Disclosure of Information on Lead-Based Paint and Lead-Based Paint Hazards – Ohio Court

The “Disclosure of Information on Lead-Based Paint and Lead-Based Paint Hazards” form ensures compliance with federal regulations regarding lead-based paint in housing built before 1978. It requires landlords to disclose known information about lead-based paint or hazards and to provide tenants with a federally approved pamphlet on lead poisoning prevention. Tenants must acknowledge receipt of this information and the pamphlet. The form includes sections for the lessor’s disclosure, lessee’s acknowledgment, and agent’s acknowledgment, ensuring all parties certify the accuracy of the information provided. This protects both landlords and tenants by promoting transparency and safety concerning lead-based paint hazards.

Filling out this form is crucial for compliance and ensuring tenant safety. Follow these steps to complete the form accurately:

Step 1: Lead Warning Statement

• Read the Lead Warning Statement at the beginning of the form. This section informs you about the potential hazards of lead-based paint in homes built before 1978.

Step 2: Lessor’s Disclosure

• Presence of Lead-Based Paint or Lead-Based Paint Hazards
  • Check the appropriate box:
    • If there is known lead-based paint or hazards, check the first box and provide a detailed explanation in the space provided.
    • If there is no known lead-based paint or hazards, check the second box.
  • Records and Reports Available to the Lessor
    • Check the appropriate box:
      • If you have records or reports about lead-based paint or hazards, check the first box and list all the documents in the space provided.
      • If you do not have any records or reports, check the second box.

Step 3: Lessee’s Acknowledgment

• Acknowledgment of Information

• Initial next to each statement:
  • (C) to confirm that the lessee has received copies of all the information listed above.
  • (D) to confirm that the lessee has received the pamphlet “Protect Your Family from Lead in Your Home.”

Step 4: Agent’s Acknowledgment

• Agent’s Responsibilities
  • The agent must initial next to (E) to confirm they have informed the lessor of their obligations under 42 U.S.C. 4852(d) and are aware of their responsibility to ensure compliance.

Step 5: Certification of Accuracy

• Sign and Date
  • The lessor, lessee, and agent must sign and date the form to certify that the information provided is true and accurate to the best of their knowledge.

Tips

• Ensure all parties involved read and understand each section before initialing and signing.
• Keep a copy of the completed form for your records.
• If you are unsure about any information or how to fill out the form, consult a legal professional for assistance.

By following these steps, you can ensure the Disclosure of Information on Lead-Based Paint and Lead-Based Paint Hazards form is filled out correctly, promoting safety and compliance with federal regulations.