Certified Individuals and Companies
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
 Credit
Card Payment Form (DPH 44029) (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 (DPH 44002)
(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 (DPH 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 (DPH 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 (DPH
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 (DPH 44012)
(PDF, 26 KB) Lead supervisors must complete and submit this
form before lead work takes place.
Occupant Protection
Plan (DPH 44016) (PDF, 26 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.
PDF: The free Acrobat Reader®
software is needed to view and print portable document format (PDF) files.
Learn more.
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Last Revised: October 24, 2008 |
