Form FLD, Lead Based Paint Hazards Disclosure, Acknowledgment, & Addendum For Pre-1978 Housing Sales, Leases, Or Rentals

Forms are hard copy only and not provided digitally. All sales on single forms are final.

Sale or Purchase: Notifies an interested purchaser of a residential dwelling, built prior to 1978, that such property may present exposure to lead from lead based paint that may place young children at risk of developing lead poisoning. 

Lease or Rental: Before renting pre-1978 housing, Lessors must disclose the presence of lead based paint and/or lead based paint hazards in the dwelling. Lessees must also receive a federally approved phamphlet on lead poisioning prevention. 

Also available (sold separately): "Protect Your Family From Lead In Your Home" pamphlet and "Combined Hazards Book" Booklet. Each pamphlet and booklet has a receipt confirmation page that can be signed and dated for their records. 

Revised November 2010


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