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Program Policies and Procedures and Forms for Lead-Safe Home Remediation Grant Program
Lead-Safe Home Remediation Policy Appendix
The following Forms are DCA issued forms and are to be used by all participating Lead agencies. These documents are not to be altered and are required in all client files when applicable.
Policy and Procedures for Lead-Safe Home Remediation Grant Program
Chapter 1- Chapter 1 Application Intake Process to Applicant Approval
Chapter 2 - Procurement Process
Chapter 3 - Program Management and Operations
Lead Remediation and Abatement Program Workflow
How to Verify Categorical Eligibility with HUD Qualified Census Tract Status
Forms for Lead-Safe Home Remediation Grant Program
Chapter 1 - Confirmation of Receipt of Lead Pamphlet Form
Chapter 1 - Right of Entry Form | Formulario para Permiso de Entrada
Chapter 1 - Owner’s Permission for Lead Remediation Form | Autorización del Propietario para Remediación o Reducción del Plomo
Chapter 1 - Certification of No Social Security Number Form
Chapter 1 - Income Self-Certification Form | Certificación del Solicitante para LRAP
Chapter 1 - Certification of No Income | Declaración Jurada sobre Cero Ingresos
Chapter 1 - Tenant Lease Verification Form
Chapter 1 - Landlord Tenant Lead-Safe Remediation Agreement
Chapter 1 - Vacant/Unoccupied Unit Certification Form
Chapter 1- Lead Test Form
Chapter 1- Lead Client Sign Off Form
Chapter 2 - Responsible Contractor Certification
Chapter 2 - Bid Review Checklist
Chapter 2 - Justification of Selection of Contractor
Chapter 2 - Non-Collusion Affidavit of Prime Bidder
Chapter 2 - Contractor Registration Application
Chapter 2 - Affirmative Action Affidavit
Chapter 3 - File Content and Compliance Checklist
Chapter 3 - Rework Approval Form
Chapter 3 - Approval to Exceed Maximum Allowable Cost Per Unit
Top PageSelf Certification Forms
LRAP Income Self Certification Form | Certificación del Solicitante para LRAP
Property Owner Self-Certification for Over-Expenditure Request
Agency Travel Reimbursement Form
State Monitor Forms
State Monitor Final Inspection Report
LRAP Weekly Report
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