Forms and Publications for Lead Poisoning Prevention and Intervention

The forms and publications in this section are available from the Wisconsin Department of Health Services (DHS), US Environmental Protection Agency (EPA), or US Department of Housing and Urban Development (HUD). DHS forms may be downloaded and printed through the provided links.  The EPA and HUD publications may either be downloaded and printed through the provided links or ordered through the National Lead Information Center.

Click on the type of tool you are looking for below:

Forms / Publications

Forms and publications are listed by the following categories:

These forms and publications are also available in an Alphabetical list.


IResponse to 2009 Senate Joint Resolution 65n April 2010, the Wisconsin Legislature passed Senate Joint Resolution 65 which required the Elimination Plan Implementation and Oversight Committee to submit a report on the costs borne by the educational and criminal justice systems attributable to lead poisoning and methods to address lead paint hazards in housing. The report, delivered to the Wisconsin Legislature on December 30, 2010, is entitled Response to 2009 Senate Joint Resolution 65 (PDF, 320 KB). There is also a two-page Summary (PDF, 133 KB).



The This is the front cover of the Leagacy of Lead report.Legacy of Lead Report earned recognition as a distinguished document in 2008 by the Wisconsin Library Association and in 2009 by the American Library Association. The report reveals the alarming scope of childhood lead poisoning in Wisconsin, discusses its causes and effects, and provides a systematic plan to eliminate the problem. A two-page Legacy of Lead Report summary (PDF, 10 MB) is also available.




This is a sample Blood Lead Testing Report received by Medicaid health care providers in Wisconsin.Annually, the Medicaid Provider Blood Lead Testing Report is sent to Wisconsin health care providers who provide medical care to children enrolled in the Medicaid program. The individualized report summarizes the provider's  blood lead testing data for children under age 6.






Kids unLEADed: Working to end childhood lead poisoning is an e-newsletter that contains the latest news on resources for housing, research findings on the impacts of childhood lead poisoning on learning and behavior, and stories about lead poisoning prevention efforts at the local level. This e-newsletter has been published approximately three times per year by Children's Health Alliance of Wisconsin on behalf of the State of Wisconsin.image

The most recent Kids unLEADed e-newsletter was distributed by Children's Health Alliance of Wisconsin in July 2013. This issue focuses on changes to funding the Wisconsin Childhood Lead Poisoning Prevention Program, funding available for housing rehab across the state, articles and programs on lead poisoning, and awards received by individuals and organizations.

Toolkits / Resources

imageResources for Community Outreach

Resources from EPA, HUD, CDC range from print articles to social media messaging.


Cover page of Education and Outreach toolkitOutreach Tools for New Lowered Action Level for Lead

Lead poisoning education and intervention: toolkit with recommendation and resources (P-00554; PDF, 469 KB) is available (October 2013), including resources specifically for parents and health care providers.




imageOutreach Tools for Wisconsin's Lead-Safe Renovation Rule

The Renovate Right (P-00713; PDF, 1.3 MB) toolkit contains sample press releases, talking points, ideas for outreach and more to provide education in your community about the Wisconsin Lead-Safe Renovation Rule (October 2009).




imageOutreach Tools for School Nurses and Others in the School System

School nurses now have lead poisoning prevention resources such as pamphlets, PowerPoint presentations and posters. These are available on Wisconsin's Department of Public Instruction website (April 2011).


Community Partnership Meeting toolkit cover pageOutreach Tool for Health and Housing Partnerships

The Community Partnership Meeting toolkit (P-00714; PDF, 164 KB), developed in November 2008, contains planning strategies to bring together partners from both housing and health agencies in order to develop a mission moving forward to protect children from lead hazards. The document includes resources such as the advertising flyer, media advisory, newspaper article, etc.  



Capillary Collection Toolkit cover pageOutreach Tools for Collecting Capillary Samples in the Clinical Setting

Capillary Collection Resource Kit (P-00715; PDF, 648 KB) This packet was developed in 2007 and contains the information needed to initiate capillary blood lead sampling for patients in a health care provider's office.




Mobilizing Toolkit cover pageOutreach Tools to Mobilize the Community to Eliminate Childhood Lead Poisoning

This Mobilizing Action toolkit (P-00712; PDF, 1.6 MB), with press releases, op-ed pieces, GIS maps, newsletter articles, postcards and much more, was developed for National Lead Poisoning Prevention Week in October 2007. These materials can be adapted for use any time of year.



imageOutreach Tool for Public Health Nurse Home Visiting

A toolkit, Implementing the WCLPPP Standards for Home and Childcare Site Intervention to Address Lead Hazards (P-00716; PDF, 727 KB), was developed in 2003 as part of a project developed in partnership with the Centers for Disease Control and Prevention.




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Last Revised: May 18, 2015