Modesto, CA · Stanislaus County
House Sewer Line Repair Cost-Share Program Release and Waiver Agreement
Modesto residents requesting to participate in the House Sewer Line Repair Cost-Share Program use this agreement to release and indemnify the city.
What this form is
This agreement documents a resident’s request to participate in Modesto’s House Sewer Line Repair Cost-Share Program and releases the city from certain claims related to a house sewer line blockage. It also includes an indemnity agreement. The signer provides their name, the residence address, signatures, and dates, and confirms they have read and understand the agreement.
Who needs it
Residents who have requested to participate in Modesto’s House Sewer Line Repair Cost-Share Program need to complete this release and waiver agreement.
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 agreement is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Agreement
Download the House Sewer Line Repair Cost-Share Program Release and Waiver Agreement.
- 2
Complete The Form
Enter the date, name, and residence address, then read the agreement.
- 3
Sign And Date
Sign and date the agreement.
- 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 House Sewer Line Repair Cost-Share Program agreement do?
- It records a resident’s request to participate and includes a release of claims and an indemnity agreement related to repair of the house sewer line.
- Who completes this agreement?
- Residents who have requested to participate in Modesto’s House Sewer Line Repair Cost-Share Program complete the form with their name, residence address, signatures, and dates.
- Do I need a notary for this agreement?
- No. This agreement is signed without a notary; the signer just signs and dates it.
- How do I submit the agreement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This House Sewer Line Repair Cost-Share Program Release and Waiver Agreement doesn’t need a notary — but if you have another Modesto form that does, a commissioned online notary can help.