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How to fill out the Lead Safe Home Application - Norton Shores online
The Lead Safe Home Application is an essential document for individuals seeking assistance related to lead hazard reduction in their residences. This guide will provide you with comprehensive, step-by-step instructions to help you navigate the online application process with ease and confidence.
Follow the steps to complete your application successfully.
- Press the ‘Get Form’ button to access the Lead Safe Home Application and open the document in your preferred online editor.
- Begin by filling out Part 1: Property Information. For each address or unit, ensure to indicate whether it is a rental property or owner-occupied by circling the appropriate option. Complete all relevant fields, including the property address, apartment number (if applicable), city or township, zip code, the number of units within the building, occupant name, total number of people living in the household, and occupant phone number along with an alternate phone number.
- Move on to Part 2: Owner Information, if it differs from the occupant. Provide the owner's name and select the type of ownership by circling the correct option. Fill in the mailing address, city, state, zip code, phone number, and alternate phone number. Additionally, indicate how you learned about the program and answer the landlord-related questions if applicable.
- In Part 3: Occupant Information, list all occupants, including both adults and children. Be sure to include necessary details such as receiving Medicaid, date of birth, relationship to the primary resident, and blood lead level test results. Keep in mind that all children under 6 must be tested before and after lead reduction activities. Confirm total household income and exclude minors when reporting gross income.
- Proceed to Part 4: Eligibility. Answer all questions truthfully regarding the age of the property, property tax status, governmental agency ownership, bedroom count, willingness to have children tested for lead poisoning, and participation in HUD programs.
- Finally, complete Part 5: Priority Ranking. This section assesses the urgency of your application. Answer the questions related to children under 6 living or visiting the property, the presence of a pregnant individual, and the general living situation. After verifying all information, sign and date where indicated.
- Once all steps are complete, save your changes. You can then download, print, or share the completed application as needed.
Take the first step towards a lead-safe home by completing your application online today.
Michigan law requires testing of children enrolled in WIC (MCL § 400.111) In Detroit, a city ordinance requires annual testing between 6 months and 6 years, and more frequently for those with elevated blood lead levels. MDHHS recommends testing children younger than six if they are considered “at risk”.
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