Laguna Niguel, CA · Orange County
Permit Disclosure
Contractors use this form to provide permit details and declare their contractor licensing and workers’ compensation status for work at a Laguna Niguel property.
What this form is
The Permit Disclosure records the property address and permit number, and asks contractors to declare their license status and workers’ compensation coverage or exemption. It also includes a certification about the construction application and compliance with applicable laws, plus authorization for city or county representatives to enter the property for inspections. The form is for work associated with a city permit.
Who needs it
Contractors or their authorized agents completing permit-related declarations for work at a Laguna Niguel property need this form.
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 document is signed without a notary; its declarations are made under penalty of perjury, and the signer dates the form.
How to submit this form
- 1
Download The Form
Download the Permit Disclosure PDF.
- 2
Complete The Form
Enter the property and permit details, complete the applicable declarations, and sign and date the form.
- 3
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
- What information does the Permit Disclosure ask for?
- It asks for the property address, permit number, contractor license details, workers’ compensation information or exemption declaration, and signatures.
- Who completes the Permit Disclosure?
- A contractor or authorized agent completes the contractor and workers’ compensation declarations and signs the form.
- Do I need a notary for the Permit Disclosure?
- No. The form is signed without a notary; its declarations are made under penalty of perjury, and the signer dates the form.
- How do I submit the Permit Disclosure?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Permit Disclosure doesn’t need a notary — but if you have another Laguna Niguel form that does, a commissioned online notary can help.