Waiver type
Your business letterhead + contractor block
Waiver details client & job
Job site same as client address
Signature draw with mouse or finger
✕
Leave blank to print and wet-sign instead.
Not legal advice. This is a generic waiver form. Several states (California, Texas, and others) require exact statutory wording for lien waivers — verify your state's requirements before relying on this document. Never sign an unconditional waiver before the funds have actually cleared.
Your Business NameContractor
Contractor Lien Waiver
State of ______________
County
Client's Name
Client's Address
Client's City, State, Zip
Client's Phone Number
Job Location
Date Work was Performed
Contractor: ______________
Contractor Address: ______________
Contractor Address: ______________
Description of work completed to date:
Payment received to date:
Labor and materials furnished through:
Date
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