Lead Poisoning Information Center

Lead Contact Form

*Name

*Email Address

Phone Number

When were you first exposed to lead?

How were you exposed to lead? Was it present in paint chips or dust? Water?

Why were you at the location of your exposure?

Who owned the property where you were exposed?

If you bought or leased the property as a residence, did the seller or landlord ever give you information regarding the presence of lead on/in the property?
Yes   No 

If you were exposed to the lead at work, do you recall any training, warnings, or provision of protective gear by your employer to protect you from or educate you about lead poisoning?

Did you do anything to cause the exposure?

What physical effects did the lead have on you?

When did you first receive medical care for the symptoms of the lead exposure?

What was your diagnosis?

How have your conditions been treated?

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.