London, KY · Laurel County
Affidavit of Assurances
This affidavit states that contractors and subcontractors on a project will meet Kentucky workers’ compensation and unemployment insurance requirements, and is filed by the applicant, owner, or authorized agent.
- 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
London’s Codes Enforcement Office requires this affidavit for any project within the city limits. The applicant states that contractors and subcontractors employed or expected to work on the project will comply with the insurance requirements named on the form. It identifies the project and permit, and includes a sworn signature; the form also notes that construction authorization may become void if work does not begin within six months of permit issuance.
Who needs it
An applicant, owner, or authorized agent submitting a project in London city limits must complete this affidavit and have the applicant’s signature sworn before a notary.
How to get this notarized
- 1
Download the Affidavit
Get the Affidavit of Assurances from the City of London and review the project and insurance statements.
- 2
Fill In Project Details
Enter the project name, permit number, address, parcel number, and applicant information.
- 3
Book an Online Notary
Arrange a remote session with a commissioned online notary and have identification ready.
- 4
Sign on Video
Sign as the contractor, owner, or agent during the session when directed by the notary.
- 5
Submit to the City
Send the completed affidavit to the City of London Codes Enforcement Office for your project.
Preview the form
The blank PDF straight from London. 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 submit the Affidavit of Assurances?
- Complete the project and applicant details, sign before a notary, and submit the affidavit to London’s Codes Enforcement Office as part of the project process.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form says the affidavit was acknowledged and sworn before a notary, so the applicant should wait to sign until the notarial appointment.
- Can I complete the notarization online?
- Kentucky authorizes online notarization by a commissioned online notary. Check with the City of London that it accepts this electronically notarized affidavit before submitting it.
- Who should complete the affidavit?
- The applicant completes the affidavit. The form identifies the signer as the contractor, owner, or agent and requires a statement about contractors’ and subcontractors’ insurance compliance.
- Where should I submit the form or ask about requirements?
- The form is for projects within London city limits and lists the Codes Enforcement Office. 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.