Lead-Based Paint Complaint Form Lead-Based Paint Complaint Form 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:CAPTCHA
