Request a lien release

Choose the release you need and tell us about the job. Accounts Receivable prepares it on the California statutory form, completes the payment and exception details, signs it and sends it to you.

Which release do you need?

Your lender, owner or general contractor will usually tell you which one.

Type

Conditional Unconditional

Status

Progress Final

Identifying information

As it should appear on the release.

Name of claimant

American Scissor Lift, Inc.

Name of customer

Job location

Owner

Through date

Job name (for our reference)

Conditional waiver and release

The release takes effect once we receive payment from the bank the following check is drawn on.

No payment details are needed. This release confirms payment American Scissor Lift has already received.

Maker of check

Amount of check

Completed by American Scissor Lift

Check payable to

Completed by American Scissor Lift

Exceptions

Completed by American Scissor Lift. Shown here so you know what the release will not cover.

This document does not affect any of the following:

Retentions.
Extras for which the claimant has not received payment.
The following progress payments for which the claimant has previously given a conditional waiver and release but has not received payment (dates and amounts completed by American Scissor Lift).
Contract rights, including (A) a right based on rescission, abandonment, or breach of contract, and (B) the right to recover compensation for work not compensated by the payment.

This document does not affect any of the following:

Retentions.
Extras for which the claimant has not received payment.
Contract rights, including (A) a right based on rescission, abandonment, or breach of contract, and (B) the right to recover compensation for work not compensated by the payment.

This document does not affect any of the following: disputed claims for extras, in an amount completed by American Scissor Lift.

Signature

Claimant’s signature, title and date are completed by American Scissor Lift when the release is issued.

Requested by

We’ll email the signed release here.

Your name

Company

Phone

Invoice or PO numbers

Needed by

Notes for Accounts Receivable

Release preview

Conditional Waiver and Release on Progress Payment

Identifying information
Name of claimant	American Scissor Lift, Inc.
Name of customer
Job location
Owner
Through date
Conditional waiver and release
Maker of check
Amount of check	Completed by ASL
Check payable to	Completed by ASL
Waives and releases rights for payment already received. No amount shown.
Exceptions

Signature
Claimant’s signature	Signed by ASL
Claimant’s title	Completed by ASL
Date of signature	Completed by ASL

Job reference:

Request a lien release

Equipment