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Free lien waiver template

Conditional Lien Waiver on Progress Payment (Free Template)

Use a conditional progress waiver when a subcontractor or supplier is about to receive a progress payment: it releases lien rights for work through a stated date, but only once that payment actually clears.

Last updated · By the Aequo AP construction team

Before you print: Do not use this template where a statutory form applies: see the state-by-state table. In a mandatory-form state, use the statutory wording instead. Check the state table.

Conditional Lien Waiver and Release on Progress Payment

Generic template for projects in states without a statutory waiver form. Not legal advice.

Claimant (name of the party signing and giving up lien rights)

Customer (party paying the claimant)

Property owner

Project name

Job number / PO / subcontract number

Project address or legal description

Work covered through (date)

Payment amount ($)

Payment made by (maker of check or payer)

Payable to (payee)

Upon receipt by the Claimant of a payment from the Customer in the amount shown above, and once that payment has been properly endorsed (if a check) and paid by the bank on which it is drawn or otherwise received in good funds, this document becomes effective to waive and release any mechanic’s lien, stop notice, bond or payment right the Claimant has on the project described above, for labor, services, equipment and materials furnished through the date shown above.

This waiver covers a progress payment only. It does not cover retention, pending change orders, extra work, or labor, services, equipment or materials furnished after the date shown above, and it does not cover any item listed under Exceptions.

If the payment is not received, or does not clear, this document has no effect and the Claimant keeps all of its lien and payment rights.

Exceptions (amounts or claims NOT waived, e.g. disputed change orders, retention, unpaid prior invoices):

Claimant’s company name

Signature

Printed name and title

Date signed

When to use a conditional progress lien waiver

Use a conditional progress waiver when a subcontractor or supplier is about to receive a progress payment: it releases lien rights for work through a stated date, but only once that payment actually clears.

Do not use this template where a statutory form applies: see the state-by-state table. In a mandatory-form state, use the statutory wording instead. For the difference between the types, see conditional vs unconditional lien waivers.

How to complete this form

Fill in every blank, state the payment amount exactly, list anything not being waived under Exceptions, and sign only when the form matches the payment status.

  • Use legal names for the claimant, customer and owner.
  • Describe the project precisely: address or legal description, plus your job number.
  • Set the through date to the end of the billing period the payment covers.
  • Write “None” under Exceptions rather than leaving it blank, if nothing is excluded.

Other lien waiver templates

Each payment usually needs a conditional waiver first and an unconditional one after the funds clear.

Frequently asked questions

When should I use a conditional progress lien waiver?

Use a conditional progress waiver when a subcontractor or supplier is about to receive a progress payment: it releases lien rights for work through a stated date, but only once that payment actually clears.

Can I use this template in my state?

Only where no statutory form applies. Arizona, California, Florida, Georgia, Massachusetts, Michigan, Mississippi, Missouri, Nevada, Texas, Utah, Wyoming have statutory waiver forms; in states where the form is mandatory, use the statute’s wording instead of this template.

When does this conditional waiver take effect?

Only once the payment described on the form has been received and clears. If it does not, the waiver has no effect.

Does this form need to be notarized?

The template does not include a notary block because most states do not require one. Add an acknowledgment if your state’s rules or your customer require it.

Aequo Build

Stop paying subs before the waiver is in.

With waiver enforcement on, Aequo Build creates a conditional waiver requirement for each subcontractor payment you make from Aequo, holds that payment until a reviewer verifies the waiver or an approver records a reasoned override, escalates overdue requests to the subcontractor and your team, and requests the unconditional waiver once the invoice is paid. It works with QuickBooks Online.

Start an Aequo Build trial Book a construction walkthrough

Related lien waiver guides and tools

What is a lien waiver?The complete guide: the four types, how the exchange works, and common mistakes.Conditional vs unconditional lien waiversSide-by-side comparison and when each one is safe to sign.Final lien waiversWhat a final waiver covers, and how it ties to retention and closeout.Construction lien releaseHow a recorded mechanic’s lien is released, and how it differs from a waiver.Lien waiver forms by stateStates with statutory waiver forms, with statute citations and links.Free lien waiver templatesPrintable conditional and unconditional, progress and final waivers.Collecting waivers before paying subsThe general contractor workflow, and how Aequo Build runs it.Lien-waiver risk assessmentScore your waiver controls in five questions and find the weakest one.Construction AP knowledge centreGuides, benchmarks, and tools for contractor payables.

Sources

Primary sources checked on October 22, 2026. Statutes change; always confirm against the current text.

  1. Arizona: A.R.S. §33-1008 — statutory waiver form; use instead of this template where it applies
  2. California: Cal. Civ. Code §§8120–8138 (forms at §§8132, 8134, 8136, 8138) — statutory waiver form; use instead of this template where it applies
  3. Florida: Fla. Stat. §713.20 — statutory waiver form; use instead of this template where it applies
  4. Georgia: O.C.G.A. §44-14-366 — statutory waiver form; use instead of this template where it applies
  5. Massachusetts: M.G.L. c. 254, §32 — statutory waiver form; use instead of this template where it applies
  6. Michigan: MCL 570.1115 — statutory waiver form; use instead of this template where it applies
  7. Mississippi: Miss. Code §§85-7-419 and 85-7-433 — statutory waiver form; use instead of this template where it applies
  8. Missouri: RSMo §429.016 — statutory waiver form; use instead of this template where it applies
  9. Nevada: NRS 108.2457 — statutory waiver form; use instead of this template where it applies
  10. Texas: Tex. Prop. Code §§53.281–53.287 — statutory waiver form; use instead of this template where it applies
  11. Utah: Utah Code §38-1a-802 — statutory waiver form; use instead of this template where it applies
  12. Wyoming: W.S. §29-10-101(b) — statutory waiver form; use instead of this template where it applies