Lien Request Information

Who hired you for this project?

"*" indicates required fields

Your Customer’s Information

Internal Project Information*

Your Customer's Name and/or Company Name*

Your Customer's Address*

Your Customer’s Address Your Customer’s Address Line 2 City State ZIP

Project Information

Job Site Address*

Job Site Address Job Site Address Line 2 City State ZIP

First Day on the Job*

Last Day on the Job*

Your filing deadline has passed. Please submit a contact form or call our office at (425) 201-5120.

Upgrade to Rush Processing

Rush orders receive priority review and handling, moving your lien to the front of our processing queue.

Rush Processing – $195

Processed within 24-48 business hours.

Standard Processing

Processed in the order received

Upgrade to Rush Processing

Note: California lien filing deadline is 90 days from your last day of work. If you are within 5 days of the deadline, Rush Processing applies. If you are past the deadline, please contact our office before continuing.

Rush Processing – $195

Processed within 24-48 business hours.

Total Lien Claim Amount*

Do you know the Lender information?*

Yes

Lender Name & Address

Additional Information (Optional)

Brief description of work to be completed*

Save your progress by entering your email to return to this form later.

Back

State & Form Selection

Lien Request Information

Review Your Information

Payment Information

NW Lien has helped out our HVAC company with several claims and they have all ended with us getting paid. Their customer service is great, informative and they have made the process very easy.

Samantha P.