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AZSTATUTORY FORM

Conditional Waiver and Release — Progress Payment

Arizona · Arizona Revised Statutes § 33-1008

When to Use This Form
When to sign
Submit with each payment application. Effective only upon receipt of payment.
Who signs
Contractor, subcontractor, or materialman
Free Arizona Template
Copy and fill in the blanks
CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
(Arizona Revised Statutes § 33-1008)

Claimant: _________________
Customer: _________________
Owner: _________________
Property: _________________
Through Date: _________________

Claimant has performed services or provided materials on the above described property through the through date. On receipt of $_________, claimant waives and releases any right to a mechanics lien or claim against a payment bond for the work through the through date. This release is subject to collection of the payment.

Signature: _________________
Title: _________________
Date: _________________

Fill in all blank fields before signing. In Arizona, using a non-statutory form may void the waiver. No notarization required.

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Common Questions
Subcontractors and materialmen must serve a preliminary 20-day notice on the owner, general contractor, and lender (if any) within 20 days of first furnishing. Without this notice, you cannot file a valid mechanics lien in Arizona.
Other Arizona Lien Waiver Forms
Unconditional Waiver and Release — Progress Payment
Sign after payment is confirmed received and cleared.
Conditional Waiver and Release — Final Payment
Submit with final payment application. Effective only upon receipt of final payment.
Unconditional Waiver and Release — Final Payment
Sign only after all final payment has cleared.
Legal disclaimer: The forms on this site are provided for general informational purposes only and do not constitute legal advice. Construction lien laws are complex and vary by project type and circumstances. Always consult a licensed construction attorney before relying on any lien waiver for a real project.