To include photos, attach and send a separate email to DHSLeadSafe@wisconsin.gov. In the Subject line, type the address of the property. Your Name Contact Information (phone and/or email) Enter your preferred contact information for follow-up questions. Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2012201320142015201620172018 Enter date when work was being performed. Address, City * Enter the address and location of facility where work was being done. Company Name Enter the name of the company performing work (if known). Nature of Complaint Pressure Washing Children Present Dry Scraping Not controlling dust and debris Details * Provide specific details on how the work was being performed and any potential violations.