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Lead Hazard Control Program Interest Form

  1. A new cycle of grant funding for the Lead & Healthy Homes Program will begin in 2019. Applications are not being taken at this time. Please complete the following form to indicate your interest in participating in the Lead & Healthy Homes Program. You will be contacted by Program Staff when applications and more details are available. Thank you.

  2. Property Information

  3. I'm interested in applying for the Lead & Healthy Homes Program for a:*

  4. If you selected "rental" above, has your rental property passed a City of Dubuque rental licensing inspection in the last two (2) years?*

  5. Please list street addresses only.

  6. Property Owner Contact Information

  7. Leave This Blank:

  8. This field is not part of the form submission.