Simple Pay Application

Michigan lien waiver forms and what the statute says

Michigan prints four lien waiver forms in its Construction Lien Act, MCL 570.1115(9): a partial and a full waiver, each in an unconditional and a conditional version. Subsection (9) says the forms shall be used in substantially the statute’s format, so Michigan’s wording is set by the statute, with “partial” and “full” where other States say progress and final.

The four forms carry no project-type limit. In the app, a project located in Michigan gets all four with the statute’s words unchanged, filled from the pay app the payment is for, and the app offers the statutory forms only for that project, with no general form beside them.

Sample Michigan lien waiver on the statutory form
The Partial Conditional Waiver, MCL 570.1115(9)(b), filled from a pay app and printed by the app.

The four Michigan forms at a glance

The statute lists them as (a) to (d). The last column quotes the sentence in each form that tells when the waiver takes hold, and the third column says which of the four kinds on this site each one matches.

FormSectionKindThe form’s own words on taking effect
Partial Unconditional WaiverMCL 570.1115(9)(a)Unconditional, progress“by signing this waiver waive my/our construction lien to the amount of”
Partial Conditional WaiverMCL 570.1115(9)(b)Conditional, progress“This waiver is conditioned on actual payment of the amount shown above.”
Full Unconditional WaiverMCL 570.1115(9)(c)Unconditional, final“By signing this waiver, all my/our construction lien rights against the described property are waived and released.”
Full Conditional WaiverMCL 570.1115(9)(d)Conditional, final“This waiver is conditioned on actual payment of”

The statute’s words are partial and full. Matching them to progress and final is our grouping, made so that Michigan sits in the same table as the other States on the kind pages. The two partial forms run through a date written on the form. The two full forms name the contract and the property and have no date, because they release all construction lien rights against the described property.

What section 115 says about using them

Subsection (9) opens with the sentence that sets the forms: The following forms shall be used in substantially the following format to execute waivers of construction liens: The statute asks for the format, not for every word, and the app prints the words as given. Subsection (1) is a different rule, about contracts: A person shall not require, as part of any contract for an improvement, that the right to a construction lien be waived in advance of work performed.

Section 115 sets no limit by project type or by who signs. Residential wording turns up in two places only: subsection (7), and a paragraph inside each form that begins with the residential-structure case. In that paragraph, where the claimant gave a notice of furnishing or none was needed, an owner, lessee or designee who did not receive the waiver directly from the claimant may not rely on it without contacting the claimant to check that it is authentic. The paragraph is part of the form text, so the app prints it on every Michigan waiver.

Statute
MCL 570.1115(9)
Use of the form
Yes: the forms are to be used in substantially the statute’s format.
Who it applies to
The forms carry no project-type limit.
Notary
The statute is silent.

Source: MCL 570.1115(9). The Michigan Legislature’s site, read Nov 12, 2026.

The legislature’s page lists the act’s history: Act 497 of 1980, effective January 1, 1982, then amendments in 1981, 1982, 2006 and 2007, the last being Act 28 of 2007, effective June 28, 2007. Its header marks the compiled laws as complete through PA 114 of 2026.

Wording inside the forms

All four forms end on one line in capitals: DO NOT SIGN BLANK OR INCOMPLETE FORMS. RETAIN A COPY. The statute gives no type size and no bold for it, so the app prints it in capitals, as the statute does. The two partial forms each hold a choice for the signer to circle, between “does” and “does not”, on whether the waiver together with all previous waivers covers all amounts due for the contract improvement through the date shown. The app prints that choice unmarked.

The conditional forms add a sentence saying the waiver is conditioned on actual payment. The partial one points at the amount shown above. The full one carries its own blank after “actual payment of”. The full conditional form also has an oddity in its wording: its body says the contract has been fully paid and satisfied and releases all lien rights, and a later sentence conditions the waiver on actual payment. That is how the legislature’s page prints it, and the app prints it the same way, without correction.

The statute names no notary, and none of the four forms has a notary block. Each ends with a signature line for the lien claimant, a signing date, an address and a telephone number.

The full text of each form

Each form is printed below word for word, in the statute’s order from (a) to (d). Dotted lines are the blanks, and the line breaks follow the legislature’s page.

Partial Unconditional Waiver MCL 570.1115(9)(a), read Nov 12, 2026

PARTIAL UNCONDITIONAL WAIVER

I/we

have a contract with ................................... to

(other

contracting party)

provide

.................... for the improvement to the property described as

............................................. , and by signing this waiver

waive my/our construction lien to the amount of $.............. , for

labor/materials provided through ............................ .

(date)

This

waiver, together with all previous waivers, if any, (circle one) does does

not cover all amounts due to me/us for contract improvement provided through

the date shown above. If the improvement is provided to property that is a

residential structure and if the owner or lessee of the property or the

owner's or lessee's designee has received a notice of furnishing from me/one

of us or if I/we are not required to provide one, and the owner, lessee, or

designee has not received this waiver directly from me/one of us, the owner,

lessee, or designee may not rely upon it without contacting me/one of us,

either in writing, by telephone, or personally, to verify that it is

authentic.

.................................

.................................

(signature

of lien claimant)

Signed

on: ................

Address:........................

(date)

.................................

Telephone:......................

DO NOT SIGN BLANK OR

INCOMPLETE FORMS. RETAIN A COPY.

Partial Conditional Waiver MCL 570.1115(9)(b), read Nov 12, 2026

PARTIAL CONDITIONAL WAIVER

I/we

have a contract with ..................................... to

(other

contracting party)

provide

.................... for the improvement to the property described

as:............................................ , and by signing this waiver

waive my/our construction lien to the amount of $ ............... , for

labor/materials provided through................................ .

(date)

This

waiver, together with all previous waivers, if any, (circle one) does does

not cover all amounts due to me/us for contract improvement provided through

the date shown above. This waiver is conditioned on actual payment of the

amount shown above.

If

the improvement is provided to property that is a residential structure and

if the owner or lessee of the property or the owner's or lessee's designee

has received a notice of furnishing from me/one of us or if I/we are not

required to provide one, and the owner, lessee, or designee has not received

this waiver directly from me/one of us, the owner, lessee, or designee may

not rely upon it without contacting me/one of us, either in writing, by

telephone, or personally, to verify that it is authentic.

.................................

.................................

(signature

of lien claimant)

Signed

on: ................

Address:........................

(date)

.................................

Telephone:......................

DO NOT SIGN BLANK OR

INCOMPLETE FORMS. RETAIN A COPY.

Full Unconditional Waiver MCL 570.1115(9)(c), read Nov 12, 2026

FULL UNCONDITIONAL WAIVER

My/our

contract with .......................................... to

(other

contracting party)

provide

..................... for the improvement of the property described

as:........................................... has been fully paid and

satisfied. By signing this waiver, all my/our construction lien rights

against the described property are waived and released.

If

the improvement is provided to property that is a residential structure and

if the owner or lessee of the property or the owner's or lessee's designee

has received a notice of furnishing from me/one of us or if I/we are not

required to provide one, and the owner, lessee, or designee has not received

this waiver directly from me/one of us, the owner, lessee, or designee may

not rely upon it without contacting me/one of us, either in writing, by

telephone, or personally, to verify that it is authentic.

.................................

.................................

(signature

of lien claimant)

Signed

on: ................

Address:........................

(date)

.................................

Telephone:......................

DO NOT SIGN BLANK OR

INCOMPLETE FORMS. RETAIN A COPY.

Full Conditional Waiver MCL 570.1115(9)(d), read Nov 12, 2026

FULL CONDITIONAL WAIVER

My/our

contract with .......................................... to

(other

contracting party)

provide

..................... for the improvement of the property described

as:.......................................... has been fully paid and

satisfied. By signing this waiver, all my/our construction lien rights

against the described property are waived and released.

This

waiver is conditioned on actual payment of ................ . If the

improvement is provided to property that is a residential structure and if

the owner or lessee of the property or the owner's or lessee's designee has

received a notice of furnishing from me/one of us or if I/we are not required

to provide one, and the owner, lessee, or designee has not received this

waiver directly from me/one of us, the owner, lessee, or designee may not

rely upon it without contacting me/one of us, either in writing, by

telephone, or personally, to verify that it is authentic.

.................................

.................................

(signature

of lien claimant)

Signed

on: ................

Address:........................

(date)

.................................

Telephone:......................

DO NOT SIGN BLANK OR

INCOMPLETE FORMS. RETAIN A COPY.

The filled sample, field by field

The sample beside the introduction is the Partial Conditional Waiver for the first pay app of the demo drywall job, Maple Street Clinic: $25,650 of work, 5% retainage held, $24,367.50 due. These are the blanks the app filled and the ones it left for the signer.

Blank on the formSample valueWhere the app takes it from
Contract with, the other contracting partyNorthgate Builders Inc.The party you bill on the project, usually the GC
Provide, for the improvementDrywallThe description of your work on the project
Property described asMaple Street Clinic, 1450 Maple Street, Grand Rapids, MI 49503The project’s name and site address
Construction lien to the amount of$24,367.50The pay app’s current payment due
Labor and materials provided throughOctober 31, 2026The period end date of the pay app
Does or does not cover all amounts duePrinted unmarkedLeft for the signer to circle
Address and telephone2200 Industrial Blvd, Suite 4, West Sacramento, CA 95691; 916-555-0142Your company’s address and telephone on the account
Signature and signing dateLeft emptyAdded when the form is signed

Michigan’s forms have no printed line for the claimant’s name or for the owner. The blanks name the other contracting party and the property, and the claimant signs over the line marked as the signature of the lien claimant.

Making a Michigan waiver here

  1. Choose Michigan as the project’s State when you set up the job. The four statutory forms become the ones offered.
  2. Finish the pay app for the period, so its figures can no longer change.
  3. Open Lien waivers and pick the pay app, then the form: partial or full, conditional or unconditional.
  4. Look over the amount, the through date, the other contracting party and the property. They fill from the pay app and the project.
  5. Sign typed or drawn, or send a signing link to the person who signs, then download the PDF that carries the waiver with the pay app.
The pay app editor for a drywall job, showing the current payment due, the retainage rates and the continuation sheet
A pay app in the editor. Its current payment due is the amount a Michigan waiver carries once the pay app is finished.

How the waiver follows the pay app

The amount on a Michigan partial waiver is the payment the pay app asks for, and the through date is the end of its period. Take an electrical sub on a $200,000 job whose second pay app is for the period to April 30, 2026. The work billed to date is $119,000 including $9,000 of stored materials still on site, and retainage is 10% on the work and 5% on the stored materials.

4Total completed and stored to date$119,000.00
5Retainage: $11,000 on work, $450 on stored$11,450.00
6Total earned less retainage$107,550.00
7Less previous applications$77,475.47
8Current payment due$30,074.53

The Partial Conditional Waiver for this pay app reads $30,074.53 in the amount blank and April 30, 2026 as the date. The retainage of $11,450 is not in the payment, so it is not in the amount. The first pay app’s payment, $77,475.47 on line 7, was for the period to March 31, 2026, and a Partial Unconditional Waiver made from that pay app carries those two figures.

The form’s own sentence speaks of all previous waivers together with this one, so on a job with several pay apps the waivers read as a series, each with its own through date. Because the waiver is made from a finished pay app, its amount cannot differ from the pay app’s line 8. A revised pay app makes a new version, and a new waiver can be made from that. The pay application guide works through each line, and the retainage guide shows how retainage is held and released.

Michigan waiver questions

What does Michigan call its lien waivers?

Subsection (9) of MCL 570.1115 gives four forms: Partial Unconditional Waiver (a), Partial Conditional Waiver (b), Full Unconditional Waiver (c) and Full Conditional Waiver (d). The statute says partial and full, not progress and final.

How closely does a Michigan waiver follow the statute’s wording?

Subsection (9) says the forms shall be used in substantially the following format. The app prints the statute’s words and fills only the blanks.

Does a Michigan lien waiver need a notary?

The statute is silent on it, and none of the four forms has a notary block. Each form ends with a signature line, a signing date, an address and a telephone number.

Can a contract require a lien waiver before the work is done?

Subsection (1) says a person shall not require, as part of any contract for an improvement, that the right to a construction lien be waived in advance of work performed.

Do the Michigan forms apply only to houses?

No project-type limit appears in the forms. Residential wording is found in subsection (7) and in a paragraph inside each form, which covers the case of a residential structure.

What is the line in capitals at the bottom of each form?

It reads DO NOT SIGN BLANK OR INCOMPLETE FORMS. RETAIN A COPY. The statute sets no type size or bold for it.

What does the choice to circle on the partial forms mean?

The partial forms ask the signer to circle “does” or “does not” on whether the waiver, together with all previous waivers, covers all amounts due for the contract improvement through the date shown. The app prints the choice unmarked.

What date goes in the through date blank?

The date the labor and materials are provided through. The app fills it with the period end date of the pay app the payment is for, which is October 31, 2026 in the sample.

Sources: MCL 570.1115(9).

Other States and the four kinds

The lien waiver guide compares the four kinds across the States, and conditional vs unconditional covers the timing. Before Michigan on the State list is Massachusetts, with a single partial form, and after it is Mississippi, with an interim and a final form.