File a Mechanics Lien Fill out the form below to start the mechanics lien process. Minnesota Construction Law Services will use this information to prepare your mechanics lien statement for filing. Your Name* Your Email* Section I. Client Information Name of Contractor License Number Address City State (abbreviation) Zip Contact Name Contact Phone Number Type of Business (select one): Sole ProprietorshipLLCPartnershipCorporationOther State of Incorporation/Organization: MN Other: If subcontractor/material supplier: Name of General Contractor Address of General Contractor City State (abbreviation) Zip Section II. Work Performed Person/Company that hired Contractor Person/Company that hired Contractor is the: OwnerTenant Address Where Work Was Performed City State (abbreviation) Zip Mailing Address (of person for whom work was performed - if different) City State (abbreviation) Zip Property Owner Information (if different than above) Name of Property Owner(s) Mailing Address City State (abbreviation) Zip Dollar Amount of Claim Amount Unpaid for Work Performed Your First Date of Work (includes delivery of equipment and materials) Your Last Date of Work (does not include warranty of repair work) Brief Description of Work You Provided to the Property Was pre-lien notice given to the property owner before beginning work? YesNo Please attach copies of information that you think may be helpful including contracts, prelien notices, invoices, receipts and communications relating to the project. Section III. Acknowledgments We will not be responsible for processing lien filings later than 90 days after your last date of work. BY TYPING NAME BELOW, YOU ACCEPT RESPONSIBILITY FOR THE INFORMATION PROVIDED AS BEING COMPLETE AND CORRECT. ON BEHALF OF THE LIEN CLAIMANT, I AUTHORIZE MINNESOTA CONSTRUCTION LAW SERVICES PLLC TO PREPARE, SERVE, AND RECORD A LIEN STATEMENT IN ACCORDANCE WITH THE FOREGOING FOR A FEE, PLUS ANY FILING FEES, OUT OF POCKET EXPENSES, AND COST OF SERVICE ON NECESSARY PARTIES. Signed by Contractor (Sign with mouse or stylus) Date File types that are accepted: .gif, .png, .svg, .pdf, .zip, .docx ❌ ❌
