completed by a State of Michigan licensed lead professional and submitted to the City of Detroit’s Buildings, Safety Engineering and Environmental Department, Property Maintenance Division. Include the following reports: Lead Based Paint Inspection; Lead Based Paint Risk Assessment; Remediation and Clearance Summary; and all related laboratory results must be submitted to complete reporting requirements . Subject Property Location: __________________________________________________________Det.

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How to fill out the MI Lead Activity Declaration online

The MI Lead Activity Declaration is an essential document that must be completed by a licensed lead professional in the State of Michigan. This guide will assist you in accurately filling out the declaration form online, ensuring compliance with all reporting requirements.

Follow the steps to complete your MI Lead Activity Declaration.

  1. Click 'Get Form' button to obtain the form and open it for online completion.
  2. Begin by filling out the subject property location. Provide the complete address, ensuring to include the city and zip code for Detroit.
  3. Enter the name of the risk assessor, their phone number, and state certification number. Be sure to double-check for accuracy.
  4. Complete the risk assessor's address, including city, state, and zip code. This helps ensure correct identification.
  5. Fill in the company name and provide a contact phone number to facilitate correspondence regarding lead activities.
  6. If the company's address differs from the risk assessor's, please include that information in the designated section.
  7. Provide the property owner's name and contact details, including their address. Accurate information is crucial for follow-up.
  8. Include the dates of lead inspection and lead hazard assessment. Documenting these dates is essential for compliance.
  9. Indicate whether lead-based paint hazards were identified. If yes, check the appropriate types — paint, dust, or soil.
  10. Answer if potential lead-based paint hazards were identified, and indicate if soil was sampled. If yes, specify the sampling type.
  11. If soil was not sampled, describe the reason in the provided space. Clarity in this section is important.
  12. Select the lead-based paint detection technique used, either by checking paint chip samples or identifying the serial number for XRF.
  13. Finally, acknowledge the accuracy of the information provided by signing and dating the form. Remember that full responsibility for the report lies with you.
  14. Once all sections are filled out, ensure to save your changes. You can also download, print, or share the completed form as needed.

Complete your MI Lead Activity Declaration online today to ensure compliance and proper reporting.

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