Lead-Based Paint Disclosure Checklist (For pre-1978 properties)

Ensure legal compliance! Download our free Lead-Based Paint Disclosure Checklist for pre-1978 properties. Protect yourself and your clients - easily navigate disclosure requirements & avoid penalties. Real estate professionals, landlords, & sellers, get yours now!

This Template was installed 5 times.

Display Style

Property Information

1 of 6

Details about the property being transferred.

Property Address

Year Built (approximate)

Date of Ownership Transfer (Estimated)

Legal Description (if available)

Property Type

Seller's Name(s)

Buyer's Name(s)

Seller's Disclosures

2 of 6

Statements and information provided by the seller regarding lead-based paint hazards.

Known Lead-Based Paint or Hazards?

Description of Known Lead-Based Paint or Hazards (if any)

Details of any Lead-Based Paint Inspections or Risk Assessments performed on the property.

Details of any repairs or remediation work performed to address lead-based paint hazards.

Date of most recent lead-based paint inspection/risk assessment (if applicable)

Any other relevant information regarding lead-based paint or hazards on the property.

Upload of any prior inspection reports (optional)

Disclosure of any known lead-based paint on removable surfaces (e.g., doors, trim)

Buyer's Acknowledgements

3 of 6

Confirmations from the buyer acknowledging receipt of the disclosure and understanding of lead-based paint risks.

I/We have received a copy of the Lead-Based Paint Disclosure Form.

Buyer's Acknowledgment of Receipt and Understanding

Did you/your inspector conduct a risk assessment or inspection?

If yes, briefly describe the findings of the risk assessment/inspection (if any).

Do you intend to take any corrective actions regarding lead-based paint?

Date of Acknowledgement

Buyer's Signature

Inspection/Risk Assessment (Optional)

4 of 6

Documentation of any lead-based paint inspection or risk assessment performed, if applicable.

Inspection/Risk Assessment Date (if performed)

Summary of Inspection/Risk Assessment Findings (if performed)

Copy of Inspection Report (if available)

Type of Assessment Performed (if applicable)

Description of Areas with Potential Lead-Based Paint Hazards (if identified)

Estimated Lead Dust Levels (ppm) in Affected Areas (if measured)

Recommended Remediation Actions (if any)

Photos of Areas with Potential Lead Hazards (Optional)

Signatures & Dates

5 of 6

Space for all parties to sign and date the disclosure form.

Seller Signature

Seller Signature Date

Buyer Signature

Buyer Signature Date

Agent Signature (Seller's Agent)

Agent Signature Date (Seller's Agent)

Agent Signature (Buyer's Agent, if applicable)

Agent Signature Date (Buyer's Agent, if applicable)

Appendices/Supporting Documents (if any)

6 of 6

List of any additional reports or documents attached to the disclosure.

Lead-Based Paint Inspection Report

Lead-Based Paint Risk Assessment Report

Summary of Previous Repairs/Removals (if any)

Type of Remediation (if any)

Date of Remediation (if applicable)

Name of Contractor (if remediation occurred)

Estimated Square Footage of Affected Areas (if known)

Description of Areas with Known Lead-Based Paint

More about this Template Audit/Inspection Management

Frequently Asked Questions

Can I customize this template after installing it?

Absolutely. Once installed, you can add, remove, or reorder tasks, add custom fields, and adjust deadlines to fit your specific workflow.


Can I add images or photos to these checklist items?

Yes. Our platform allows you to attach photos, signatures, and notes to any checklist item for better verification and proof of completion.


Can I create a custom checklist from scratch instead of using a template?

Yes. You can use our "Create your own checklist" feature to build a unique workflow tailored exactly to your operational requirements.


Can I add dependencies between tasks?

Yes, you can set up conditional logic and dependencies to ensure your team follows the correct sequence of operations.


Can I assign specific checklist items to different team members?

Yes. You can assign individual tasks to specific employees, ensuring clear accountability across your entire team.


Can I use these checklists on mobile devices in the field?

Yes. Our platform is fully responsive, allowing your team to complete, update, and upload photos to checklists directly from any smartphone or tablet.


How do I notify my manager when a checklist is completed?

You can set up automated notifications (via email, push notification, or in-app alerts) to trigger whenever a checklist is finished or if an item fails inspection.


Can multiple people work on the same checklist simultaneously?

Yes, the platform supports real-time updates, allowing multiple users to contribute to a single live checklist.


Where is the data from completed checklists stored?

All completed checklists are stored securely in your Work OS dashboard, creating a permanent, searchable audit trail of your operations.


Can I generate reports based on my checklist results?

Yes. You can track completion rates, identify recurring issues, and monitor team performance through our integrated reporting and analytics tools.


How can I use these checklists for compliance or auditing purposes?

Because our checklists capture timestamps, photos, and digital signatures, they serve as a robust digital paper trail for regulatory compliance and internal audits.


Can I export my completed checklist data for use in other tools?

Yes. You can export your data in various formats (CSV, Excel, etc.) to integrate your operational insights with your other business software.


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