Follow the steps to successfully complete your form online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. In the 'TO' section, enter the names and addresses of the public entity, direct contractor, and first-tier subcontractor, if applicable. Make sure to provide all required details for proper identification.
3. In the notification section, fill in your name, address, and your relationship to the parties giving this notice. This could be as a subcontractor, supplier, or another described role.
4. Detail the general description of the work, labor, services, equipment, or materials you have furnished or will furnish. Be specific to ensure clarity.
5. Provide the address or sufficient description of the building, structure, or other work of improvement for identification purposes.
6. Fill in the name and address of the person or firm to whom the work is being provided.
7. Estimate the total price of the work, labor, services, equipment, or material provided to date and fill in the amount in the designated field.
8. Estimate the total price of the work, labor, services, equipment, or material to be provided and enter this amount as well.
9. In the Proof of Service Declaration section, complete your name and specify how you delivered copies of the notice. Choose from the provided options and fill in the required details for each method you used.
10. Finally, sign and date the declaration, confirming the information is true and correct under penalty of perjury.
11. Once you have completed all fields, save your changes. You can then download, print, or share the filled-out form as needed.

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