Products tagged with 'arizona lien form'

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Arizona Unconditional Waiver and Release of Lien on Final Payment

AZ contractors and suppliers, release your lien rights after receipt of final payment with this Arizona Unconditional Waiver and Release of Lien Upon Final Payment.

  • The Waiver and Release authorizes a release of any lien rights or claims for payment which the contractor may have with respect to improvements to the subject property, and indicates that final payment has been made in full.
  • A Notice of Completion form is included.
  • This release form should only be used when the contractor has received final payment (except for any disputed amounts).
  • This is a reusable download. Buy the form once, and it's yours to use as often as you require.
  • Intended for use only in the State of Arizona.
$6.29

Arizona Medical Lien Agreement

Make sure your bills get paid. Have your patients sign this Arizona Patient Consent and Medical Lien Agreement at the time of treatment.

  • The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the accident or injury for which the patient is being treated.
  • The patient agrees to be personally liable for paying the medical provider's fees regardless of the outcome of the patient's claim.
  • The patient gives the medical provider an irrevocable lien on any settlement or damages awarded to the patient and directs his/her attorney to satisfy the lien out of those proceeds.
  • The patient will notify the medical provider if he/she retains new legal counsel.
  • Buy the form once, and it's yours to use as often as you require.
  • Intended for use only in the State of Arizona.
$12.49