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Annual Lead Poisoning Prevention Checklist Mobile App

The Annual Lead Poisoning Prevention Checklist mobile app was designed to assist property owners in complying with State Lead Poisoning Prevention requirements prior to renting property to tenant. The app captures an authorization signature and date stamps the document. GoCanvas allows you to add a Multi-Line Text Field to the body of an email.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Annual Lead Poisoning Prevention Checklist Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox


  • Ico multiline


  • Ico statictext

    State law requires that all owners of residential rental property comply with the State Lead Pois...

  • Ico statictext


  • Ico statictext

    Copy of the Lead Poisoning Certificate must be submitted if there is a change in tenancy.

  • Ico dropdown

    Was there a change in tenancy since your last lead inspection?

  • Ico statictext

    *If NO, skip remaining questions and sign below.

  • Ico date

    *If YES, enter date of tenant move in:

  • Ico statictext

    *Send a copy of new inspection certificate if tenants changed.

  • Ico textbox

    What is the current DE registration/tracking number?

  • Ico textbox

    What is the Lead Inspection Certificate # for the current tenancy?

  • Ico statictext

    I affirm under penalty of perjury that the above information is true to the best of my knowledge ...

  • Ico signature

    Authorized Signature

  • Ico date


  • Ico textbox

    Name of Person Signing

  • ...and More!

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