Job information sheet

One sheet per job, or per lot, before work starts. It tells us who owns the property, who we are contracting with, who is financing the job and who the lien agent is. About five minutes. Leave anything you do not know blank and we will follow up.

Why we ask. On residential jobs Virginia requires subcontractors to notify the Mechanic's Lien Agent named on the building permit within 30 days of starting work. Having the owner, permit, lien agent and lender on file before we mobilize keeps routine paperwork from ever becoming a problem for you or for us.

Leave this empty

1Your company

Company name *

Your name *

Title

Email *

Telephone *

2The job

Job or project name *

Lot, unit or building number

Street address of the property *

City *

County or independent city *

State

ZIP

Tax map or parcel IDFrom the county or city real estate record for the lot. It helps us describe the property correctly on any notice.

Legal descriptionOnly if a parcel ID has not been assigned yet.

MEP scope on this job *

Plumbing HVAC Electrical

Expected start of MEP work *

PO or contract number

Contract amount ($)

Retainage percent

Payment terms on this jobOnly if they differ from your account terms.

3Property owner

The owner of record as it appears on the deed, meaning the entity that holds title to the lot today, not the eventual homebuyer.

Owner exact legal name *

Owner address *

Owner contact name

Owner contact phone or email

4Who MEP is contracting with

MEP's contract on this job is with *

General contractor or builder legal name *

General contractor address

GC Virginia license number

GC license class

5Building permit and Mechanic's Lien Agent

On one and two-family residential jobs the lien agent is printed on the building permit. If no lien agent was designated, say so below.

Building permit number

Permit issue date

Issuing jurisdiction

Lien agent *

Mechanic's Lien Agent name

Lien agent address

Lien agent phone

Lien agent email

6Financing and bonds

Construction lender

Lender address

Payment bond on this job?

Surety company

Bond number

7Job contacts

Superintendent or project manager

Superintendent phone

Superintendent email

Accounts payable contact for this jobOnly if different from your account contact.

AP email or invoice portal for this job

Anything else we should know

8Attachments

Optional. PDF, JPG or PNG, up to 10 MB each. Files go straight into MEP Partners' private document store.

Copy of the building permit

Contract or purchase order

Plat, site plan or deed excerpt

9Certification

The information above is accurate to the best of my knowledge. I will tell MEP Partners promptly if the owner, general contractor, financing, permit, lien agent or bond on this job changes.

Printed name *

Date

Signature, draw with your finger or mouse *

Sign here

Signed electronically. The time and your IP address are recorded with the signature.

Questions: billing@meppartners.com or (703) 369-8914. Opening a new account? Start with the builder credit application.