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    Lead-based paint disclosure form for landlords

    A lead-based paint disclosure is the signed form a landlord must attach to (or include in) the lease of housing built before 1978. It must contain the federal Lead Warning Statement, the landlord's statement of any known lead-based paint or hazards (or no knowledge), a list of the lead records and reports given to the tenant (or none), the tenant's acknowledgment that they received that information and the EPA pamphlet, and signed, dated certifications from the landlord, tenants and any agent (40 CFR 745.113(b)). This generator fills in that form, following the layout of EPA's sample lessor form, with the warning statement word for word.

    Last reviewed: · by MakeLease Editorial Team

    Lead Paint Disclosure generator

    Property

    The federal rule covers housing built before 1978. Leave blank if unknown (treat it as pre-1978).

    Used to print the date you must keep this form until (3 years from the start of the lease).

    Parties

    Only needed if the tenant's agent is paid by the lessor.

    Lessor's disclosure

    (a) Lead-based paint and/or hazards in the housing
    (b) Records and reports about lead in the housing

    Pamphlet

    Blank PDF

    Free, no account needed. Showing example details. Replace them with yours.

    Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards

    Lease of target housing (built before 1978) | 40 CFR 745.113(b) | 24 CFR 35.92(b)

    Property address:123 Maple Street, Unit 4, Springfield
    Year built:1962
    Lessor:Jordan Lee
    Lessee(s):Sam Rivera, Alex Rivera

    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 Disclosure

    (a) Presence of lead-based paint and/or lead-based paint hazards (initial (i) or (ii) below):

    ________ [X] (i) Known lead-based paint and/or lead-based paint hazards are present in the housing. Describe what is known: A 2019 inspection found lead-based paint on the exterior window trim and the front porch railing. The paint was intact at the last check. No lead-based paint was found on interior walls.

    ________ [ ] (ii) Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.

    (b) Records and reports available to the lessor (initial (i) or (ii) below):

    ________ [X] (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: Lead-based paint inspection report, ABC Environmental, March 12, 2019 (12 pages)

    ________ [ ] (ii) Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.

    Lessee's Acknowledgment

    (c) Lessee has (initial (i) or (ii) below):

    ________ [X] (i) received copies of all records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing listed above.

    ________ [ ] (ii) not received any records and reports regarding lead-based paint and/or lead-based paint hazards in the housing.

    ________ [X] (d) Lessee has received the pamphlet "Protect Your Family From Lead in Your Home" (initial).

    Agent's Acknowledgment

    Initial, or enter N/A if not applicable.

    N/A (e) Lessor's 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.

    N/A (f) Lessee's 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. (Only required if the lessee's agent receives compensation from the lessor.)

    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 signature (Jordan Lee)
    Date
    Lessee signature (Sam Rivera)
    Date
    Lessee signature (Alex Rivera)
    Date

    Required attachments

    • [checked] EPA pamphlet "Protect Your Family From Lead in Your Home" (or an EPA-approved equivalent), given to the lessee
    • [checked] Copy of: Lead-based paint inspection report, ABC Environmental, March 12, 2019 (12 pages)
    Lessor's record-keeping: keep a signed copy of this form for at least 3 years from the start of the lease (40 CFR 745.113(c)). Lease starts December 1, 2026; keep until at least December 1, 2029.

    What to include in a lead paint disclosure

    • The Lead Warning Statement, word for word. The lease version starts "Housing built before 1978 may contain lead-based paint." Use the lessor text from 745.113(b)(1), not the longer buyer's version written for home sales.
    • Your disclosure of known lead-based paint or hazards. Either describe what you know (where it is, the condition of the painted surfaces, and how you know) or state that you have no knowledge (745.113(b)(2)).
    • A list of the records and reports you gave the tenant, or a statement that none are available (745.113(b)(3)). "Available" means in your possession or reasonably obtainable by you (745.103). In multifamily buildings this includes reports on common areas and building-wide evaluations (745.107(a)(4)).
    • The tenant's acknowledgment that they received the disclosed information and the lead hazard pamphlet (745.113(b)(4)).
    • An agent's statement, if an agent is involved: that the agent told you about your obligations under 42 U.S.C. 4852d and knows they must ensure compliance (745.113(b)(5)).
    • Signatures and dates of the lessor, any agents, and the lessees, certifying their statements are accurate to the best of their knowledge (745.113(b)(6)).
    • The same language as the lease. A Spanish-language lease gets a Spanish-language disclosure (745.113(b)). EPA publishes a Spanish sample lessor form.

    How much notice is required?

    There is no notice period measured in days. The rule is about sequence: you must give the pamphlet, disclose known lead-based paint and hazards, and hand over available records before the lessee is obligated under any contract to lease the housing (40 CFR 745.107(a)). In practice, complete it before the tenant signs the lease.

    If the tenant has already made an offer to lease before you disclosed, you must complete the disclosure before you accept the offer and give the tenant a chance to review the information and possibly change the offer (745.107(b)).

    Tenants do not get the 10-day inspection window. That opportunity to conduct a risk assessment or inspection is written for purchasers only (40 CFR 745.110). Some states and cities add their own lead rules on top of the federal ones (40 CFR 745.119 keeps those in force); check your state landlord-tenant law guide because requirements vary by state and sometimes by city.

    Who must give a lead paint disclosure

    Any lessor of "target housing": housing built before 1978, with the exceptions below. A lessor is any entity that offers target housing for lease, rent or sublease, so individual owners, LLCs, trusts, housing agencies and tenants who sublet are all covered, and the rule applies to subleases (745.103, 745.101). The same requirements are issued jointly by EPA (40 CFR part 745, subpart F) and HUD (24 CFR part 35, subpart A) under 42 U.S.C. 4852d.

    If a property manager or leasing agent contracts with you to lease the unit, they share the duty: they must tell you about your obligations and make sure the steps get done (745.113(b)(5)). You must also tell your agent what you know about lead in the property (745.107(a)(3)).

    You do not have to test. Nothing in the disclosure rule requires the lessor to perform an evaluation or any lead reduction work (745.107(a)). But you cannot claim "no knowledge" if you have a report or know about the paint: disclose the basis, the location and the condition of the painted surfaces (745.107(a)(2)).

    What to give the tenant

    1. The EPA pamphlet Protect Your Family From Lead in Your Home (EPA #747-K-94-001) or an equivalent pamphlet EPA has approved for use in your state (745.107(a)(1)). EPA publishes it in English, Spanish and several other languages, and released a revised 2026 edition; EPA says older copies need not be discarded, but should be given with the supplement in the right language.
    2. Copies of every available lead record or report for the unit, common areas, and any building-wide evaluation (745.107(a)(4)).
    3. The completed disclosure form (the generator above), signed and dated by everyone, attached to or included in the lease (745.113(b)).

    Prefer the government's own version? EPA's sample lessor disclosure form (PDF) has the same sections (a) through (f), and EPA's real estate disclosure page links all the sample forms. The form above fills in the same structure for you and lists the attachments.

    Exemptions: when the federal disclosure isn't required

    Each row below is quoted or closely paraphrased from the regulation cited. If none fits, disclose.

    SituationExempt?Citation
    Housing built in 1978 or laterYes. Not "target housing," which means housing constructed prior to 1978.40 CFR 745.103
    0-bedroom dwelling: studios, efficiencies, dorms, rentals of individual roomsYes, unless a child under 6 lives there or is expected to40 CFR 745.103
    Housing for the elderly (reserved for households with someone 62 or older) or for persons with disabilitiesYes, unless a child under 6 lives there or is expected to40 CFR 745.103
    Housing found lead-based paint free by a certified inspectorYes (keep the inspector's report)40 CFR 745.101(b)
    Short-term lease of 100 days or lessYes, but only where no lease renewal or extension can occur40 CFR 745.101(c)
    Renewal of an existing lease (including renegotiated terms or a new lease with the same tenant)Yes, only if you already made the full disclosure and have no new information since40 CFR 745.101(d)
    Month-to-month or a lease that can be extended, even if shorter than 100 daysNo. The short-term exemption needs no possibility of renewal or extension.40 CFR 745.101(c)

    "Year unknown" is not an exemption. If you can't show the building was constructed in 1978 or later, treat it as target housing and disclose. The generator warns you if you enter a year of 1978 or later.

    Record-keeping: how long to keep the signed form

    The lessor and any agent must each keep a copy of the completed disclosure (or the lease that contains it) for no less than 3 years from the commencement of the leasing period (40 CFR 745.113(c)(1)). The clock starts when the lease begins, not when the form was signed.

    Worked example

    The tenant signs the disclosure and lease on November 10, 2026, and the lease starts December 1, 2026. Keep the form until at least December 1, 2029. If the tenant renews on the same disclosure, the safest habit is to keep it for 3 years after the last lease term it covered begins. The generator prints the keep-until date at the bottom of the form when you enter a lease start date.

    Store it with the lease, along with a copy of every report you gave the tenant and a note of the pamphlet edition you handed over. The 3-year rule doesn't limit a tenant's right to sue under the statute (745.113(c)(2)).

    Penalties for skipping the disclosure

    A landlord who knowingly fails to comply can face civil money penalties, can be ordered by a federal court to stop the violation, and is jointly and severally liable to the tenant for three times the tenant's damages, plus court costs, reasonable attorney fees and expert witness fees if the tenant wins (42 U.S.C. 4852d(b), 40 CFR 745.118). Failing to comply is also a prohibited act under the Toxic Substances Control Act, and violators may be subject to civil and criminal sanctions for each violation (745.118(e)–(f)).

    The maximum civil penalty per violation is adjusted for inflation; EPA publishes the current figure in 40 CFR 19.4. Dollar amounts quoted in older articles are often out of date.

    Renovating a pre-1978 rental is a separate rule

    The disclosure covers leasing. Paid renovation, repair and painting work that disturbs paint in pre-1978 housing falls under EPA's Renovation, Repair and Painting (RRP) rule in 40 CFR part 745, subpart E: firms must be certified, work must follow lead-safe practices, and the firm must give the owner and the tenant EPA's "Renovate Right" pamphlet before the work starts. Minor repair and maintenance that disturbs 6 square feet or less of painted surface per room inside, or 20 square feet or less outside, is generally excluded, but not window replacement, demolition, or work using prohibited practices (40 CFR 745.83). See EPA's RRP program page for details.

    If renovation work or a new inspection gives you new information about lead in the unit, that new information means the next renewal is no longer exempt (745.101(d)): give an updated disclosure. For new tenants, update the form every time.

    Building the lease too? The free lease agreement generator handles the lease itself, and the move-in checklist is a good place to note the condition of painted surfaces on day one. More forms are in the free landlord forms library.

    Delivery tips

    • Hand it over before anything is signed. Give the pamphlet, the reports and this form at the showing or with the lease draft, and have the tenant initial and sign the form before they sign the lease.
    • Get initials on every line that applies. The lessor initials (a) and (b); each tenant initials (c) and (d); agents initial (e) or (f), or write N/A.
    • Give every tenant a copy. Each adult who signs the lease should sign the disclosure and get a copy of the signed form and the pamphlet.
    • Keep the originals for at least 3 years from the lease start (40 CFR 745.113(c)), with copies of the reports you gave.

    Frequently asked questions

    Do I have to test my rental for lead before I disclose?

    No. The federal rule says nothing in the disclosure requirements obliges a landlord to do any evaluation or reduction work (40 CFR 745.107(a)). You must disclose what you know and hand over the records and reports you have or can reasonably obtain. If you know nothing and have no records, you mark no knowledge and no records.

    Does a tenant get 10 days to inspect for lead?

    No. The 10-day opportunity to conduct a risk assessment or inspection in 40 CFR 745.110 applies to purchasers of target housing, not to tenants. A landlord's duties are the pamphlet, the disclosure of known lead-based paint and hazards, the available records, and the signed disclosure form.

    Do I need a new disclosure when the lease renews?

    Not if you already gave the full disclosure for that lease and you have learned nothing new since. Renewals are exempt only in that situation (40 CFR 745.101(d)). If you got a new inspection report, found deteriorated paint, or anything else new, give an updated disclosure before the renewal.

    Is a studio apartment exempt from lead disclosure?

    Usually. A 0-bedroom dwelling, where the living area is not separated from the sleeping area, is not target housing under 40 CFR 745.103, unless a child under 6 lives there or is expected to live there. If a family with a young child applies for a pre-1978 studio, give the disclosure.

    How long do I keep the signed lead disclosure?

    At least 3 years from the start of the lease. The lessor and any agent must each keep a copy of the completed disclosure, or of the lease that contains it (40 CFR 745.113(c)). Keeping it for the whole tenancy plus three years is a simple, safe habit.

    Can the disclosure be written into the lease instead of attached?

    Yes. For leases, the required elements can be an attachment or part of the lease itself, in the same language as the lease (40 CFR 745.113(b)). A separate signed form like this one is the most common approach because it is easy to show later.

    Sources

    Sources last checked 2026-10-26.

    Need the lease itself? Use the free lease agreement generator.