R.I. Gen. Laws § 34-28-29
A demand for direct payment under § 34-28-27 shall be sufficient in substantially the following form:
DEMAND FOR DIRECT PAYMENT
To: (here insert name of owner or lessee or tenant, or of other person as may be obligated or permitted to make payments on behalf of the owner or lessee or tenant).
The undersigned hereby releases his or her lien against (here describe the building, canal, turnpike, railroad, or other improvement and the land on which it is situated, which description shall be sufficient to identify it generally with reasonable certainty) owned by or leased to (here insert name of owner or lessee) for work done or materials furnished by the undersigned, as follows:
(Here insert a general description of the work done or materials furnished, with amounts and dates the work was performed).
The undersigned had taken the following steps to perfect the lien:
(Here insert the steps taken to perfect the lien under this chapter).
The persons in line of privity between you and the undersigned are as follows:
(Here insert names of all persons in line of privity).
Each of the persons has endorsed his or her approval to this demand.
Wherefore, the undersigned demands payment from you of the sum of (here insert amount).
___________________
(Here insert signature and address of
person making demand)
Approved:
__________________________
__________________________
__________________________
__________________________
(Here insert signatures of persons in line of privity)
Payment received§§§§
______________________
(For signature of person demanding payment,
§§§§§when he or she has received the same)
R.I. Gen. Laws § 34-28-29