Windsor, CA · Sonoma County

No notary required

Licensed Contractor Declarations Form

Contractors complete this form with property, license, workers’ compensation, and construction lending information associated with a building permit application.

What this form is

This form records contractor declarations associated with a building permit application, including license details, workers’ compensation coverage or exemption, and construction lending agency information. It also asks for the site address, property owner, contractor and company details, and signatures confirming the information and agreement to applicable requirements. The form does not state when the Town requires it or how to submit it.

Who needs it

A licensed contractor completing declarations associated with a building permit application for a property in Windsor should use this form.

How to submit it

Submit it to the Community Development Department, Building Division, at 9291 Old Redwood Highway, Building 400. The form lists phone number (707) 838-5341.

About notarization

This document is signed without a notary; its contractor declarations are made under penalty of perjury, and the signer signs and dates the declarations.

How to submit this form

  1. 1

    Download The Form

    Download the Licensed Contractor Declarations Form.

  2. 2

    Complete The Form

    Enter the property, contractor, license, workers’ compensation, and construction lending agency information requested.

  3. 3

    Sign And Date

    Sign and date the applicable contractor declarations and provide the printed contractor name and title.

  4. 4

    Submit To The Building Division

    Submit the completed form to the Community Development Department, Building Division, at the address listed on the form.

Frequently asked questions

What information does the Licensed Contractor Declarations Form request?
It asks for property and contractor information, license details, a workers’ compensation declaration, construction lending agency details, and contractor signatures.
Do I need a notary for the Licensed Contractor Declarations Form?
No. The form is signed without a notary. Its contractor declarations are made under penalty of perjury, and the signer signs and dates the declarations.
How do I submit the Licensed Contractor Declarations Form?
Submit it to the Community Development Department, Building Division, at 9291 Old Redwood Highway, Building 400. The form lists phone number (707) 838-5341.

Need something notarized?

This Licensed Contractor Declarations Form doesn’t need a notary — but if you have another Windsor form that does, a commissioned online notary can help.