Slatington, PA · Lehigh County

Property Owner or Tenant Workers' Compensation Affidavit

This affidavit states that a property owner or tenant seeking a building permit will not hire others for the project, and explains what to do if workers or contractors are later hired.

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

Slatington uses this affidavit for a property owner or tenant seeking a building permit who says they will not employ or hire anyone else for the project. If they later employ others or contractors, the form requires them to notify the Slatington Borough Office and provide proof of workers’ compensation coverage or a contractor affidavit within three working days. It warns that failure to comply may result in a stop-work order.

Who needs it

A property owner or tenant seeking a building permit for a project and making the no-hiring statement on this affidavit needs to complete it.

Why it needs a notary

The form has a subscribed-and-sworn-to-before-me jurat; the property owner or tenant making the affidavit signs and swears to it before the notary.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Property Owner or Tenant Workers' Compensation Affidavit from Slatington Borough.

  2. 2

    Complete the Statement

    Fill in the requested information and review the no-hiring statement and requirements if workers or contractors are later employed.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary and have the affidavit ready.

  4. 4

    Sign on Video

    Sign and swear to the affidavit during the online notarization session.

  5. 5

    Submit to the Borough

    Follow Slatington Borough’s instructions to submit the notarized affidavit with your building permit materials.

Preview the form

The blank PDF straight from Slatington. 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 notarize the Slatington workers' compensation affidavit online?
Complete the affidavit, then book a commissioned online notary. Sign and swear to the statement during the video session, and follow Slatington Borough’s instructions for submitting the form.
Do I need to sign the affidavit in front of a notary?
Yes. The form includes a subscribed-and-sworn-to-before-me jurat, so the property owner or tenant making the statement must sign and swear to it before the notary.
Can I use an online notary for this form?
Pennsylvania authorizes remote online notarization by a commissioned online notary. Confirm with the city, borough or township if unsure whether Slatington will accept an online-notarized affidavit.
What if I hire workers or contractors after applying?
The affidavit says to notify the Slatington Borough Office and provide proof of workers’ compensation coverage or a contractor affidavit within three working days.

Property Owner or Tenant Workers' Compensation Affidavit in other Pennsylvania cities

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

Ready to notarize your Property Owner or Tenant Workers' Compensation Affidavit?

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