UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT
(CALIFORNIA CIVIL CODE SECTION 8138)
NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP
PAYMENT NOTICE, AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND STATES
THAT YOU HAVE 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 WAIVER
AND RELEASE FORM.
Identifying Information
Name of Claimant: ______________________________________________________________
Name of Customer: _____________________________________________________________
Job Location: __________________________________________________________________
__________________________________________________________________
Owner: _______________________________________________________________________
_______________________________________________________________________
Unconditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the claimant has
for all labor and service provided, and equipment and material delivered, to the customer on this job.
Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written
change order that has been fully executed by the parties prior to the date that this document is signed by
the claimant, are waived and released by this document, unless listed as an Exception below. The
claimant has been paid in full.
Exceptions
This document does not affect the following:
Disputed claims for extras in the amount of: $_________________________________________
Signature
Claimant's Signature: ____________________________________________________________
Claimant's Title: ________________________________________________________________
Date of Signature: ______________________________________________________________