St. Helena, CA · Napa County
Licensed Contractor Declaration Form
Contractors and property owners complete this form with permit, licensing, workers’ compensation, and owner-builder information for work in St. Helena.
What this form is
This form collects declarations and project information for work associated with a building permit in St. Helena. It asks for applicant and property details, contractor license information, workers’ compensation coverage or exemption details, and construction lending agency information. Property owners or authorized agents also use it to declare an owner-builder exemption when applicable.
Who needs it
Contractors and property owners or their authorized agents complete the declarations and provide project details for work covered by a building permit.
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 without a notary; it includes declarations under penalty of perjury, but no notarized attachment or related step is listed.
How to submit this form
- 1
Download The Form
Download the Licensed Contractor Declaration Form PDF.
- 2
Complete The Declarations
Enter the applicant and property details, then complete the applicable contractor, workers’ compensation, owner-builder, and lending agency sections.
- 3
Gather Project Information
Have the applicable license, workers’ compensation, and construction lender details available to complete the form.
- 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
- Do I need a notary for the Licensed Contractor Declaration Form?
- No. The form is signed without a notary, though it includes declarations under penalty of perjury; it lists no notarized attachment or related step.
- How do I submit the Licensed Contractor Declaration Form?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the form request?
- It requests applicant and property details, contractor license information, workers’ compensation coverage or exemption details, and construction lending agency information.
- Who completes the owner-builder declaration?
- A property owner or authorized agent completes the owner-builder declaration when claiming an exemption from contractor licensing, selecting the applicable reason and signing and dating the form.