Report Environmental Lead Violations


Online Complaint Form

To report suspected environmental lead violations please complete this form or call 866-865-3233. Information you submit will be forwarded to enforcement inspectors for follow up. Please provide as much information as possible.

Anonymous complaints You may submit an anonymous complaint. However, additional information may need to be obtained and without contact information KDHE inspectors may not be able to follow up on the complaint.


YOUR CONTACT INFORMATION

Name:

Phone:

Email Address


WHO IS THE COMPLAINT AGAINST

SUSPECTED VIOLATORS INFORMATION

Company/individual name:

Address:

City: State: Zip:

Phone:

The Supsected Violator is a:(check all that apply)
  If Other please specify.



COMPLAINT INFORMATION

VIOLATION DETAILS **Occurance Date and Address where violation occured are required.**
Occurance Date(s): Time:
 
The work involving the violation is:
Location the violations occured at:

Address:  

City: State: Zip:
     
Were pictures taken documenting the violation(s): Maximum image file size = 4MB
Image file types accepted - jpg, jpeg, png, bmp, tiff, gif
Maximum number of files accepted = 4



Did you recieve the Renovate Right book prior to renovation work starting at your residence:

What type of work was being performed? (check all that apply)







Did the suspected violator use a lead test kit to determine if lead based paint was present on the property?

Were signs posted on the property warning occupants and other persons to remain outside of the work area?

Was the work area isolated? Such as plastic covering doors, windows, HVAC ducts and on the ground; doors and windows within and surrounding the work area were closed.

Were the personal belongings of the property occupants removed from the work area prior to work beginning?

Were any of the following practices used? (check all that apply)




Was the waste from the renovation work collected and contained to prevent access to and the release of debris? Such as wrapped in plastic, in a covered dumpster, etc.

At the conclusion of the renovation activities was the work area cleaned with a HEPA vacuum and/or with a damp cloth/wet mopping system?

Please list any additional information you would like to submit below.

**If you wish to submit pictures please make sure they are selected**