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Certification Application Forms plus Questions and Answers

Forms

Certification Application - Company (F-400171) (PDF, 16 KB) Complete this form to apply for certification of a lead company.  This can also be completed for renewal of certification.

Certification Application - Individual (F-44003) (PDF, 36 KB) Complete this form to apply to become certified to do lead hazard investigations or reduction work.  This can also be completed for renewal of certification.

Lead Abatement Worker, General Supervision Qualification Affidavit (F 44015) (PDF, 12 KB) A lead company must complete this form before a lead abatement worker performs enclosure or encapsulation abatement activities under general supervision.

Questions and Answers

Q:  What are the most common mistakes made on the Individual or Company applications?
A:  See the appropriate Individual or Company Application below.

Individual Application (IA) - Choose the link to the desired section of the form below.

Company Application (CA) - Choose the link to the desired section of the form below.

Q: I received training out of state and if I want to be recognized as a certified Lead-Safe Renovator in Wisconsin I understand that I am required to pay a fee of $25. Is there any other information I need to send with my application(s)?
A: Yes, you must send the original training certificate (which will be sent back with your card) or a notarized copy of the certificate and a photo copy of a state issued ID (Drivers license or State ID).

 

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Last Revised: February 06, 2013