Brighton, NY · Monroe County
Homeowner Workers’ Compensation Exemption Affidavit
This affidavit lets eligible owners of one- to four-family, owner-occupied residences document an exemption from workers’ compensation coverage when applying for 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
BP-1 is for an owner listed as the general contractor on a building permit for a one- to four-family, owner-occupied residence, including a condominium. The homeowner selects the applicable work or hiring situation and provides the form to the government entity issuing the permit. It cannot be used if paid workers total 40 or more hours per week; the form says the homeowner must instead provide coverage proof or have the general contractor provide proof.
Who needs it
A homeowner listed as general contractor on a building permit may need BP-1 if the residence and work arrangement meet one of the form’s exemption conditions.
Why it needs a notary
The form has no printed jurat or acknowledgment block; the homeowner signs the affidavit before a notary, who adds the appropriate notarial certificate.
How to get this notarized
- 1
Download The BP-1 Form
Get the BP-1 homeowner exemption affidavit from Brighton’s document page.
- 2
Fill In The Form
Select the condition that applies, then enter the homeowner, date, telephone number, and property address. Leave the signature blank.
- 3
Book An Online Notary
Schedule a remote session with a commissioned online notary and prepare your identification.
- 4
Sign On Video
Sign the affidavit during the video session so the notary can notarize it.
- 5
Submit To The City
Provide the notarized BP-1 to the government entity issuing your building permit.
Preview the form
The blank PDF straight from Brighton. 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 notarize the BP-1 affidavit online?
- Complete the form but wait to sign. Book a session with a commissioned online notary, show identification, and sign during the video session. Submit the notarized form to the government entity issuing your building permit.
- Do I need to notarize the BP-1 before filing it?
- Yes. The form states that once notarized, it serves as an exemption for workers’ compensation and disability benefits insurance coverage. The homeowner signs the affidavit before the notary.
- Can I use BP-1 if workers total 40 or more hours per week?
- No. The form says homeowners hiring or paying individuals for 40 or more aggregate hours per week may not file BP-1 and must provide appropriate coverage proof or have the general contractor provide proof.
- Where do I submit the notarized BP-1?
- The form directs the applicant to provide it to the government entity issuing the building permit. Confirm with the city, town or village if unsure.
- Can I use BP-1 to waive anyone’s workers’ compensation rights?
- No. The form expressly says it cannot be used to waive the workers’ compensation rights or obligations of any party.
Homeowner Workers’ Compensation Exemption Affidavit in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.