Disclosure of Information on Lead-Based Plaint and Lead-Based Paint Hazards/Lead Warning Statement Form 2.53.5032

This Disclosure of Information on Lead-Based Paint and Lead-Based Paint Hazards/Lead Warning Statement can be used by a landlord to provide a federally compliant lead warning statement and disclosure to tenant for any dwelling built prior to 1978. When serving the form on a tenant, Landlords that use this form should serve tenant a copy of the Environmental Protection Agency’s pamphlet referred to in the form. The estimated time for a landlord to print and complete the form should be under 5 minutes.