Once you have determined if your property is eligible for free lead safety services, simply fill out the form below so we can verify the age of the home, your income level, and/or the age of children living in the home.
English Rental Application
Spanish Rental Application
You can submit completed applications via mail, fax, email, or feel free to hand-deliver to the Lead Safe Housing Program:
2001 S. State Street, Suite S2-810
P.O. Box 144575
Salt Lake City, UT 84114-4575
Reminder: please remember to include proof of income for all household members 18 years and older.
Questions? Phone: 385.468.4892 Español: 385.315.0049