What does the seal coat contractor affidavit acknowledge?

A company representative acknowledges Northbrook’s coal tar pavement product ban and the requirement to keep a contractor license copy and Safety Data Sheets at each jobsite.

Who completes the affidavit?

A company representative completes the company and printed name fields, then signs and dates the affidavit.

Do I need a notary for the seal coat contractor affidavit?

No. The document is signed and dated without a notary and does not identify any attachment or related step that must be notarized or sworn.

How do I submit the seal coat contractor affidavit?

Submit it to the city department named on the form and check the city website for current contact details. The form lists Development & Planning Services.

Northbrook, IL · Cook County

No notary required

Affidavit for Seal Coat Contractors

Seal coat contractors use this affidavit to acknowledge Northbrook’s coal tar pavement product ban and jobsite document requirements.

What this form is

The affidavit records a company representative’s acknowledgment of Northbrook’s ban on coal tar pavement products and the consequences of noncompliance. It also states that contractors must keep a copy of their village contractor license and Safety Data Sheets for materials used on each jobsite, and produce them upon request. The company representative completes the company and name fields, then signs and dates the affidavit.

Who needs it

A seal coat contractor or company representative who must acknowledge the village’s coal tar pavement product ban and jobsite document requirements.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists Development & Planning Services in Northbrook.

About notarization

This document is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download The Affidavit
Download the Affidavit for Seal Coat Contractors PDF.
2
Complete The Company Details
Enter the company representative and company information requested on the form.
3
Review Jobsite Requirements
Review the coal tar pavement product ban and the stated contractor license and Safety Data Sheet requirements.
4
Sign And Date
Have the company representative sign and date the affidavit.
5
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 seal coat contractor affidavit acknowledge?: A company representative acknowledges Northbrook’s coal tar pavement product ban and the requirement to keep a contractor license copy and Safety Data Sheets at each jobsite.
Who completes the affidavit?: A company representative completes the company and printed name fields, then signs and dates the affidavit.
Do I need a notary for the seal coat contractor affidavit?: No. The document is signed and dated without a notary and does not identify any attachment or related step that must be notarized or sworn.
How do I submit the seal coat contractor affidavit?: Submit it to the city department named on the form and check the city website for current contact details. The form lists Development & Planning Services.

Need something notarized?

This Affidavit for Seal Coat Contractors doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.