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Emergency Solutions Grant Lead Screening Worksheet About this Tool The ESG Lead Screening Worksheet is intended to guide subgrantees (who are providing homeless prevention or rapid rehousing assistance)
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How to fill out hprp lead screening worksheet

01
To fill out the HPRP Lead Screening Worksheet, follow these steps:
02
Gather all necessary information: You will need information such as the client's name, address, contact information, and household members.
03
Begin with Section 1: Client Information: Fill in the client's name, date of birth, address, and contact information.
04
Move to Section 2: Household Members: List all household members and provide their respective information.
05
Proceed to Section 3: Lead Screening Assessment: Answer the questions related to lead exposure and risk factors for each household member.
06
Continue with Section 4: Lead Hazard Control Measures: Document any lead hazards that have been identified and the actions taken to address them.
07
Complete Section 5: Services Provided: Specify the services provided to the client and any referrals made.
08
Review the completed worksheet for accuracy and make any necessary revisions.
09
Save a copy of the filled-out worksheet for record-keeping purposes.

Who needs hprp lead screening worksheet?

01
The HPRP Lead Screening Worksheet is needed by individuals or organizations involved in the Homelessness Prevention and Rapid Re-Housing Program (HPRP). This includes case managers, outreach workers, and service providers who work with individuals and families at risk of homelessness or who are currently experiencing homelessness.
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The HPRP lead screening worksheet is a document used to assess potential lead exposure risks for individuals participating in the Homelessness Prevention and Rapid Re-Housing Program.
All individuals seeking assistance through the HPRP program are required to complete and submit the lead screening worksheet.
To fill out the HPRP lead screening worksheet, participants must provide accurate information regarding their living conditions, potential sources of lead exposure, and any previous testing for lead exposure.
The purpose of the HPRP lead screening worksheet is to identify individuals at risk of lead exposure, provide appropriate referrals for testing and intervention, and ensure the safety of program participants.
The HPRP lead screening worksheet requires participants to report their current living situation, any known sources of lead contamination, past lead exposure history, and any symptoms of lead poisoning.
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