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Asbestos and Lead Regulatory Program Tip Form



Asbestos and Lead Handling Concern

Thank you for contacting the Vermont Department of Health to report a concern about possible unsafe handling of asbestos or lead containing materials. Please provide detailed information to allow the Department to determine the appropriate follow-up.

We understand your desire for privacy.  You may skip the "Your Contact Information" section below if you choose to remain anonymous.  However, we sometimes have questions about the concerns we investigate.  For this reason, please consider providing us at least your phone number or email address.
 
Asbesto or Lead Complaint

Required fields are marked by an asterisk (*).
1. Your Contact Information
This question requires a valid email address.
This question requires a valid number format.
This question requires a valid date format of MM/DD/YYYY.
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4. Please identify the type of property this concern is for: *This question is required.
7. This concern is related to: *This question is required.
9. Do you have pictures or other documents to support your concern? *This question is required.
Please upload photos or other documents that support your concern (max file size is 500KB):
Please upload additional photos or other documents that support your concern (max file size is 500KB):
Please upload additional photos or other documents that support your concern (max file size is 500KB):