Municipal Lead Reporting Portal

New Jersey Department of Community Affairs - Division of Housing and Community Resources

Welcome to the Lead-Based Paint Inspection Reporting Form. This form helps us gather essential information for the periodic inspection of lead-based paint hazards in properties. This form is designed to streamline the process of reporting the results of your lead paint inspections to the Department of Community Affairs, in accordance with P.L. 2021, c. 182.

The accurate and timely submission of this report is crucial in our collective effort to ensure the safety and health of our communities by identifying and mitigating lead paint hazards in residential properties.

Please complete all sections of the form with the required information. Please ensure that all data is accurate and up-to-date to facilitate a thorough review by our team. The Department thanks you in advance for your cooperation.

Your Affiliation Value is not selected

Contractor Information

Name

Address Prepopulation Enter the contractor address to populate the following fields.

Address

Address line 2

City

State

ZIP code

Your Information

Submission Date

Inspection Date

Note: If you have submitted this form before, simply enter your first name exactly as you did previously, along with your email address (in lowercase) below, to automatically populate your previously provided information.

First Name

Last Name

Phone Number

County Value is not selected

Municipality Value is not selected

Property Information

Type of property Value is not selected

Is the property owner-occupied?

Yes

Block

Lot

Address Prepopulation Enter the property address to populate the following fields.

Address

Address line 2

Unit

City

State

ZIP code

Owner Information

Please enter the first and last name of the property owner. If property is owned by a legal entity, please enter the name of the managing member/registered agent and the name of the company if applicable.

First Name

Last Name

Company/Legal Entity (if applicable)

Address Prepopulation Enter the owner address to populate the following fields.

Address

Address line 2

City

State

ZIP code

Phone Number

Occupant Information

First Name

Last Name

Phone Number

Inspection Results

Were lead-based paint hazards found in the residence?

Yes

Was a lead safe certificate issued?

Yes

Were children present in the residence?

Yes

Data not collected

Security Check: Please complete the captcha below to verify that you are not a robot

Your session has timed out.

Click here to access the application.

DHCR Lead Test - Single Property

Municipal Lead Reporting Portal

Contractor Information

Your Information

Property Information

Owner Information

Occupant Information

Inspection Results