Ridley Park, PA · Delaware County
Workers’ Compensation Affidavit
This affidavit tells Ridley Park’s Department of Building & Code Enforcement whether a permit applicant will hire anyone for the project and is filed by a contractor or homeowner seeking a 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
Ridley Park’s Department of Building & Code Enforcement uses this affidavit when a contractor has no workers’ compensation insurance or a homeowner is completing a project on their own. The signer affirms they will not hire anyone for the permitted project. If they later hire someone, the form says they must notify the Code Enforcement Office and provide proof of workers’ compensation insurance within three working days.
Who needs it
A contractor seeking a permit without workers’ compensation insurance, or a homeowner completing a project independently, should submit this affidavit to the Borough.
Why it needs a notary
The form has a “Subscribed and sworn before me” jurat; the contractor signs before the notary, unless the document is digitally signed.
How to get this notarized
- 1
Download the Affidavit
Get the Workers’ Compensation Affidavit from the Borough of Ridley Park.
- 2
Fill In the Form
Enter the property address and requested details. Leave the signature for the notary appointment unless the document is digitally signed.
- 3
Book an Online Notary
Schedule a remote session with a commissioned online notary.
- 4
Sign on Video
Show the required identification and sign during the online notary session.
- 5
Submit to the Borough
Send the completed affidavit to Ridley Park’s Department of Building & Code Enforcement as part of your permit process.
Preview the form
The blank PDF straight from Ridley Park. 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 complete the Workers’ Compensation Affidavit?
- Enter the property address and requested information, then sign before a notary. The form says a notary is not required for digitally signed documents.
- Do I need to notarize this form?
- The form includes a “Subscribed and sworn before me” notary block, but it also states that notarization is not required for digitally signed documents. Confirm with the city, borough or township if unsure.
- Can I sign this affidavit with an online notary?
- Pennsylvania authorizes its notaries to perform remote online notarizations under 57 Pa.C.S. §306.1. A commissioned online notary can notarize the affidavit by video; the Borough determines how to receive the completed form.
- What if I hire someone after receiving the permit?
- The affidavit says you must notify Ridley Park’s Code Enforcement Office and provide proof of workers’ compensation insurance within three working days. It warns that failure to comply may result in a stop-work order.
Workers’ Compensation Affidavit in other Pennsylvania cities
Each city publishes its own version of this form. Pick the city where you’re filing.