Chino, CA · San Bernardino County

No notary required

Preapproved ADU Program Hold Harmless Statement

Property owners complete this statement to acknowledge the City of Chino’s preapproved ADU construction documents and release and indemnify the City and architect.

What this form is

This statement records property owners’ agreement to release, hold harmless, and indemnify the City of Chino, its elected officials and employees, and the architect who prepared the preapproved ADU construction documents. The form says owners receive those documents at no cost and enter the agreement in consideration of receiving them. It asks for the applicant name, application number, project address, ADU plan type, and owners’ signatures, printed names, and dates.

Who needs it

Property owners receiving preapproved Accessory Dwelling Unit construction documents from the City of Chino complete and sign this statement.

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 statement is signed without a notary; it lists no notarized or sworn attachment, so each property owner signs and dates it.

How to submit this form

  1. 1

    Download the Statement

    Download the Preapproved ADU Program Hold Harmless Statement PDF.

  2. 2

    Complete the Project Details

    Enter the applicant name, application number, project address, and ADU plan type.

  3. 3

    Sign and Date

    Each property owner prints their name, signs, and dates the statement.

  4. 4

    Submit to the City

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

Frequently asked questions

What does the Preapproved ADU Hold Harmless Statement do?
It records owners’ agreement to release, hold harmless, and indemnify the City of Chino, its officials and employees, and the architect who prepared the construction documents.
What information does the statement request?
It requests the applicant name, application number, project address, ADU plan type, and each property owner’s printed name, signature, and date.
Do I need a notary for the Preapproved ADU Hold Harmless Statement?
No. This statement is signed without a notary, and it lists no notarized or sworn attachment; each property owner signs and dates it.
How do I submit the Preapproved ADU Hold Harmless Statement?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Preapproved ADU Program Hold Harmless Statement doesn’t need a notary — but if you have another Chino form that does, a commissioned online notary can help.