Wyo. Stat. § 29-10-102 (2026)

(a) Notice of intention to file a lien shall be sent to
the record owner of the property against which the lien may be
filed or his agent and shall be completed in substantially the
following form:

Note to lien claimant: This form, if filled out correctly and
sent within the time periods specified in W.S. 29-2-107
constitutes prima facie evidence that you have provided the
contents of the notice required by W.S. 29-2-107(a). If you
have any questions regarding how to fill out this form or
whether it has been filled out properly, you should consult an
attorney.

CERTIFIED MAIL, RETURN RECEIPT REQUESTED

To:   ____________________________

Record owner or agent of owner (note: If there is more than one
(1) owner, use a form for each owner)

Date: _______________, 20___

Re:   Notice of Intention to File Lien

You are hereby notified pursuant to W.S. 29-2-107 that
______________________ (hereinafter the "lien claimant") intends
to file a lien against your property.

The amount of the lien claim is $_______________. This amount
is due from _______________________ (person/entity whose actions
have caused a lien to be filed) pursuant to a contract with the
lien claimant under which the lien claimant performed work or
supplied materials for the work.

If we are unable to resolve this matter within twenty (20) days
from the date of this notice, the lien claimant intends to file
the lien statement asserting a lien against your property.

cc:   _________________________

      _________________________

      _________________________