Conditional Waiver and Release on Final Payment (California)

California statutory form: Cal. Civ. Code § 8136.

This tool fills in standard statutory forms. It is not legal advice.

What the statute says this form is for

Section 8136 sets out this form for a waiver and release given in exchange for, or to induce, a final payment where the claimant is not in fact paid in exchange for it, or where a single payee or joint payee check is given in exchange for it.

Read Cal. Civ. Code § 8136 (official text)

Fields you'll need

  • Name of claimant (your company)
  • Name of customer (who you contracted with)
  • Job location
  • Owner
  • Maker of check
  • Amount of check
  • Check payable to
  • Disputed claims for extras (optional)
  • Signer's title (optional)
  • Date (optional)

Other California forms

All California lien waiver forms

Billing every month? LienPacket is building a pay app packet that makes the pay application and the matching waiver together. Get early access.