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Forms and 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

Certification Application - Company (F400171) (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 (F44003) (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 (F44015) (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 (F44013) (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 (F44012) (PDF, 26 KB) Lead supervisors must complete and submit this form before lead work takes place.

Occupant Protection Plan (F00201) (PDF, 37 KB) The lead company must complete and submit this form before lead work takes place, in accordance with form instructions.

Publications

The Lead-Safe Certified Guide to Renovate Right English (Exit DHS; PDF, 3.3 MB) | en espaņol (Exit DHS; PDF, 3.2 MB) and Pre-renovation disclosure form (Exit DHS; PDF, 36 KB) General information about legal requirements for safe lead practices for homeowners, tenants, child care providers and parents during renovation activities. September 2011 revised version.

HUD Technical Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in Housing (Exit DHS) 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) 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) 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 Your Home in English, Spanish, Vietnamese, Russian, and Arabic (Exit DHS) Owners of pre-1978 housing are required to give this to tenants when entering into or renewing a rental agreement.

"Contractors/Painters/Home Remodelers: Look Out for Lead" (P-44529, PDF, 294 KB) 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: November 13, 2013