IRC Practices Response to Enforcement Notice Form

The Health Department's Asbestos and Lead Regulatory Program has initiated an IRC Practices compliance investigation on pre-1978 rental housing or a child care business that you own. You must complete this form as a step to resolving this investigation. We will review your response and contact you if we have questions. Please provide complete information so that we are able to resolve this investigation.

This form must be completed by the owner or by the previous owner if the rental housing or child care was recently sold.

Rental Housing or Child Care Property Address

Enter the address for the rental housing or child care for which you received an IRC Practices compliance notice. A complete address (street number, street name and town) must be entered. Enter the E911 address. Look up the E911 address here.

1. Enter the address of the rental housing or child care for which you received a notice. *This question is required.

Street Number
Street Name
Town

Enter the owner's name and contact information below. If the rental housing or child care was recently sold, enter the information for the previous owner under which the IRC Practices were performed.

2. Enter the rental housing owner's or child care business owner's first and last name *This question is required.

First Name
Last Name

3. Enter the rental housing owner's or child care business owner's contact information *This question is required.

Mailing Address
Town
State
Postal Code
Email Address
Phone Number

4. How is the owner responding to this investigation? *This question is required.

Enter the date you submitted the IRC Practices statement filing in response to the notice. *This question is required. This question requires a valid date format of MM/DD/YYYY.

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Enter the date you submitted an IRC Practices extension request form in response to the notice. Any deteriorated paint needs to be immediately physically blocked from access until it is repaired. This question requires a valid date format of MM/DD/YYYY.

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Reason the owner believes they do not need to complete IRC Practices compliance filings for this property: *This question is required.

Please enter an 'other' value for this selection.

Enter the approximate date on which the property or child care business was sold *This question is required. This question requires a valid date format of MM/DD/YYYY.

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Enter the new owner's name and contact information

First name
Last name
Mailing address
Town
State
Postal Code
Email address
Phone number

I understand that the property entered above was built prior to 1978, and that all paint and coatings on the property are presumed to be lead-based paint unless a Vermont-licensed Lead Inspector or Risk Assessor has certified that the property is lead-free and the Department of Health has approved that written certification. I understand that, unless certified lead-free, all activities disturbing more than one square foot of paint must be done in a lead-safe manner in accordance with 18 VSA § 1760, regardless of the property’s rental status.
*This question is required.

I certify that at this time I am exempt from the Inspection, Repair, and Cleaning (IRC) Practices compliance statement requirements at 18 V.S.A. 1759 for the property listed above because the property is currently vacant or not being used as a residential rental, and therefore does not currently meet the definition of “rental target housing” in 18 VSA § 1751(b)(23).
*This question is required.

I understand that if I decide to offer the property for lease or rental under a rental agreement (written or oral) as defined in 9 V.S.A. § 4451 or if the property is used as a child care, then the property no longer meets the requirements for the exemption and I must notify the Department of Health and immediately comply with all IRC requirements in 18 VSA §1759,including the annual compliance statement filing.
*This question is required.

I understand that if the status of my property changes and I no longer meet the requirements for the exemption, I must begin complying with IRC Practices. *This question is required.

5. I certify that the information stated by me on this form is true and accurate to the best of my knowledge and that I understand providing false information or omitting information is unlawful and may subject me to legal action, including civil penalties pursuant to 18 V.S.A. 130.

*This question is required.

6. Provide any additional information you would like us to know.