Dana Point, CA · Orange County
Contractor Permit Proxy
Contractors use this proxy form to authorize another person to carry and submit a permit application when the contractor cannot complete it at City Hall.
What this form is
This form lets a contractor complete and sign a permit application for submission by an authorized agent when the contractor is unavailable to complete it at City Hall. The contractor must fill out and sign the application declarations, provide contractor and agent information, and make the required workers’ compensation and licensing declarations. The carrier must include the identification and license copies listed on the form.
Who needs it
A contractor who cannot complete a permit application at City Hall and wants an authorized agent to carry and submit it needs this form.
How to submit it
After completing the form and gathering the required copies, fax it to (949) 248-7372, as directed on the form.
About notarization
This proxy is signed and dated without a notary; the city does not accept a notarized letter of authorization, and the listed identification and license copies must accompany it.
How to submit this form
- 1
Download The Proxy
Download the Contractor Permit Proxy form.
- 2
Complete The Form
Fill in the contractor and authorized agent details and complete and sign the required application declarations.
- 3
Gather Required Copies
Include legible contractor identification and copies of both sides of the signed license card; add incorporation papers and authorized-person identification if applicable.
- 4
Fax The Form
Fax the completed form and required copies to (949) 248-7372.
Frequently asked questions
- Do I need a notary for the Contractor Permit Proxy?
- No. The contractor signs and dates the proxy without a notary. Dana Point does not accept a notarized letter of authorization.
- Who can use the Contractor Permit Proxy?
- A contractor who is unavailable to complete a permit application at City Hall may complete and sign the application for an authorized agent to carry and submit.
- What documents must accompany the proxy?
- The carrier must provide legible copies of the contractor’s identification and both sides of the signed contractor license card. If applicable, include incorporation papers and identification for the authorized person.
- How do I submit the Contractor Permit Proxy?
- Complete and sign the application declarations, gather the required copies, and fax the form back to (949) 248-7372.