Get Pa Certification Of Lead Safe Status

The PA Certification of Lead Safe Status is an official document that confirms a dwelling meets safety standards regarding lead contamination. This guide provides clear, step-by-step instructions for filling out the form online, ensuring you understand each component involved.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing the address of the dwelling. Fill in the street name, apartment number or floor, and zip code in the designated fields.
3. Next, enter the certifying company or individual’s name in the appropriate section. Ensure that you also include the PA license number or EPA Lead Dust Sampling Technician Certificate number.
4. In the next section, the inspector or risk assessor must sign their name. This signature confirms the completion of a visual inspection and the collection of dust wipe samples.
5. Record the date of verification. This date is essential as the certificate is valid for 24 months from this date.
6. Fill out the owner's name and address along with their housing inspection license number in the relevant fields.
7. In the acknowledgment section, include the tenant/lessee's name, ensuring they sign and date it to confirm receipt of the certification.
8. Lastly, review all entries for accuracy, then proceed to save your changes. You may also download, print, or share the form as needed.

Complete your documents online today to ensure compliance and safety.