Utah's Lead-Free Learning Testing Initiative
If you have more than ten buildings you would like tested, please enter information about all of the buildings on the expanded application on our website (
) and email it to
What type of facility are you applying for?
Public Charter School
Child Care Facility
Head Start Program
Your Job Title
Your Phone Number
Your Email Address
How many buildings do you want tested?
Your school district
Please include the school district your facility is physically located in, even if your facility isn’t a school
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This form was created inside of State of Utah.