Clairton, PA · Allegheny County

Affidavit of Exemption

This affidavit lets a property owner or contractor state why workers’ compensation insurance is not required and is submitted to the City of Clairton for building permit work.

Simple form~10 min to notarize
  • 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 form records whether the applicant is a property owner doing their own work or a contractor with no employees, and includes an affirmation about workers’ compensation insurance. The form says a contractor hired by a property owner must provide proof of insurance to the City of Clairton Building Inspector, and that the homeowner assumes liability for the contractor’s compliance. It requires a notary seal.

Who needs it

A property owner performing their own work or a contractor with no employees may use this affidavit to state why workers’ compensation insurance is not required.

Why it needs a notary

The applicant or contractor signs the sworn-to-and-acknowledged block before a notary, who completes the notarial section and applies a seal.

How to get this notarized

  1. 1

    Download the Form

    Get the City of Clairton Affidavit of Exemption.

  2. 2

    Fill In the Form

    Choose the applicable exemption reason and enter the applicant or contractor’s contact details. Leave the notarial section for the notary.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary.

  4. 4

    Sign on Video

    Sign the affidavit during the video session so the notary can complete the sworn-to-and-acknowledged section and apply a seal.

  5. 5

    Submit to the City

    Follow the City of Clairton’s instructions for submitting the completed affidavit for building permit work.

Preview the form

The blank PDF straight from Clairton. Look it over, then upload your filled copy to start the notary session.

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Info

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 Clairton Affidavit of Exemption notarized?
Complete the form, then book with a commissioned online notary. Sign during the video session so the notary can complete the sworn-to-and-acknowledged section and apply a seal.
Do I need to sign this affidavit in front of a notary?
Yes. The form states that it requires a notary seal and includes a section for the applicant or contractor to subscribe, swear to, and acknowledge the affidavit before a notary.
Can I use an online notary for this Pennsylvania form?
Pennsylvania authorizes its notaries to perform remote online notarizations under 57 Pa.C.S. §306.1. Ask the City of Clairton whether it accepts an online-notarized version of this form.
Where do I submit the completed affidavit?
The form refers to building permit work and the City of Clairton Building Inspector. Confirm the city’s submission process and any required supporting documents; confirm with the city, borough or township if unsure.

Affidavit of Exemption in other Allegheny County cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Affidavit of Exemption?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.