Community Development Department at 300 Tamalpais Drive, Corte Madera, CA 94925.
Frequently asked questions
- What does the contractor agent authorization form do?
- It lets a licensed contractor authorize one or two agents to apply for, sign, and file documents needed to obtain a permit for a construction project.
- What information does the form request?
- It requests the project address and description, each agent’s name and contact details, and the license holder’s license number, name, company, email, signature, and date.
- Do I need a notary for this contractor agent authorization?
- No. The form is signed without a notary; the signer declares under penalty of perjury and signs and dates the authorization.
- How do I submit the contractor agent authorization?
- Submit it to the Community Development Department at 300 Tamalpais Drive, Corte Madera, CA 94925. The form lists (415) 927-5062.
Need something notarized?
This Authorization of Agent to Act on Licensed Contractor’s Behalf doesn’t need a notary — but if you have another Corte Madera form that does, a commissioned online notary can help.