Utah lien waiver forms

Utah sets 2 lien waiver forms in its lien statute. Here they are, word for word from the state's code, ready to fill in, print and sign.

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Conditional waiver and release upon progress payment
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Lien waiver

UTAH CONDITIONAL WAIVER AND RELEASE UPON PROGRESS PAYMENT Property Name: __________ Property Location: __________ Undersigned's Customer: __________ Invoice/Payment Application Number: __________ Payment Amount: __________ Payment Period: __________ To the extent provided below, this document becomes effective to release and the undersigned is considered to waive any notice of lien or right under Utah Code Ann., Title 38, Chapter 1a, Preconstruction and Construction Liens, or any bond right under Utah Code Ann., Title 14, Contractors' Bonds, or Section 63G-6a-1103 related to payment rights the undersigned has on the above described Property once: (1) the undersigned endorses a check in the above referenced Payment Amount payable to the undersigned; and (2) the check is paid by the depository institution on which it is drawn. This waiver and release applies to a progress payment for the work, materials, equipment, or a combination of work, materials, and equipment furnished by the undersigned to the Property or to the Undersigned's Customer which are the subject of the Invoice or Payment Application, but only to the extent of the Payment Amount. This waiver and release does not apply to any retention withheld; any items, modifications, or changes pending approval; disputed items and claims; or items furnished or invoiced after the Payment Period. The undersigned warrants that the undersigned either has already paid or will use the money the undersigned receives from this progress payment promptly to pay in full all the undersigned's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or combination of work, materials, and equipment that are the subject of this waiver and release. Dated: __________ __________(Company Name) __________By:__________ __________Its:__________
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Other states with their own forms

Each carries that state's statutory forms, word for word.

Utah's lien waiver law

Utah sets two forms, one for a progress payment and one for the final payment, each effective once the check is endorsed and paid. The forms below are copied word for word from Utah Code section 38-1a-802, read on 2026-10-09. Blank lines in the statute are shown as underscores.

Which form to use

FormUse it for
Conditional waiver and release upon progress paymentAsking for a progress payment that has not cleared yet
Waiver and release upon final paymentAsking for the final payment, not yet cleared

Pick the form in the generator above, type your details after each label, and print it. Keep a copy of every waiver you sign.

Conditional waiver and release upon progress payment

Conditional waiver and release upon progress paymentUTAH CONDITIONAL WAIVER AND RELEASE UPON PROGRESS PAYMENT Property Name: __________ Property Location: __________ Undersigned's Customer: __________ Invoice/Payment Application Number: __________ Payment Amount: __________ Payment Period: __________ To the extent provided below, this document becomes effective to release and the undersigned is considered to waive any notice of lien or right under Utah Code Ann., Title 38, Chapter 1a, Preconstruction and Construction Liens, or any bond right under Utah Code Ann., Title 14, Contractors' Bonds, or Section 63G-6a-1103 related to payment rights the undersigned has on the above described Property once: (1) the undersigned endorses a check in the above referenced Payment Amount payable to the undersigned; and (2) the check is paid by the depository institution on which it is drawn. This waiver and release applies to a progress payment for the work, materials, equipment, or a combination of work, materials, and equipment furnished by the undersigned to the Property or to the Undersigned's Customer which are the subject of the Invoice or Payment Application, but only to the extent of the Payment Amount. This waiver and release does not apply to any retention withheld; any items, modifications, or changes pending approval; disputed items and claims; or items furnished or invoiced after the Payment Period. The undersigned warrants that the undersigned either has already paid or will use the money the undersigned receives from this progress payment promptly to pay in full all the undersigned's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or combination of work, materials, and equipment that are the subject of this waiver and release. Dated: __________ __________(Company Name) __________By:__________ __________Its:__________

Waiver and release upon final payment

Waiver and release upon final paymentUTAH WAIVER AND RELEASE UPON FINAL PAYMENT Property Name: __________ Property Location: __________ Undersigned's Customer: __________ Invoice/Payment Application Number: __________ Payment Amount: __________ To the extent provided below, this document becomes effective to release and the undersigned is considered to waive any notice of lien or right under Utah Code Ann., Title 38, Chapter 1a, Preconstruction and Construction Liens, or any bond right under Utah Code Ann., Title 14, Contractors' Bonds, or Section 63G-6a-1103 related to payment rights the undersigned has on the above described Property once: (1) the undersigned endorses a check in the above referenced Payment Amount payable to the undersigned; and (2) the check is paid by the depository institution on which it is drawn. This waiver and release applies to the final payment for the work, materials, equipment, or combination of work, materials, and equipment furnished by the undersigned to the Property or to the Undersigned's Customer. The undersigned warrants that the undersigned either has already paid or will use the money the undersigned receives from the final payment promptly to pay in full all the undersigned's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or combination of work, materials, and equipment that are the subject of this waiver and release. Dated: __________ __________(Company Name) __________By:__________ __________Its:__________

Utah lien filing deadline

Within 180 days after final completion of the original contract when no notice of completion is filed, or 90 days after a notice of completion is filed. (Utah Code 38-1a-502). A waiver does not stop this clock. See deadlines in every state.

This page is general information, not legal advice. The forms are the words of the statute as published by the state; laws change, so check the current code, and ask a construction attorney in Utah about anything unusual.

Sources: Utah Code section 38-1a-802, checked 2026-10-09; Utah Code 38-1a-502, checked 2026-10-09.

FAQ

Does Utah require a specific lien waiver form?

Utah sets two forms, one for a progress payment and one for the final payment, each effective once the check is endorsed and paid. The forms are in Utah Code section 38-1a-802.

Which Utah lien waiver form do I use?

It depends on the payment. Utah sets 2 forms: conditional waiver and release upon progress payment; waiver and release upon final payment. Use a conditional form when you are asking to be paid and an unconditional form only after the money has cleared, where the state makes that split.

Can I change the wording of the Utah form?

Fill in the blanks, but keep the wording. The statute expects its form, and changes can make a waiver unenforceable or give up more than you meant to. Ask an attorney before signing a version that differs.

How long do I have to file a lien in Utah?

Within 180 days after final completion of the original contract when no notice of completion is filed, or 90 days after a notice of completion is filed. (Utah Code 38-1a-502). Most states also have notice steps before the lien; read the statute.

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Utah Lien Waiver Forms (Statutory, Word for Word) | Koira