, Zip Code FORM E- FEE LEAD-FREE INSPECTION FEE PAYMENT FORM For Bank Use Only: (One Per Property) COMPT.OBJ. 5671629 MDE TRACKING #: CERTIFICATE #: INSP. ACCRED. #: PROPERTY #: DATE CERTIFIED LEAD-FREE: INSP. CONTRACTOR #: INSTRUCTIONS: It is the inspector’s responsibility to ensure that this form is complete and correct before giving it to the property owner. Prior to submitting, the inspector must complete the owner information below if there is no tracking number or if it is not .
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How to fill out the MD Form-E online
The MD Form-E is a crucial document for assessing lead-free certifications in properties. This guide will provide you with step-by-step instructions on how to accurately complete the form online.
Follow the steps to effectively complete the MD Form-E online.
- Click the ‘Get Form’ button to access the MD Form-E and open it in your online editor.
- Begin by entering the MDE tracking number in the designated field. If you do not have this number, contact the Maryland Department of the Environment for assistance.
- Fill in the certificate number. This information is essential for processing your form appropriately.
- Provide the inspector accreditation number, ensuring that it is input correctly to avoid processing delays.
- Enter the inspector's name using capital letters, as this needs to be printed clearly on the form.
- Input the MDE property number. This number helps identify the specific property being certified.
- Complete the site address section with detailed information, including the street number, street name, town, and zip code.
- For the inspection contractor, fill in their accreditation number and name, making sure all details are correct.
- In Section 1, provide the total number of units being certified, along with the total number of XRF readings and any inconclusive readings.
- In Section 2, check the appropriate box to indicate whether the exterior is lead-free or if it requires further inspections.
- Complete Section 3 by indicating whether factory applied coatings are present and entering the total number of paint chip samples collected.
- Sign the form to confirm accuracy and authenticity before certifying the lead-free status, then enter the date of certification.
- Once all fields are filled out, review the entire form for accuracy and completeness.
- Save your changes, then download or print the completed form for submission. You may also share it as needed.
Start completing your MD Form-E online now to ensure timely processing.
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