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Lead and Healthy Homes Division Home Visit Form RETURN WITHIN 10 BUSINESS DAYS (Please Print)Interviewer:Date of Home Visit:(Entrevistador)(Tech DE la visit domiciliary)Agency: (Agency)Person Interviewed:Relationship:(Persona
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Gather all necessary information such as full name, contact details, and address of the individual or family.
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Provide the necessary forms and documents required to fill out the application.
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Assist the individual or family in completing the application accurately and thoroughly.
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Submit the application to the appropriate department or agency responsible for lead and healthy homes assistance.
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Follow up with the individual or family to ensure that their application is processed and any further documentation or steps are provided as needed.

Who needs lead and healthy homes?

01
Individuals or families living in homes or properties that may have lead-based paint hazards.
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Individuals or families with young children or pregnant women who are at higher risk of lead poisoning.
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Low-income individuals or families who may require financial assistance for lead and healthy homes remediation.
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Homeowners or tenants who are concerned about the safety and health of their living environment.
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Lead and healthy homes refers to regulations and programs aimed at protecting families from lead exposure and ensuring that their homes are safe and healthy.
Property owners, landlords, or property managers are typically required to file lead and healthy homes forms.
To fill out lead and healthy homes forms, you will need to provide information about the property, any lead hazards present, and steps taken to address them.
The purpose of lead and healthy homes is to protect residents, especially children, from the harmful effects of lead exposure and ensure that homes are safe and healthy to live in.
Information such as the presence of lead hazards, steps taken to address them, and any testing or inspection results must be reported on lead and healthy homes forms.
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