City of Pocatello Lead Safe & Healthy Homes Program
Check if you qualify for this FREE program!
Email *
First & Last Name *
Address *
City *
Phone Number *
Do you own or rent your home? *
Was your home built on or before 1978? *
If yes, what year?
Does a child age 5 or under reside in your home? *
If not, does a child age 5 or under frequently visit your home? (at least 6 hours per week, 10 weeks per year)
Clear selection
Does a pregnant woman reside in your home? *
Do you meet the income guidelines below? Include income of all members in the household. An unborn child counts as one member. *
Is there any peeling paint inside or outside your home? *
How did you hear about the Lead Safe Healthy Homes Program? *
Thank you for your answers! A team member will be following up with you about your qualifications.
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