What does the Acknowledgement of Responsibility form cover?

It records acknowledgements about construction requirements, wage theft judgments, contractor and subcontractor checks, and conditions affecting a certificate of occupancy or final building permit.

The form is for property owners and contractors on a project covered by a San José building permit. It includes spaces for the applicant's signature, date, printed name, and title, if any.

Do I need a notary for the Acknowledgement of Responsibility?

No. The document is signed without a notary and provides for an unsworn declaration under penalty of perjury; it lists no notarized attachment.

San Jose, CA · Santa Clara County

No notary required

Acknowledgement of Responsibility (Form 380)

Property owners and contractors use this form to acknowledge responsibilities related to wage theft judgments and construction requirements for a San José building permit project.

What this form is

This form records an owner's and contractor's acknowledgement of responsibilities for applicable construction requirements, wage theft judgments, and related project obligations. It addresses checks before hiring contractors or subcontractors and conditions that may prevent a certificate of occupancy or final building permit. The signer provides a signature, date, printed name, and title if any.

Who needs it

Property owners and contractors involved in a San José building permit project use the form to acknowledge the responsibilities it describes.

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 certification is an unsworn declaration under penalty of perjury, and it lists no notarized attachment.

How to submit this form

1
Download The Form
Download the Acknowledgement of Responsibility (Form 380) PDF.
2
Complete The Form
Review the acknowledgements and enter the applicant signature, date, printed name, and title if any.
3
Gather Attachments
The form does not identify any attachments to gather.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Acknowledgement of Responsibility form cover?: It records acknowledgements about construction requirements, wage theft judgments, contractor and subcontractor checks, and conditions affecting a certificate of occupancy or final building permit.
Who uses Form 380?: The form is for property owners and contractors on a project covered by a San José building permit. It includes spaces for the applicant's signature, date, printed name, and title, if any.
Do I need a notary for the Acknowledgement of Responsibility?: No. The document is signed without a notary and provides for an unsworn declaration under penalty of perjury; it lists no notarized attachment.
How do I submit Form 380?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Acknowledgement of Responsibility (Form 380) doesn’t need a notary — but if you have another San Jose form that does, a commissioned online notary can help.