Lead-Based Paint Complaint Form Lead-Based Paint Complaint Form Name*Address (include: street address, city and zip code)PhoneFaxEmail*When is the best time to reach you?Please describe in detail your complaint:Where is this lead-based paint activity occurring?Address (include: street address, city and zip code)Name (landlord, company, individual)Date and time of activityType of businessName and contact information of individual or company who is the subject of complaint:NameAddress (include: street address, city and zip code)PhoneCompany name on vehicleDetailed description of activity resulting in this complaint:CAPTCHA Last Updated: October 4, 2018
