Benicia, CA · Solano County
Letter of Authorized Agent Form (Contractor Application)
Licensed contractors submit this form with every permit application to identify an authorized agent and provide project and contractor information.
What this form is
This form identifies an authorized representative for a licensed contracting company and is submitted with every permit application. It asks for the work description and project address, agent details, contractor contact and license information, and the licensed contractor staff member’s signature and date. The signer affirms under penalty of perjury that the license is active and certifies the information is accurate.
Who needs it
A licensed contractor applying for a permit must submit this form with every permit application and provide the authorized agent and project information.
How to submit it
Submit this form with every permit application. The form lists City Hall at 250 East L Street, Benicia, and [email protected].
About notarization
This form is signed without a notary; the licensed contractor signs and dates it and affirms the information under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the Letter of Authorized Agent Form PDF.
- 2
Complete The Form
Provide the work description, project address, authorized agent information, and contractor license and contact details.
- 3
Sign And Date
The licensed contractor staff member signs and dates the form and certifies the information.
- 4
Submit With The Permit Application
Submit the completed form with every permit application.
Frequently asked questions
- Do I need a notary for the Letter of Authorized Agent Form?
- No. The licensed contractor signs and dates the form and affirms the information under penalty of perjury; the form does not require notarization.
- Who submits the Letter of Authorized Agent Form?
- A licensed contractor submits it with every permit application to identify an authorized representative and provide project, agent, and license information.
- How do I submit the Letter of Authorized Agent Form?
- Submit it with every permit application. The form lists City Hall at 250 East L Street, Benicia, and [email protected].
Need something notarized?
This Letter of Authorized Agent Form (Contractor Application) doesn’t need a notary — but if you have another Benicia form that does, a commissioned online notary can help.