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Wisconsin Department of Health Services

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Forms & Publications

The forms and publications  listed below provide information to the inspector, investigator, contractor, risk assessor, and hazard investigator.  These forms can be used to apply for certification, or when preparing to perform work on a property with lead-based paint.

Forms

Credit Card Payment Form (F44029) (PDF, 16 KB)
Use the Credit Card Payment Form to quickly and securely pay for your individual/ company certification, or to register for the state certification exam. Simply print and complete the form, then submit it along with your individual/company certification application materials, or your state certification exam application.

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.

Lead-Based Paint Investigation Summary Report (F 44013) (PDF, 15 KB) Lead investigation companies must complete this form or file lead investigation reports on the internet through WALDO.  NOTE: This form is fillable and can be printed, but cannot be saved.

Notification of Lead-Based Paint Activity (F 44012) (PDF, 26 KB) Lead supervisors must complete and submit this form before lead work takes place.

Occupant Protection Plan (F 00201) (PDF, 37 KB) The lead company must complete and submit this form before lead work takes place, in accordance with form instructions.

Publication

HUD Technical Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in Housing (Exit DHS - Department of Housing and Urban Development) The guidelines provide detailed and technical information on how to identify and control lead-based paint hazards.

Lead Paint Safety: A Field Guide for Painting, Home Maintenance, and Renovation Work in English and Spanish (Exit DHS - Department of Housing and Urban Development) A step-by-step manual that illustrates the safety precautions to take when painting, doing maintenance or renovating in homes built before 1978.

The Lead-based Paint Pre-Renovation Education Rule (Exit DHS - Environmental Protection Agency)  This handbook for contractors, property managers, and maintenance personnel describes the requirements that apply when more than 2 square feet of lead-based paint is disturbed.

"Protect Your Family From Lead" in English, Spanish, & Vietnamese  Russian, & Arabic (Exit DHS - Environmental Protection Agency)  Owners of pre-1978 housing are required to give this to tenants when entering into or renewing a rental agreement or before more than 2 square feet of lead-based paint is disturbed.

"Contractors/Painters/Home Remodelers: Look Out for Lead" (PPH 4529, PDF, 294KB) (Wisconsin Division of Public Health) A tri-fold pamphlet for contractors providing basic information to consider before starting a remodeling job, such as using lead-safe work practices and notifying families with young children about how to protect their family from lead hazards in the home.

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Last Revised: February 10, 2012