Simple Pay Application

Wyoming lien waiver form and what the statute says

Wyoming puts one lien waiver form in its statute, W.S. 29-10-101(b), and the same form serves a progress payment and a final payment. It is not split into conditional and unconditional versions, and it ends with a notary acknowledgment block.

In the app, a project in Wyoming gets that form word for word. The payment, the project and the parties are filled from the pay app, and the retainage held is written into the reservation the form carries. The sub types the sum not yet paid on the waiver screen, “0.00” if nothing is unpaid, and only the signature and the notary’s acknowledgment are completed by hand.

Sample Wyoming lien waiver on the statutory form
A filled sample of the Wyoming lien waiver, W.S. 29-10-101(b), printed by the app with its notary block.

The Wyoming form at a glance

Wyoming has a single entry in the table, and that is the point of the page. The statute gives one text for every payment, so there is no progress form, no final form and no pair of conditional and unconditional forms to choose between.

FormSectionKinds it coversThe form’s own words on the release
Lien WaiverW.S. 29-10-101(b)Progress and final payments alike; see the lien waiver guide“In consideration of the PAYMENT received to date, the undersigned does hereby waive, release, and relinquish any and all claim and/or right of lien against the project and the real property improvements thereto”

The four kinds that other States print are conditional progress, unconditional progress, conditional final and unconditional final. The Wyoming statute names none of them, so those pages describe other States’ forms and not this one.

What the Wyoming statute says about the form

Subsection (b) of section 29-10-101 introduces the form in a single sentence: The form for waiver of a lien shall be completed in substantially the following form: The statute gives one form and asks that it be substantially followed.

The statute is silent on who the form applies to. The only description of the signer is in the form itself, which has a line reading subcontractor/materialman/employee. A second section, 29-2-112, deals with the preliminary notice and mentions the waiver in passing: it refers to the right of the owner or contractor to obtain a lien waiver upon payment for services or materials. Subsection (a) of 29-10-101 holds the preliminary notice form, and that notice refers to a waiver form being attached.

Statute
W.S. 29-10-101(b)
Use of the form
The statute gives one form, to be substantially followed.
Who it applies to
The statute is silent.
Notary
The form has a notary acknowledgment block.
Note
One form for progress and final payments alike.

Source: W.S. 29-10-101(b). The Wyoming Legislature’s site, read Nov 12, 2026.

The form, part by part

Wyoming’s form is one page of running text rather than a set of checkboxes, so it helps to see what each stretch does. The full wording follows further down.

The note and the heading

The form opens with a note to the lien claimant that signing it has legal implications and that questions go to an attorney. That note is the statute’s own sentence and the app prints it unchanged above the heading LIEN WAIVER.

The five lines under the heading

TO names the party the waiver is addressed to, PROJECT names the job, FROM names the claimant, DATE is the date of the waiver, and PAYMENT is a dollar amount. There is no line for a through date, a pay app number or the job’s street address.

The release and what it holds back

The release is given in consideration of the payment received to date. It covers labor and materials furnished for the project, and it reserves two things: monies withheld as retainage, in an amount written into the form, and any labor or materials furnished after the waiver for which payment has not yet been made.

The unpaid sum

The form then has the signer state a sum not yet paid for work performed or materials provided under the contract, and says the signer keeps the right to file a lien and to pursue every action to recover the full amount due, including equitable claims. The app cannot know that sum, so it is typed on the waiver screen before the waiver is made.

Uncertified funds and the last sentence

The signer acknowledges receipt of payment and that the owner may rely on the waiver even if payment in uncertified funds is later dishonored or revoked, in which case the form says the waiver stays in full force and effect. The last sentence of the paragraph says the waiver does not apply if payment tendered by the owner is dishonored or revoked. Both sentences stand in the statute as printed, and the app does not edit either one.

The signature and the acknowledgment

The signer signs under By, with the line subcontractor/materialman/employee beneath it, and adds a title and a date. Below that comes a notary acknowledgment: State and County, the day the instrument was acknowledged, the name of the person and the title or authority of that person for the lien claimant, then the notarial officer’s signature, the commission expiry and the seal. The form includes the block, and the app prints it so a notary can complete it.

The full text of the form

Below is the Wyoming form as the app prints it, word for word, read from the Wyoming Legislature’s site on November 12, 2026. Line breaks follow the compiled statute we read, which does not show bold or underline.

Lien Waiver W.S. 29-10-101(b), read Nov 12, 2026

Note to lien claimant: Signing this form has legal

implications. If you have any questions regarding how to

complete this form or whether it has been properly completed,

you should consult an attorney.

LIEN WAIVER

TO:_____________________ PROJECT:_____________________

FROM:________________________

DATE:________________________

PAYMENT: $____________________

In consideration of the PAYMENT received to date, the

undersigned does hereby waive, release, and relinquish any and

all claim and/or right of lien against the project and the real

property improvements thereto for labor and/or materials

furnished for use in construction of the project; provided

however, the undersigned reserves all claims and/or rights of

lien as to monies withheld as retainage in the amount of

$_______________, and any labor and/or materials hereafter

furnished for which payment has not yet been made. The

undersigned has not been paid the sum of $________________ for

work performed and/or materials provided under contract on this

project and retains the right to file a lien against the

property and pursue any and all actions to recover the full

amount due, including any and all equitable claims. The

undersigned acknowledges receipt of payment for work performed

or materials provided and acknowledges that this waiver may be

relied upon by the owner even if the undersigned accepts payment

in uncertified funds and such payment is subsequently dishonored

or revoked, in which case this lien waiver shall remain in full

force and effect. The foregoing waiver shall not apply,

however, if payment tendered by the owner is dishonored or

revoked.

By:__________________________________

subcontractor/materialman/employee

Title:_______________________________

Date:________________________________

STATE OF __________________ )

)ss.

COUNTY OF ________________ )

This instrument was acknowledged before me on this _____

day of _____________, 20___, by _____________________ (name of

person) as lien claimant or ______________________ (title,

position or type of authority granted by lien claimant) of

_____________________________ (lien claimant).

IN WITNESS THEREOF, I have hereunto set my hand and affixed

my official seal on the day and year last above written.

______________________________

Notarial officer

My Commission Expires:

Seal:

The filled sample, field by field

The sample beside the introduction is the first pay app of the demo drywall job, Maple Street Clinic: $25,650 of work, 5% retainage held, $24,367.50 due, on a clinic at 1450 Maple Street. Wyoming’s form has no line for an address or a through date, so neither one prints. These are the blanks the app filled and the ones it left open.

Blank on the formSample valueWhere the app takes it from
TONorthgate Builders Inc.The party you bill on the project, usually the GC
PROJECTMaple Street ClinicThe project’s name
FROMDelta Line Drywall LLCYour company name on the account
PAYMENT$24,367.50The pay app’s current payment due
Retainage in the amount of$1,282.50The pay app’s total retainage held
TitlePresidentThe title of the person signing
Sum not yet paid$0.00Typed on the waiver screen
DATE, By, DateBlank linesLeft for the signer on the unsigned sample
State, County, notary linesBlankLeft for the notary to complete

The retainage figure is the whole $1,282.50 held, and the payment is the $24,367.50 due after that retainage, so the two numbers on the form add up to the $25,650 of work billed.

Making a Wyoming waiver here

  1. Set the project’s State to Wyoming when you create the job, and add the customer and the project’s name.
  2. Fill the pay application for the period: the work this period on each schedule of values line, any stored materials, and any retainage released.
  3. Finish the pay app so its figures are frozen. A later correction makes a new version.
  4. Open Lien waivers, choose the Wyoming form and the pay app it covers. The payment and the retainage held fill in from that pay app.
  5. Type the sum not yet paid on the waiver screen, sign typed or drawn or send the signing link, and download the PDF with the pay app. The notary block is there for a notary to complete.
The pay app editor in the app: the current payment due and the retainage rates at the top, and a continuation sheet with a box for the work done this period on each line

How the waiver follows the pay app

The PAYMENT line on the Wyoming form is the current payment due on the pay app, and the retainage line is the total retainage the pay app holds. Take the third pay app of the pay application guide’s $120,000 drywall contract, at 10% retainage, the one that bills the last of the work. It shows $120,000.00 completed to date, $12,000.00 of retainage held, and $108,000.00 earned less retainage. Earlier pay apps have already asked for $68,400.00, so the current payment due is $39,600.00.

The Wyoming form made from that pay app reads $39,600.00 on the PAYMENT line and $12,000.00 as the retainage the signer reserves. The form reserves the signer’s claims and rights of lien as to that retainage. The one form is used here for a final billing exactly as it is used for the first, so nothing about the form changes between pay apps. Only the figures do.

Because the waiver is made from the finished pay app, the payment on the waiver and the payment on the pay app are the same number. A revised pay app is a new version, and a new waiver can be made from it. The pay application guide follows the current payment due line by line, and the retainage guide shows how held and released retainage are figured.

Wyoming waiver questions

Does Wyoming have separate conditional and unconditional lien waivers?

No. W.S. 29-10-101(b) gives one waiver form, with blanks for the payment, the retainage and the unpaid sum. It is not split into conditional and unconditional, or into progress and final, and the same form serves every payment.

Does a Wyoming lien waiver need a notary?

The form includes a notary acknowledgment block: State, County, the notarial officer, the commission expiry and a seal. The section’s text has no separate sentence on it, and the app prints the block so a notary can complete it.

Is the Wyoming waiver form mandatory?

The statute says the form is to be completed in substantially the following form. It gives one form to be substantially followed.

Does the Wyoming waiver cover retainage?

The form reserves all claims and rights of lien as to monies withheld as retainage, in an amount written into the form. The app fills that amount from the retainage held on the pay app.

What goes in the blank for the sum not yet paid?

The form has the signer state a sum not yet paid for work performed or materials provided under the contract. The sub types it on the waiver screen, or 0.00 if nothing is unpaid, so the blank is never left open.

What does the form say if the payment is dishonored or revoked?

Its last sentence says the waiver does not apply if payment tendered by the owner is dishonored or revoked. An earlier sentence says the owner may rely on the waiver if uncertified funds are later dishonored or revoked. Both are in the statute’s text.

Who does the Wyoming form apply to?

The statute is silent on scope. The signature line in the form reads subcontractor/materialman/employee, and section 29-2-112 refers to the right of the owner or contractor to obtain a lien waiver upon payment for services or materials.

Sources: W.S. 29-10-101(b).

The other kinds and nearby States

The conditional vs unconditional guide covers the timing difference that Wyoming’s single form does not draw. Among the States with statutory wording, Utah is the neighbor: its statute gives a conditional progress form and a final form, and no unconditional ones.