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Lead Safe Maricopa County Inquiry Form

Please fill out the confidential form below if you are a homeowner, tenant, or landlord interested in the Lead Safe Maricopa County Program. Please note that completing this form should be considered a request for program information only. The form is not considered a pre-application or application form.

Upon completion of the form, you will be contacted within 10 business days by a Maricopa County staff member to discuss your inquiry.

If you have questions, require assistance with the completion of the form, or would like to request the form in paper, please call 602-506-1258 or email