Get Notification Of Lead Abatement Activity - State Of Michigan - Michigan

The Notification Of Lead Abatement Activity form is a critical document for any firm conducting lead-based paint abatement activities in Michigan. This guide provides clear and concise instructions on how to complete the form online, ensuring compliance with state regulations.

Follow the steps to successfully fill out the Notification Of Lead Abatement Activity form.

1. Press the ‘Get Form’ button to download the Notification Of Lead Abatement Activity form and open it in your preferred document editor.
2. Enter the 'Notification Date,' indicating the date you are filing the notification.
3. Specify the 'Start Date' for the abatement work, ensuring it is at least three business days from the filing date.
4. If applicable, enter the 'Revision #' to indicate any changes to a previously filed notification.
5. Provide the 'End Date' for the lead abatement activities.
6. Choose the reason for revision if the notification has been amended.
7. Fill in the 'Scheduled work hours', including starting and ending times, and indicate whether weekends are included.
8. Input the 'Contractor Name' along with their Michigan Certification number.
9. Enter the contact person's name and phone number for follow-up.
10. List the name of the Certified Lead Abatement Supervisor for the project along with their Michigan Certification number.
11. Provide the name and Michigan Certification number for the Risk Assessor.
12. Select the type of lead-based paint assessment conducted, choosing either 'Inspection', 'Assumed', or 'Risk assessment'.
13. Enter the 'Building Owner' name and their phone number.
14. Fill in the 'Project/Site Address' along with the corresponding city, county, and zip code.
15. Specify any apartment numbers associated with the abatement project.
16. Indicate the 'Occupancy Status', marking whether the building is 'Occupied' or 'Vacant'.
17. Select the 'Building Type' from the options provided: Single-family, Multi-family, or Child occupied facility.
18. Choose the 'Occupancy Type', indicating if it is 'Rental', 'Owner Occupied', or 'Vacant or unknown'.
19. If applicable, identify the housing agency funding the project along with a contact person's name and phone number.
20. Outline the 'Scope of Work', marking the relevant options such as Interior, Exterior, encapsulation, and any other work planned.
21. Provide a brief description of the scope of work, detailing tasks such as replacing windows or encapsulating baseboards.
22. After completing the form, save your changes. You may then download, print, or share the form as needed.

Complete the Notification Of Lead Abatement Activity form online to ensure your project complies with state regulations.