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Glaz-Tech Online Pre Lien Form

Please fill in all appropriate fields required prior to submitting your online pre-lien form.

*Note: It is important after filling out your information that you select "Submit Form" to electronically process your application correctly. Please do not print, fax or e-mail your form.

Company Information

Project Information (Required Information)

Total Square Footage Amount Expected.

Project Property Owner (Required Information)

Subcontractor (Required Information)

General Contractor (Required Information)

Bonding / Surety Company (Required on all Public Projects)

Lender (Required on all Public Projects)

Additional Comments

Please revise that the information on your form are correct and accurate before submitting. It is highly encouraged that your form is accurate to prevent any delays in the pre-lien process.