Conditional and Unconditional Waiver and Release Forms
Unconditional Waiver and Release Upon Final Payment
Use this form when the claimant is required to execute a waiver and release in exchange for, or in order to induce
payment of, a final payment
and
the claimant asserts in the waiver he or she has in fact been paid the final payment.
UNCONDITIONAL WAIVER AND RELEASE UPON FINAL PAYMENT
Civil Code Section 3262(d)(4)
The undersigned has been paid in full for all labor, services, equipment or material furnished
to ____________________________________ on the job of_____________________________
located at______________________________ and does hereby waive and release any right to a
mechanic’s lien, stop notice, or any right against a labor and material bond on the job, except for
disputed claims for extra work in the amount of $_______________.
Dated: ________________________ ______________________________________________
By ____________________________________________
NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALL Y AND ST ATES THAT YOU HA VE
BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST
YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE
A CONDITIONAL RELEASE FORM.
JOB DESCRIPTION
YOUR CUSTOMER
OWNER
COMPANY NAME
TITLE
7/04
NOTE: This form complies with the requirements of Civil Code Section 3262(d)(4).
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