LEAD-BASED PAINT COMPLAINT FORM Recent Recalls PDF Files Parent Lead Fact Sheet 12VAC5-120-10 VA Code §32.1-46.1 Code of Virginia, Title 36, Chapter 6, §36-106 Name* Address (include: street address, city and zip code) Phone Fax Email* 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 activity Type of business Name and contact information of individual or company who is the subject of complaint:Name Address (include: street address, city and zip code) Phone Company name on vehicle Detailed description of activity resulting in this complaint:Anti-Spam
