Daly City, CA · San Mateo County

No notary required

C&D Deposit Refund Request

Permit applicants use this form to request a construction and demolition deposit refund and provide details about debris recycling, salvage, and reuse.

What this form is

This form requests a refund of a construction and demolition deposit and records how project debris was recycled, salvaged, reused, or disposed of. Daly City requires the completed, signed request and supporting receipts or documentation to initiate the refund process; submit them within 120 days of final inspection approval. The form asks for permit and project details, materials diverted, applicant certification, and any change to the refund recipient.

Who needs it

A permit applicant seeking a construction and demolition deposit refund after completing a project in Daly City needs to file this request with supporting receipts.

How to submit it

Email the completed, signed form and diversion receipts or other supporting documentation to [email protected] within 120 days of final inspection approval. The form says an administrative fee will be retained from refunds.

About notarization

This form is signed and dated without a notary; attach recycling, salvage, reuse, or disposal receipts or supporting documentation, which the form does not say must be notarized.

How to submit this form

  1. 1

    Download The Form

    Download the C&D Deposit Refund Request.

  2. 2

    Complete And Sign

    Fill in the permit and project information, describe debris recycling and reuse, and sign and date the certification.

  3. 3

    Gather Supporting Documents

    Attach diversion receipts or other supporting documentation.

  4. 4

    Email The Request

    Email the completed form and attachments to [email protected] within 120 days of final inspection approval.

Frequently asked questions

Do I need a notary for the C&D Deposit Refund Request?
No. The form requires the permit applicant’s signature, not notarization. Attach supporting receipts or documentation; the form does not say these need to be notarized.
How do I submit the C&D Deposit Refund Request?
Email the completed, signed form and diversion receipts or other supporting documentation to [email protected] within 120 days of final inspection approval.
What documentation should I attach?
Attach receipts for salvage, recycling, and disposal diverted from landfill through recycling or reuse, or other supporting documentation.
Who receives the deposit refund?
Refunds go to the permit applicant unless the applicant completes the form’s change-of-refund-recipient section directing payment to a new recipient.

Need something notarized?

This C&D Deposit Refund Request doesn’t need a notary — but if you have another Daly City form that does, a commissioned online notary can help.