Free Lead Based Paint Disclosure Form

Take advantage of our Lead-Based Paint Disclosure form in PDF to let a tenant or buyer know of any lead-based paint on the property. Our template allows you to create your legal document with ease.

Templates created by legal professionals

Customize your documents quickly & easily

24/7 free phone & email customer support

Trusted by 2,578 users.

update icon

Last Update March 13th, 2024


Fill forms in a few steps

print icon

Save, print, & download

time icon

Done in 5 minutes

What Is a Lead-Based Paint Disclosure

A Lead-Based Disclosure form is a legal document that alerts a buyer or renter of a home that lead-based paint is found on that property. 

The EPA and the federal government require Lead-Based Paint Disclosure forms to be issued to renters and buyers when selling or renting a house built before 1978

The EPA fact sheet explains why you need to give buyers and renters this form, as well as what information is required on it.

Lead-based paint is a special kind of paint that was used before 1978. It contains lead, which can cause serious health problems if it gets into your body. 

For this purpose, landlords must provide all known information regarding lead-based paint to their tenants before they sign a lease agreement. 

Use our free Lead-Based Paint Disclosure form to effortlessly provide any critical information to your tenant.

Lead Disclosure Rule

Lead-based paint has not been allowed since 1992 after the U.S. Consumer Product Safety Commission banned it in 1992 (16 CFR 1303) in the Residential Lead-Based Paint Act.  

The Department of Housing and Urban Development and the EPA listed requirements for landlords and anyone selling their homes because of this act. 

As a landlord or home seller, you are required to do the following: 

  • Provide the EPA-issued lead-based paint pamphlet
  • Provide information regarding any known lead-based paint on the property
  • Disclose records of lead-based paint reports
  • Submit the Lead-Based Paint Disclosure form to the lease
  • Keep all the signed records for at least three years

You must comply with these requirements based on section 1018 of the Residential Lead-Based Paint Act.

EPA Pamphlet

The Lead-Based Paint Disclosure Rule requires sellers and lessors (landlords) of target housing to provide purchasers and tenants with an EPA-approved lead hazard information pamphlet and a federally-approved lead hazard information statement. 

The EPA pamphlet helps buyers identify homes that have lead-based paint hazards.

Using the pamphlet, you can know what to avoid and your rights as a renter or buyer when you plan to live in a property built before 1978. 

How to Fill Out a Lead Based Paint Disclosure Form

When creating a Lead-Based Disclosure form, it is essential to include all information regarding lead-based paint. The other party must also acknowledge or disclose all relevant information before signing. 

To create a valid disclosure of information on the Lead-Based Paint form, you must include the following: 

  • Seller or Landlord’s disclosure: The landlord must acknowledge that there are or are not known lead-based paint or lead-based paint hazards in the residence.
  • Buyer’s or Renter’s acknowledgment: As the buyer or renter, you can mark that you have received the information regarding lead-based paint and the EPA pamphlet.
  • Agent’s acknowledgment: If there is a real estate agent involved they must certify they let the landlord know what their responsibilities are under § 42 U.S. Code 4852d.
  • Signatures and date: Once all steps are completed, all parties must sign and date the form.

Download LawDistrict’s Lead-Based Paint Disclosure form in PDF format to ensure the process of creating this form is error-free. 

Lead-Based Paint Inspection

All landlords or sellers should have an inspection carried out on the property before leasing or completing a transaction. 

The inspection should be completed by using the EPA’s Inspection, Risk Assessment, and Abatement Firms Locator. 

This will tell you if the home has lead-based paint and where it is located within the property. 

An inspector will use methods such as: 

  • Portable x-ray fluorescence machine
  • Lab tests of paint samples

Using an inspector will let you know how much lead-based paint is present. 

Lead-Based Paint Hazard Act exemptions

If you are interested in leasing or selling your property, you do not necessarily need to disclose any information regarding lead-based paint. 

You do not have to supply a Lead-Based Paint Disclosure form if any of the following applies to your property: 

  • Property was built after January 1, 1978
  • Homes that do not include a bedroom (studios, lofts, etc.)
  • Rental contracts that conclude within 100 days
  • Property that has been examined by a state-certified inspector
  • Elderly homes where no children under the age of six reside
  • Residences for the disabled where no children under the age of six reside

Lead-Based Paint Disclosure Sample

To further help you understand what is needed when creating a Lead-Based Disclosure form we have included an example of the document below. 

Review the sample below to understand how to structure your document. 

view preview icon
Lead-Based Paint Disclosure Sample

Other Real Estate Documents

Other legal documents can help you in this situation or similar circumstances. 

Knowing certain documents related to a Lead-Based Disclosure form can help you avoid unnecessary legal fees and save you time during this process. 

Here are some similar real estate documents that can help both landlords and tenants

It is essential to use the correct documents when buying, renting, or selling real estate. 

FAQs About Lead-Based Paint Disclosures

To clear up any doubts that you still have regarding Lead-Based Paint Disclosure forms, we have answered the most common questions on the matter. 

Look over the following answers to remove any doubts you may still have.

How to get a Lead-Based Paint Disclosure template?

The most typical way to get a Lead-Based Paint Disclosure form is by going to a lawyer. 

However, this typically means paying excessive legal fees and can lead to long waiting times. 

Avoid this by using our Lead-Based Paint Disclosure template available in PDF format to make the entire process much simpler.  

With LawDistrict’s template, you can create an error-free form at a much lower cost.

Are Lead-Based Paint Disclosures required before a landlord renovates a rental property?

Yes, landlords are required to disclose information regarding lead-based paint to their tenants if they are renovating a property that is currently being occupied. 

If the renovation interacts with painted surfaces, the tenants must receive information regarding lead-based paint and hazards. 

They must receive this information within 60 days of the renovation start date.

Use our Lead-Based Paint Disclosure template to create your document and correctly notify your tenants.

view preview icon
Lead-Based Paint Disclosure Sample

You are only a few steps away from your own Lead Based Paint Disclosure!

Download our professional examples

Preview of your Lead Based Paint Disclosure

For the property located at: _________
Lead Warning Statement

Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, landlords must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Tenants must also receive a federally approved pamphlet on poisoning prevention.
Landlord's Disclosure

(a) Presence of lead-based paint and/or lead-based paint hazards (Check (i) or (ii) below):
          (i) _____ Known lead-based paint and/or lead-based paint hazards are present in the housing (explain): ______________________________________________
          (ii) __X__ Landlord has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.
(b) Records and reports available to the landlord (Check (i) or (ii) below):
          (i) _____ Landlord has provided the Tenant with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents): ______________________________________________

          (ii) __X__ Landlord has no reports or records pertaining to lead-based paint and/or lead based paint hazards in the housing.

Tenant's Acknowledgment (initial)
(c) _____ Tenant has received copies of all information listed above.
(d) _____ Tenant has received the pamphlet Protect Your Family From Lead In Your Home.

Certification of Accuracy
The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.
Acknowledged by Landlord:



Acknowledged by Tenant:



Try LawDistrict Now

Instant and complete access to our entire library of legal forms

Edit, download and print in PDF and Word format from any device

Save time and money on legal document creation offers several models of legal documents for different necessities. By responding to a set of questions through our online document editor you can easily complete and obtain your customized legal document. Please be advised: we are not a law firm and, therefore, cannot provide any official legal advice. If further legal assistance is required, we recommend that you contact an attorney or a law firm specializing in the matter. Our private services are provided for a fee, that in no event includes lawyer, attorney, notary public or registrar fees. The user takes sole responsibility for the use of the legal documents provided. By paying and using our private services you confirm that you acknowledge the above statements.

© Copyright 2024 All Rights Reserved.