What does the Electrical Subcontractor Statement record?

It identifies the electrical contractor responsible for work at a listed address and asks for the work description and the licensee’s Town of Amherst license information.

Who completes this statement?

The licensee completes the statement, identifying the electrical contractor who will be responsible for the electrical work.

Do I need a notary for the Electrical Subcontractor Statement?

No. The form asks the licensee to sign and date it, and does not include a notary block.

Amherst, NY · Erie County

No notary required

Electrical Subcontractor Statement

This statement identifies the electrical contractor responsible for work at a listed address and is completed by the licensee.

What this form is

The Electrical Subcontractor Statement records which electrical contractor will be responsible for electrical work at a listed address. The licensee identifies the contractor, work address, and nature of the work, provides a Town of Amherst license type and number, and signs and dates the statement. It is a one-page Building Department form.

Who needs it

A licensee completing the statement that an electrical contractor will be responsible for electrical work at a specified address needs this form.

How to submit it

Submit the completed statement to the Town of Amherst Building Department at 5583 Main Street, Williamsville, New York 14221; the form lists (716) 631-7080.

About notarization

This statement is signed without a notary; the form asks the licensee to sign and date it.

How to submit this form

1
Download The Statement
Download the Electrical Subcontractor Statement PDF.
2
Complete The Form
Enter the date, licensee and electrical contractor names, work address and nature of work, and Town of Amherst license type and number.
3
Review Supporting Materials
The form does not list any attachments; check the completed statement for the requested information and signature.
4
Submit To The Building Department
Submit the signed statement to the Town of Amherst Building Department at 5583 Main Street, Williamsville, New York 14221.

Frequently asked questions

What does the Electrical Subcontractor Statement record?: It identifies the electrical contractor responsible for work at a listed address and asks for the work description and the licensee’s Town of Amherst license information.
Who completes this statement?: The licensee completes the statement, identifying the electrical contractor who will be responsible for the electrical work.
Do I need a notary for the Electrical Subcontractor Statement?: No. The form asks the licensee to sign and date it, and does not include a notary block.
How do I submit the Electrical Subcontractor Statement?: Submit it to the Town of Amherst Building Department at 5583 Main Street, Williamsville, New York 14221. The form lists (716) 631-7080.

Need something notarized?

This Electrical Subcontractor Statement doesn’t need a notary — but if you have another Amherst form that does, a commissioned online notary can help.