Program Documents & Forms

Policies, Procedures, and Exhibits

• Lead Hazard Control Grant Program NOFA
• Washington State LHCGP Work Plan
• Form 01 LHCGP Operational Procedures
• Exhibit 1 WAC 365-230
• Exhibit 2 24 CFR Part 35 Subpart R
• Exhibit 3 Dust Wipe Sample Standards
• LHCGP Questions and Answers
• Specifications

Environmental Review

• Appendix A 2005 Rehabilitation Environmental Review - HUD's Form
• Appendix A 2005 RER Instructions and Additional Questions - CTED's Form
• Environmental Disposition Owner Disclosure Form

Implementation Training Manual Documents and Forms

• Form 02-Lead Hazard Control Rules and Guidelines Pamphlet
• Form 03 Property Evaluation Checklist
• Form 04 Soundness of Structure
• Form 05 Building Dwelling Info
• Form 06 Homeowner Letter
• Form 07 Interview Questionnaire
• Form 08 Landlord and Tenant Questionnaire
• Form 09 Tenant Info
• Form 10 Tenant Family Composition
• Form 11 Authorization to Obtain Verification of Income
• Form 12 CTED's Release of Information Form
• Form 13 Verification of Benefits
• Form 14 Request for Verification of Employment
• Form 15 Verification of Deposit
• Form 16 Request for Banking Information
• Form 17 Rental Income
• Form 18 Verification of Ownership
• Form 19 Optional Information Form
• Form 20 Grievance Procedure
• Form 21 Acknowledgement of Temporary Relocation
• Form 22 Info Received
• Form 23 Project Descriptions Historic
• Form 24 Floodplain
• Form 25 Pre Non Approval
• Form 26 Non Approval Letter
• Form 27 Contractor Questionnaire
• Form 28 Acceptance of Specifications
• Form 29 Bidder's Affidavit
• Form 30 Successful Bidder Form
• Form 31 Non-Successul Bidder Form
• Form 32 Award Letter
• Form 33 Contractor Acceptance
• Form 34 Acceptance of Contractor
• Form 35 Loan-Grant-Matching Funds Worksheet
• Form 36 Receipt of Matching Funds
• Form 37 Allocation of Funds
• Form 38 Compliance with Stipulations Rental Property           
• Form 39 Owner-Contractor Agreement Contract
• Form 40 Certification of Contractor Insurance
• Form 41 Notice to Proceed
• Form 42 Notice for Pre-Construction Conference
• Form 43 Nondisplacement
• Form 44 General Info Notice
• Form 45 Notice of Nondisplacement
• Form 46 Thirty Day Notice to Move
• Form 47 Relocation Process
• Form 48 Change Order
• Form 49 Filing of Grievance
• Form 50 Five Day Notice to Contractor
• Form 51 Clearance Examination
• Form 52 Punch List
• Form 53 Request for Payment
• Form 54 On-Going Monitoring and Maintenance
• Form 55 Contractor Report  
• Form 56 Satisfaction of Completed Work
• Form 57 Contractor's Guarantee
• Form 58 Warranty Complaint Registration
• Form 59 Compliance with Contractor's Guarantee
• Form 60 Disposition of Funds
• Form 61 Case Completion Acknowledgement
• Form 62 Notice to Consultant to Schedule Appointment
• Form 63 Acknowledgement of Non-Guarantee of Funding

Sample Documents

• Spokane Neighborhood Action Programs Blood Lead Test Release Form
• Opportunity Council Blood Lead Test Release Form