Interlaken, UT · Wasatch County

Owner/Builder Certification and Agreement

This form records an owner-builder’s certification about property ownership, intended use, and construction work for a residential project at the listed site.

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 owner/builder identifies themselves and the construction site, then certifies statements about property ownership, personal use, and who may perform project work. The form also states that the signer understands potential consequences for retaining an unlicensed contractor or compensating an unlicensed person for work requiring a license. It includes a sworn statement and notary section.

Who needs it

An owner/builder completing the certification for the residential construction project at the location listed on the form may need to sign it.

Why it needs a notary

The form has a subscribed-and-sworn jurat; the owner/builder signs and swears to the certification before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Owner/Builder Certification and Agreement form.

  2. 2

    Fill In the Form

    Enter the owner/builder and construction-site details and review the certification.

  3. 3

    Book an Online Notary

    Schedule a remote notarization with a commissioned online notary.

  4. 4

    Sign on Video

    Sign and swear to the certification during your video appointment.

  5. 5

    Submit the Form

    Follow the submission instructions provided by the agency or city requesting the form.

Preview the form

The blank PDF straight from Interlaken. 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 owner/builder certification online?
Complete the form, then meet with a commissioned online notary by video. Sign and swear to the certification during the notarization.
Do I need to sign this form in front of a notary?
Yes. The form includes a subscribed-and-sworn jurat, so the owner/builder signs and swears to the certification before the notary.
Can a commissioned online notary notarize this form?
Utah authorizes its notaries with a remote notary certification to perform remote notarizations under Utah Code §§46-1-3.5 and 46-1-3.6. Check that the recipient accepts remote notarization.
Where should I submit the completed form?
The form identifies the Utah Division of Occupational and Professional Licensing. It does not state submission instructions; confirm with the city or county recorder if unsure.

Ready to notarize your Owner/Builder Certification and Agreement?

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