WA Unconditional Waiver and Release on Progress Payment

*Additional Notice – If you are needing a waiver for any of the following states listed below, seek legal counsel and do not use this form:
AZ | FL | GA | IL | MI | MS | NE | UT | VT | WI

WA Unconditional Waiver and Release on Progress Payment

The form below is used to create an Unconditional Conditional Waiver and Release on Progress Payment. Please do not print this page. Once you click Submit at the bottom of this page, a copy will be emailed to you. To download a PDF of your submitted waiver, go to the My Documents page and click "Download and Print Order".

  • MM slash DD slash YYYY
    • The undersigned has been paid and has received a progress payment in the sum of
    • (payment amount) for all labor, services, equipment or material furnished to the jobsite or to
  • on the job of
  • located at
  • and does hereby waive and release any mechanic’s lien, any state or federal bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position that the undersigned has on the above referenced project to the following extent. This release covers a progress payment for labor, services, equipment or materials furnished to the jobsite or to
  • from
  • MM slash DD slash YYYY
  • only and does not cover any retention, pending modifications and changes or items furnished after that date. The undersigned warrants that he has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials equipment or services provided for or to the above referenced project up to the date of this waiver.