410-537-3825 1-800-633-6101 www.mde.state.md.us FORM H- INVENTORY OF LEAD PAINT CERTIFICATES (Form 330s) This form is to be used by the inspector/contractor, upon request by MDE, to provide information of the distribution of MDE form 330s that were issued from MDE to the inspector/contractor. Please fax this form to: 410-537-3156 or mail to: Maryland Department of the Environment, Lead Poisoning Prevention Program, 1800 Washington Blvd., Suite 630, Baltimore Maryland 21230. Use F.
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How to fill out the MD MDE/LMA/CER.059 online
Completing the MD MDE/LMA/CER.059 form is a straightforward process that ensures accurate reporting of lead paint certificate distribution. This guide provides comprehensive and user-friendly instructions for filling out the form online.
Follow the steps to fill out the MD MDE/LMA/CER.059 form online effectively.
- Press the ‘Get Form’ button to acquire the form and open it in your editing interface.
- Begin by entering the contractor name in the designated field at the top of the form. Ensure the name is accurate and matches the accreditation records.
- Input the accreditation number of the contractor in the next field, providing the correct identifier as issued by MDE.
- Next, enter the printed name of the inspector responsible for the lead paint certificates. This is vital for accountability.
- Fill in the inspector's accreditation number in the corresponding section. Verify this information is correct to avoid processing delays.
- The inspector must sign the form in the designated signature area. This signature indicates that the information provided is accurate.
- Include the current date in the specified field. This date reflects when the form was completed.
- Provide the inspector's contact phone numbers in the appropriate field to facilitate communication, if necessary.
- List the certificate numbers numerically in the section provided. This list should include all relevant certificates distributed or voided.
- Indicate the distribution date for each certificate by marking whether it was issued or voided in the respective areas.
- If additional certificates need to be recorded, use the Form H - Inventory of Lead Paint Certificates Appendix provided at the end of the document.
- After completing all sections, save your changes. You can then download, print, or share the form as needed.
Complete and submit your MD MDE/LMA/CER.059 form online today to ensure compliance with lead poisoning prevention regulations.
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