Lead Paint Removal Contractor Prequalification Form
Company Information
Company Name
Contact Name
Address
Phone
Email
Business Information
Contractor License Number
Years in Business
EPA Lead-Safe Certification #
Insurance Provider
Policy Number
Policy Expiration Date
Project Experience
Describe Your Experience with Lead Paint Removal
List 3 Recent Lead Paint Removal Projects (Include Client, Scope, Dates)
References
Reference 1 Name
Contact Info
Reference 2 Name
Contact Info
Additional Information
Additional Details