Conditional Waiver and Release on Progress Payment — Free, Fillable Online, No Account

It is the document a contractor, subcontractor or supplier signs to give up mechanic's lien rights for work done up to a stated Through Date, in exchange for one progress payment. “Conditional” means it only takes effect when the payment actually clears your bank — if the check bounces, the waiver does not bind you.

A conditional waiver is designed to be signed when the payment is issued but has not cleared yet: you hand it over with the invoice or when the check is cut, and it becomes effective on receipt. An unconditional waiver is the opposite — never sign one before the money is in your account.

The Through Date is the date written on the form up to which you waive your lien rights. Work or materials furnished after that date stay protected. Make sure the Through Date matches the period the payment covers — a date too early waives rights you have not been paid for yet.

Arizona, California, Florida, Georgia, Massachusetts, Michigan, Mississippi, Missouri, Texas, Utah and Wyoming prescribe their waiver form by statute. In those states a waiver that departs from the prescribed text can be void or unenforceable, so this template must not be used there — open your state's page for the verbatim statutory form.

This generic waiver requires no notarization and no witness — the claimant's signature is enough. Two of the statutory states are stricter: Mississippi and Wyoming require notarization, and Georgia requires a witness, because their statutory forms say so. Those requirements apply on the state pages, not here.

Yes. The form is free, there is no account and no email is required to download your document. Everything you type stays in your browser: the PDF is generated on your own device, nothing is sent to a server, and closing the tab erases what you entered.