Lincolnwood, IL · Cook County

No notary required

Homeowner as Contractor - Affidavit of Compliance

Lincolnwood homeowners use this affidavit to certify they will perform permitted work themselves and provide qualifications and a work description for Village approval.

What this form is

A homeowner acting as their own contractor completes this affidavit for work shown on a permit. It asks the homeowner to certify who will perform the work, attach qualifications and a detailed description of work personally performed, and provide contact and property details. The form also describes insurance evidence required for property owners acting as contractors and conditions for changing to a contractor.

Who needs it

A property owner applying for a building permit who plans to act as the contractor and personally perform the work needs this affidavit.

How to submit it

Attach a list of your qualifications, a detailed description of work you have personally performed, and evidence of current liability insurance. The form identifies the Community Development Department for insurance evidence and says the attachments are for final Village approval.

About notarization

This document is signed without a notary; the homeowner signs and dates the affidavit and attaches a qualifications list and detailed work description.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Homeowner as Contractor - Affidavit of Compliance PDF.

  2. 2

    Complete The Affidavit

    Certify that you will act as your own contractor, then provide your name, property address, email, telephone number, signature, and date.

  3. 3

    Gather Attachments

    Attach a list of your qualifications and a detailed description of work you have personally performed; provide evidence of current liability insurance.

  4. 4

    Submit For Village Approval

    Provide the affidavit and attachments for final Village of Lincolnwood approval; the form names the Community Development Department for insurance evidence.

Frequently asked questions

What does the Homeowner as Contractor affidavit certify?
The homeowner certifies they will work as their own contractor and will not have another person or contractor perform the work described under the permit.
What attachments does the affidavit request?
It requests a list of the homeowner’s qualifications and a detailed description of work they have personally performed. The document also states that property owners acting as contractors must submit evidence of current liability insurance.
Do I need a notary for the Homeowner as Contractor affidavit?
No. This document is signed without a notary; the homeowner signs and dates the affidavit and attaches a qualifications list and detailed work description.
How do I submit the Homeowner as Contractor affidavit?
Attach the qualifications list and detailed work description for final Village approval. The form identifies the Community Development Department for submitting evidence of current liability insurance.

Need something notarized?

This Homeowner as Contractor - Affidavit of Compliance doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.