EPA New England Lead-Based Paint Disclosure Rule Tip/Complaint Form

All questions, tips or complaints about lead in drinking water should be directed to the Safe Drinking Water Hotline.

Directions: Complete as much as possible.

This form is for alleged violations in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont.

For alleged violations in a U.S. state not listed above, contact EPA using our Report Environmental Violations page.

1.

(a.) Name, Address, and Telephone Number of Alleged Violator(s)

Click for alleged violations occurring in a U.S. state not listed here.

Did the sale or rental involve a Seller's Agent or Lessor's Agent?

(b.) Address of Sale or Rental Property

(c.) Your Name, Address, and Telephone Number

2. General Information

(a.) Was the residence built before 1978? *
(b.) Do children currently live in the residence? *
(d.) Are there children with elevated blood lead levels at this address? *

3. Sales Transaction

4. Rental Transaction

(a.) Is the lease agreement written or unwritten?

5. Lead Disclosure

(a.) Did the Buyer/Tenant receive any information about lead-based paint/lead-based paint hazards? *
(b.) Did the Buyer/Tenant receive an EPA-approved lead hazard information pamphlet? *

6. Comments

Lead

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Last updated on September 10, 2024