Tenant Lead Law Notification  
What lead paint forms must owners of rental units give to tenants?
All tenants who live in units built before 1978 must be given two copies of this Tenant Lead Law Notification and Tenant Certification Form (other side). If any of the following documents exist for the unit, tenants must also be given a copy of them: lead inspection or risk assessment report, Letter of Compliance, or Letter of Interim Control.

When do owners have to give tenants these forms?
New tenants must be given the forms before entering the rental agreement, beginning September 1, 1995. Current tenants must be given the forms during the one year period starting December 1, 1995 at the time of lease renewal, or if there is no lease, any time during the year, but no later than December 1, 1996.

What is lead poisoning, and how do children become lead poisoned?
Lead poisoning is a disease. Lead can make children, especially those under six years old, very sick and can cause learning and behavior problems. Lead is often found in paint on the inside and outside of homes. The main way a child can get lead poisoned is from swallowing lead paint dust and chips. A child can also get lead from other sources, such as soil and water, but these rarely cause lead poisoning by themselves. The only way to tell for sure that a child is lead poisoned is to have his or her blood tested. Your doctor, other health care provider or Board of Health can do this. A lead poisoned child will need medical care. A home with lead paint must be deleaded for a lead poisoned child to get well.

What can you do to prevent lead poisoning?
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What does the Lead Law require the owner of a home to do if a child under six years old lives there?
An owner of a home built before 1978 must have the home inspected for lead if a child under six years old lives there. If lead hazards are found, it must be deleaded or brought under interim control. A licensed deleader has to do all removal of leaded paint, and all other high-risk work. The owner or someone who works for the owner who is not a licensed deleader can do certain low-risk deleading and interim control work. After the work is done, the lead inspector or risk assessor issues a LetLetter Compliance or Letter of Interim Control. The owner must make sure there is no peeling paint anytime after getting a Letter of Compliance or Letter of Interim Control.

What is a Letter of Compliance?
It is a legal letter that says either that there are no lead paint hazards or that the home has been deleaded. The letter is signed and dated by a licensed lead inspector.

What is a Letter of Interim Control?
It is a legal letter that says work necessary to make the home temporarily safe from lead hazards has been done. The letter is signed and dated by a licensed risk assessor. It is good for one year, but can be renewed for one more year. The owner must fully delead the home and get a Letter of Compliance before the end of the second year .


Tenant Certification Form

I (tenant) certify that I have received the following: (check all that you received)
____ Tenant Lead Law Notification(on reverse side or on separate sheet)
____ Lead Inspection Report
____ Risk Assessment Report
____ Letter of Interim Control
____ Letter of Compliance

Tenant Information (Please Print):

Name_________________________________________________________________

Street____________________________________ Apt.______________________

City/town____________________________________________________________

Tenant's Signature________________________ Date______________________ Owner/Managing Agent Information (Please Print):

Name_________________________________________________________________

Street____________________________________ Apt.______________________

City/town_________________________________ State__________ Zip_______

Telephone #__________________________________________________________

Owner's/Managing Agent's Signature___________________ Date___________

____ I (owner/managing agent) certify that I provided the Tenant Lead Law Notification/ Tenant Certification form and any existing lead law documents to the tenant, but the tenant refused to sign this certification. The tenant gave the following reason: _________________________________________________________________
_________________________________________________________________

The Massachusetts Lead Law prohibits rental discrimination, including refusing to rent to families with children or evicting families with children because of lead paint.

This form is also available from the Childhood Lead Poisoning Prevention Program in the following languages: Cambodian, Chinese, Haitian Creole, Laotian, Portuguese, Spanish, and Vietnamese.

The Massachusetts Department of Public Health's Childhood Lead Poisoning Prevention Program (CLPPP) has additional information on a full range of topics related to lead poisoning prevention, tenants ' and owners' rights. and responsibilities under the Lead Law and Regulations, financial assistance for owners, and safe deleading and renovation work. CLPPP can be reached at 1-800-532-9571. More information is also available from your local lead poisoning prevention program, or your local Board of Health.

Tenant and owner must each keep a completed and signed copy of this form. Form. CLPPP 95-17-7\95