Newport, KY · Campbell County
Affidavit of Assurances
This affidavit states that contractors and subcontractors on a referenced project will comply with Kentucky workers’ compensation and unemployment insurance requirements; the applicant submits it for a project requiring a building permit.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The applicant uses this affidavit to state that contractors and subcontractors employed, or expected to be employed, on the referenced project will comply with Kentucky workers’ compensation and unemployment insurance requirements. Newport’s form says to submit the affidavit for any project requiring a building permit. It also directs people claiming an exemption from workers’ compensation laws to file a waiver with the Kentucky Department of Workers’ Claims.
Who needs it
An applicant for a Newport project requiring a building permit must submit the affidavit, including when contractors or subcontractors will work on the project.
Why it needs a notary
The form carries an acknowledgment and sworn-statement block, and the applicant named in the affidavit signs before the notary.
How to get this notarized
- 1
Download the Form
Get Newport’s Affidavit of Assurances and review the project and applicant information requested.
- 2
Fill In the Details
Enter the permit number, project name, city or county, applicant name, and date.
- 3
Book an Online Notary
Schedule an appointment with a commissioned online notary for the affidavit’s acknowledgment and sworn-statement block.
- 4
Sign on Video
Sign during the online video appointment when instructed by the notary.
- 5
Submit to the City
Submit the notarized affidavit for the project requiring a building permit.
Preview the form
The blank PDF straight from Newport. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the Affidavit of Assurances notarized?
- Complete the project and applicant details, then book with a commissioned online notary. Sign during the video appointment when directed, and submit the notarized affidavit for the building-permit project.
- Do I need to submit this affidavit for every project?
- The form says it must be submitted for any project requiring a building permit.
- What does the affidavit assure?
- The applicant states that contractors and subcontractors employed or expected to be employed on the project will comply with Kentucky workers’ compensation and unemployment insurance requirements.
- Can I use an online notary for this form?
- Kentucky law provides for online notarization by a commissioned online notary. Ask the city whether it accepts an online-notarized affidavit, and confirm with the city or county clerk if unsure.
Affidavit of Assurances in other Kentucky cities
Each city publishes its own version of this form. Pick the city where you’re filing.