Lead Pipe Replacement Program - Eligibility Assessment Form

Contact Information

Are you submitting an application for a property that is not your primary residence?

Determining Program Eligibility

1. Are you the owner of the property?
2. Is there currently a lead service pipe connected to the home?
3. Was the home built prior to 1955?
4. Are you willing to pay the property owner's portion of the cost associated with replacement of the lead service pipe?
5. Are you interested in a deferred payment plan?
6. Is there a family living at the address with children under six years of age, or expecting child?
7. Have you applied to the Lead Pipe Replacement Program in the past for this property?

9. What is your preferred time for City staff to follow-up?