Lead-Safe Wisconsin: Forms and Publications

Publications

• Recall Alert: Applesauce Toss, Test, and Tell (PDF) | Recall Alert: Applesauce Toss, Test, and Tell, in Spanish (PDF)
• CDC: Know the facts about Lead Poisoning Prevention (PDF) | CDC: Know the facts about lead poisoning prevention, in Spanish (PDF)
• Look Out for Lead: Where to Look, P-00819 coloring sheet in English and Spanish which identifies places in the home and yard where lead hazards can be found.
• CDC: Blood Lead Levels in Children: What Do You Need to Know to Protect Children? (PDF)
• Prevent Lead Poisoning, P-00296 (PDF) This pamphlet explains why you should hire a lead-safe renovator.
• EPA: Help Yourself to a Healthy Home (PDF)
• Parents: Look Out for Lead, P-44535A A tri-fold pamphlet in English and Spanish for parents and caregivers providing basic information about blood lead testing, where to look for lead hazards and what to do about them.
• CDC: 5 Things you can do to help lower your child's lead level (PDF) | CDC: 5 Things you can do to help lower your child's lead level, in Spanish (PDF)
• EPA: Fight Lead Poisoning with a Healthy Diet (PDF) | EPA: Fight Lead Poisoning with a Healthy Diet, in Spanish (PDF)
• National Center for Housing Management: Childhood Lead Poisoning: What You Should Know About Your Child’s Blood Lead Test Result (PDF)
• Keep Your Family Safe: Don’t Bring Lead Home From Your Job, P-01737 (PDF)
• CDC: Are You Pregnant? Prevent Lead Poisoning, Start Now (PDF) | CDC: Are You Pregnant? Prevent Lead Poisoning, Start Now, in Spanish (PDF)
• EPA: Renovation, Repair, and Painting Program: Do-It-Yourselfers: A guide that lists the safety precautions to take when painting, doing maintenance, or renovating in homes built before 1978.

The forms and publications below can help:

• Abatement and renovation contractors
• Hazard investigators
• Inspectors
• Investigators
• Risk Assessors

Use the forms to apply for certification, or when getting ready to work on a property built before 1978.

Forms

• To certify as a lead company or renew certification—Lead Company Certification Application, F-00171
• To certify as a lead-safe renovator or renew certification—Lead-Safe Renovator Application, F-44003
• To apply for first-time certification as an abatement supervisor—Initial Application - Lead Abatement Supervisor, F-02996 (PDF)
• To apply for first-time certification as an abatement worker, hazard investigator, inspector, project designer, risk assessor, or sampling technician—Initial Lead Application – Individual Certification, F-02031
• To renew certification as an abatement supervisor or worker, hazard investigator, inspector, project designer, risk assessor, or sampling technician—Renewal Lead Application – Individual Certification, F-01989
• To report lead activities conducted within 30 days of the end of each quarter—Lead-Based Paint Investigation – Quarterly Summary Report, F-44013 (PDF)
• To complete and email to DHSAsbestosLead@dhs.wisconsin.gov two working days before lead abatement work takes place (must be received by DHS by 4 p.m. to be considered the same working day)—Lead Abatement Notification, F-44012 (PDF)
• To complete and provide to occupants before lead abatement work takes place—Occupant Protection Plan Checklist for Lead Abatement Activities, F-00201

Publications

• U.S. Department of Housing and Urban Development: Detailed, technical information on how to identify and control lead-based paint hazards —Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in Housing
• U.S. Department of Housing and Urban Development: A step-by-step illustration of the safety precautions you should take when painting, doing maintenance work, or renovating homes built before 1978—Lead Paint Safety: A Field Guide for Interim Controls in Painting and Home Maintenance (PDF) | Lead Paint Safety - Spanish version (PDF)
• EPA: A handbook for contractors, property managers, and maintenance workers describing the requirements that apply when more than 6 square interior feet or 20 square exterior feet of surface with lead-based paint is disturbed—The Lead-Safe Certified Guide to Renovate Right (PDF) | The Lead-Safe Certified Guide to Renovate Right, in Spanish (PDF)

Use the forms below to document and report blood lead results and associated cases and investigations. Visit our Tools for Outreach page for educational materials you can use to promote lead poisoning awareness in your community.

For additional information about adult blood lead testing and reporting, visit our Adult Lead For Health Professionals page.

Forms

• Blood Lead Lab Reporting, F-00017 (Word)
• Medicaid Targeted Case Management Face Sheet – Childhood Lead Poisoning, F-44771AA (Word)
• Nursing Case Management Report, F-44771A
• Nursing Case Closure Report, F-44771B
• Property Investigation Report, F-44771C (PDF)
• Property Investigation Closure Report, F-44771D

Publications

• 2016 Report on Childhood Lead Poisoning in Wisconsin, P-01202-16 (PDF)
• The Legacy of Lead: Report on Childhood Lead Poisoning in Wisconsin 2008, P-45109 (PDF)
• Blood Lead Testing and Lead Exposure Data, P-00665 (PDF) includes data on childhood lead exposure
• Pediatric Environmental Health Specialty Units: Recommendations on Medical Management of Childhood Lead Exposure and Poisoning
• Wisconsin Childhood Blood Lead Testing Recommendations, P-03557 (PDF)
• CDC: Blood Lead Levels in Children (PDF)
• What’s New in Blood Lead Reporting? P-02765 (PDF)
• CDC: Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention (PDF)
• CDC: Guidelines for the identification and management of lead exposure in pregnant women (PDF)
• Wisconsin Childhood Lead Poisoning Prevention and Control Handbook for Local Public Health Departments, P-00660 (visit Public Health Interventions for Lead Poisoning for links to individual chapters)

The owners, landlords, agents, and managers of rental property play an important role in protecting the health of their tenants and their tenants’ children.

Homes built before 1978 are much more likely to contain lead-based paint. Under federal law, you must provide certain information about lead paint to your prospective tenants.

“Look Out for Lead” pamphlet

The Look Out for Lead – Property Owners, P-44535B (PDF) pamphlet includes information on what can be done to correct lead hazards. It’s intended for rental property owners who own a building that was built before 1978 and may be occupied by families with young children.

What landlords must provide prospective tenants of buildings built before 1978

• Anything they know about lead-based paint or lead-based paint hazards in the building; this includes reports concerning common areas and other units for multi-unit buildings
• U.S. Department of Housing and Urban Development: A lead disclosure attachment (PDF) | Lead disclosure attachment, in Spanish (PDF) to the lease—or language added to the lease—that includes a “Lead Warning Statement” and confirms that the landlord has complied with the notification requirements.

Information on how landlords must maintain and renovate their property in a lead-safe manner

• U.S. Department of Housing and Urban Development: A step-by-step illustration of the safety precautions you should take when painting, doing maintenance work, or renovating homes built before 1978—Lead Paint Safety: A Field Guide for Interim Controls in Painting and Home Maintenance (PDF) | Lead Paint Safety, in Spanish (PDF)
• EPA: A handbook for contractors, property managers, and maintenance workers describing the requirements that apply when more than 6 square interior feet or 20 square exterior feet of surface with lead-based paint is disturbed; it must be provided to your tenants before you perform any renovating, remodeling, or repainting work on the property—The Lead-Safe Certified Guide to Renovate Right available in English and Spanish