Apply for Lead-Safe Certificate

Lead-Safe Certificate Application

Check Before You Apply

We’ve received a number of duplicate applications for Lead-Safe Certificates from properties that already have a valid certificate on file.

Before submitting a new application, please take a moment to check whether your property already has a Lead-Safe Certificate. Submitting a duplicate application may cause unnecessary delays in processing and could result in additional fees.

If you’re unsure whether your property has a current certificate, please [Contact Us] with the property address, and we’ll be happy to check for you.

Thank you for helping us keep the process efficient and accurate!

BEFORE YOU APPLY: REQUIRED CLEARANCE PACKETS DOCUMENTS

A Lead Safe Certificate cannot be issued unless a complete clearance packet is uploaded with your application.
Incomplete or incorrect submissions will delay processing or result in denial and refund.

Please review the requirements below before submitting your application.

What Your Clearance Packet Must Include

Each Lead Safe Certificate application must include one complete clearance packet per unit.

A complete packet includes all of the following:

Signed clearance examination report
The report must be signed and dated by a licensed Ohio Clearance Technician, Lead Inspector or Risk Assessor.
Dust wipe laboratory results
Results must be from an EPA-recognized laboratory and meet applicable clearance standards.
Chain of custody form
The chain of custody must match the laboratory results submitted.
Floor plan(s)
Floor plans must clearly label each room and identify where dust wipe samples were collected.
Multi-story units must include a floor plan for each level.
Exterior photographs – Sides A, B, C, and D
Colored photos are required for all properties and must clearly show exterior side of the structure.
Sampling date(s)
Sampling dates must be clearly identified and consistent across the report and lab results.

Important Application Rules

One unit = one application = one clearance packet
Multi-unit properties must submit separate applications and clearance packets for each unit.

Property Information
To help find property information, visit the Lucas County Auditor’s AREAIS online database at icare.co.lucas.oh.us/lucascare.
Owner Name*
Year Property Built*
(Only properties built before 1978 are subject to the ordinance.)
Please enter a number from 1700 to 1977.
Property Address*
Street Address Unit # or location (e.g. lower/upper) City State ZIP Code
Parcel #*
(Available on AREIS website).
Census Tract #:
Is this property a...
- Rental
- Family Childcare Home
Have you registered this rental property with the Lucas County Auditor?
How many rental units are at this property address?*
(Only 1-4 unit rentals are subject to the ordinance; a single-family home is considered 1 unit.)
Please enter a number from 1 to 4.
Contact Information
Provide owner’s and designated agent’s (if any) information required under Chapter 1760 of Toledo Municipal Code. It is the Owner's obligation to notify the City of Toledo, Department of Housing and Community Development, in writing, of any change in the name, address, telephone number, and/or email address of any Agent designated within sixty (60) days after the change occurs. We will mail your Lead-Safe Certificate to the Owner’s email address.
Owner's Name*
First Last
Owner's Phone Number*
Owner's Mailing Address*
Street Address Address Line 2 City State ZIP Code
Owner's Email Address*
Designated Agent’s Name
(Required for all owners outside of Lucas County, must be a natural person, not a business entity, at least 18 years of age and of sound mind.)
First Last
Agent's Phone Number
Agent's Mailing Address
Street Address Address Line 2 City State ZIP Code
Agent's Email Address
Local Lead Inspection Information
What kind of Lead-Safe Certificate are you applying for?*
Clearance upload: After selecting your certificate type, a Browse button will appear below to upload your clearance examination report.
UPLOAD: Passing Lead-Safe Inspection Report*
(5-year Lead-Safe Certificate)
Accepted file types: pdf, doc, jpg, png, Max. file size: 50 MB.
Date of Local Lead Inspection or Certified Abatement*
MM slash DD slash YYYY
Name of Local Lead Inspector who performed Lead-Safe Report testing or Risk Assessor who Certified Abatement*
UPLOAD: Proof of Certified Abatement/Lead-Free at Property
(20-year Lead-Safe Certificate)
Accepted file types: pdf, doc, jpg, png, Max. file size: 50 MB.
Final Checklist
Applicant's E-signature*
First Last
Relationship to Owner*
Today's Date*
MM slash DD slash YYYY
Total
A credit card processing fee of 2.9% + 30¢ will apply to online transactions. Processing fees are non-refundable. 5 and 20-year certificates are $25 + $1.06 fee; reissues are $10 + $0.61 fee.
$0.00
Credit Card*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Important Submission Notice*
Please click the SUBMIT button only once.
Submitting the form multiple times or refreshing the page may result in duplicate charges.

If you receive an error message after submitting, do not resubmit or refresh the page. Instead, please complete the Contact Us form to verify whether your payment and application were successfully received. When completing the Contact Us form, be sure to include the property address so we can research the issue prior to responding.

A staff member will follow up within 2 business days.
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