When selling or renting housing built before 1978 you will need to provide the buyer or renter with a lead based paint disclosure form prior to sale or lease.

Lead-based Paint Disclosure Form Requirements

A lead based paint disclosure form must contain the following:

  • Lead Warning Statement
  • Lessor’s or Seller’s Disclosure
  • Lessee’s or Buyer’s Acknowledgement
  • Agent’s Acknowledgement
  • Certification of Accuracy

An example lead based paint disclosure form is provided below. You can download a pdf version for rental agreements here and for purchase/sale agreements here.

Lead Warning Statement
Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention.

Lessor’s or Seller’s Disclosure
(a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):
(i) ______ Known lead-based paint and/or lead-based paint hazards are present in the housing
(ii) _____ Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the
(b) Records and reports available to the lessor (check (i) or (ii) below):
(i) ______ Lessor has provided the lessee with all available records and reports pertaining to
lead-based paint and/or lead-based paint hazards in the housing (list documents
(ii) _____ Lessor has no reports or records pertaining to lead-based paint and/or lead-based
paint hazards in the housing.

Lessee’s or Buyer’s Acknowledgement (initial)
(c) ________ Lessee has received copies of all information listed above.
(d) ________ Lessee has received the pamphlet Protect Your Family from Lead in Your Home.

Agent’s Acknowledgement (initial)
(e) ________ Agent has informed the lessor of the lessor’s obligations under 42 U.S.C. 4852d and
is aware of his/her responsibility to ensure compliance.

Certification of Accuracy
The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.
Lessor Date
Lessee Date
Agent Date

lead based paint disclosure form

Disclosure of Lead-Based Paint Hazards

The Environmental Protection Agency (EPA) and the Department of Housing and Urban Development (HUD) are announcing efforts to ensure that the public receives the information necessary to prevent lead poisoning in homes that may contain lead-based paint hazards. Beginning this fall, most home buyers and renters will receive known information on lead-based paint and lead-based paint hazards during sales and rentals of housing built before 1978. Buyers and renters will receive specific information on lead-based paint in the housing as well as a federal pamphlet with practical, low-cost tips on identifying and controlling lead-based paint hazards. Sellers, landlords, and their agents will be responsible for providing this information to the buyer or renter before sale or lease.

Approximately three-quarters of the nation’s housing stock built before 1978 (approximately 64 million dwellings) contains some lead-based paint. When properly maintained and managed, this paint poses little risk. However, 1.7 million children have blood-lead levels above safe limits, mostly due to exposure to lead-based paint hazards.

Lead poisoning can cause permanent damage to the brain and many other organs and causes reduced intelligence quotient and behavioral problems. Lead can also cause abnormal fetal development in pregnant women.

To protect families from exposure to lead from paint, dust, and soil, Congress passed the Residential Lead-Based Paint Hazard Reduction Act of 1992, also known as Title X. Section 1018 of this law directed HUD and EPA to require the disclosure of known information on lead-based paint and lead-based paint hazards before the sale or lease of most housing built before 1978.

Before ratification of a contract for housing sale or lease:

  • Sellers and landlords must disclose known lead-based paint and lead-based paint hazards and provide available reports to buyers or renters.
  • Sellers and landlords must give buyers and renters the pamphlet, developed by EPA, HUD, and the Consumer Product Safety Commission (CPSC), titled Protect Your Family From Lead in Your Home.
  • Home buyers will get a 10-day period to conduct a lead-based paint inspection or risk assessment at their own expense. The rule gives the two parties flexibility to negotiate key terms of the evaluation.
  • Sales contracts and leasing agreements must include certain notification and disclosure language.
  • Sellers, lessors, and real estate agents share responsibility for ensuring compliance.


  • This rule does not require any testing or removal of lead-based paint by sellers or landlords.
  • This rule does not invalidate leasing and sales contracts.


Most private housing, public housing, federally owned housing, and housing receiving federal assistance are affected by this rule.


  • Housing built after 1977 (Congress chose not to cover post-1977 housing because the CPSC banned the use of lead-based paint for residential use in 1978).
  • Zero-bedroom units, such as efficiencies, lofts, and dormitories.
  • Leases for less than 100 days, such as vacation houses or short-term rentals.
  • Housing for the elderly (unless children live there).
  • Housing for the handicapped (unless children live there).
  • Rental housing that has been inspected by a certified inspector and found to be free of lead-based paint.
  • Foreclosure sales.

Source: Fact Sheet: EPA and HUD Move to Protect Children from Lead-Based Paint Poisoning; Disclosure of Lead-Based Paint Hazards in Housing, U.S. Environmental Protection Agency, Prevention, Pesticides, and Toxic Substances, EPA-747-F-96-002, March 1996 (7404)