Haverstraw, NY · Rockland County

No notary required

Affidavit for Contractors

Plumbers, electricians, general contractors, home improvement contractors, and other tradesmen use this affidavit to identify their work and provide company and license information.

What this form is

This affidavit is for plumbers, electricians, general contractors, home improvement contractors, heating and cooling workers, and other tradesmen. It asks the signer to identify their trade, state where they contracted the work, provide a company name and license number, and declare that the information is true, correct, and complete. The document does not state when the city requires it or provide submission instructions.

Who needs it

A plumber, electrician, contractor, or other tradesman completing the affidavit about contracted work can use this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Affidavit for Contractors PDF.

  2. 2

    Complete The Form

    Circle your trade and fill in the contracted work location, company name, and license number.

  3. 3

    Sign The Affidavit

    Print your name and sign the declaration that the information is true, correct, and complete.

  4. 4

    Submit The Form

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who uses the Affidavit for Contractors?
Plumbers, electricians, general contractors, home improvement contractors, heating and cooling workers, and other tradesmen can use the affidavit to identify their work.
What information does the affidavit ask for?
It asks the signer to identify their trade, state where they contracted the work, provide a company name and license number, and declare that the information is true, correct, and complete.
Do I need a notary for the Affidavit for Contractors?
No. This document is signed without a notary; the signer just signs and dates it.
How do I submit the Affidavit for Contractors?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Affidavit for Contractors doesn’t need a notary — but if you have another Haverstraw form that does, a commissioned online notary can help.