Blank Michigan Dch 0654 PDF Form Fill Out My Michigan Dch 0654 Now

Blank Michigan Dch 0654 PDF Form

The Michigan DCH 0654 form serves as a notification tool for any firm conducting lead-based paint abatement activities in Michigan. This form must be submitted to the Healthy Homes Section at least three business days before starting any lead abatement work, ensuring compliance with state regulations. To proceed with your lead abatement project, fill out the form by clicking the button below.

Fill Out My Michigan Dch 0654 Now

The Michigan DCH 0654 form plays a crucial role in ensuring safety and compliance when it comes to lead-based paint abatement activities within the state. This form is essential for any firm planning to conduct lead abatement, as it notifies the Michigan Department of Community Health (MDCH) about the upcoming work. Prior to starting any lead-related project, firms must submit this notification at least three business days in advance, as mandated by the Michigan Lead Abatement Act of 1998. The form requires detailed information, including the project's start and end dates, the contractor's name and certification number, and the scope of work to be performed. Incomplete submissions will not be accepted, emphasizing the importance of thoroughness. Additionally, if there are any changes to the project schedule, firms must update the form and resubmit it at least 24 hours before the new start time. Understanding the nuances of this form is vital for compliance and for maintaining safety standards in lead abatement efforts.

More About Michigan Dch 0654

What is the purpose of the Michigan DCH 0654 form?

The Michigan DCH 0654 form is used to notify the Michigan Department of Community Health about lead abatement activities. Any firm conducting lead-based paint abatement must submit this form at least three business days before starting the work. This requirement is part of the Michigan Lead Abatement Act of 1998, ensuring that the department is aware of such activities for safety and compliance purposes.

What information is required to complete the form?

To complete the Michigan DCH 0654 form, you must provide several key pieces of information:

  • Notification date
  • Start and end dates of the project
  • Contractor name and Michigan certification number
  • Contact person's name and phone number
  • Details about the building, including occupancy status and type
  • Scope of work, including specific tasks like window replacement or paint removal

All fields must be filled out completely. Incomplete forms will not be approved.

What should I do if my project schedule changes?

If there are changes to your project schedule, you must indicate the revision number at the top of the form. It is important to submit this updated information at least 24 hours before the new start date. This helps ensure that the department remains informed and can maintain accurate records of lead abatement activities.

How do I submit the Michigan DCH 0654 form?

You can submit the completed Michigan DCH 0654 form either by mail or fax. Send it to the Healthy Homes Section at the following address:

  1. MDCH - Healthy Homes Section
  2. P.O. Box 30195
  3. Lansing, MI 48909
  4. Attn: Compliance Officer

If you prefer to fax the form, use the following number: 517-335-8800. Ensure that you send the notification at least three business days before the commencement of the abatement work.

Key takeaways

When filling out and utilizing the Michigan DCH 0654 form, several key points should be kept in mind to ensure compliance and efficiency.

  • Timely Notification: It is essential to notify the Michigan Department of Community Health (MDCH) at least three business days before starting any lead abatement activities.
  • Complete Information: All sections of the form must be filled out completely. Incomplete submissions will not be approved, which could delay your project.
  • Revision Process: If there are changes to the project schedule, you must indicate the revision number at the top of the form and submit it at least 24 hours prior to the change.
  • Contact Details: Ensure that accurate contact information for the contractor and the project supervisor is provided. This facilitates communication and accountability.
  • Scope of Work: Clearly detail the scope of work being performed, including specific tasks such as window replacements or paint removal. This clarity helps in assessing compliance.
  • Occupancy Status: Indicate the occupancy status of the building accurately. This is crucial for determining the safety measures needed during the abatement process.

Similar forms

The Michigan DCH-0654 form serves as a notification of lead abatement activities, similar to the EPA's Notification of Lead-Based Paint Activities form. Both documents require contractors to inform the relevant authorities about upcoming lead-related work. This ensures that the necessary precautions are taken to protect public health. The EPA form also mandates a notification period, allowing for oversight and coordination, much like the three-day advance notice required by the DCH-0654.

Another similar document is the Michigan Lead Risk Assessment Report. This report provides a comprehensive evaluation of lead hazards in a property. While the DCH-0654 focuses on notifying authorities about planned abatement activities, the Risk Assessment Report details the findings of lead inspections. Both documents aim to ensure safety and compliance with lead regulations, but they serve different purposes in the lead management process.

The Lead Abatement Project Work Plan is another relevant document. This plan outlines the specific procedures and methods that will be used during lead abatement. Like the DCH-0654, it must be submitted to the appropriate authorities prior to starting work. However, the Work Plan goes into greater detail about the techniques and safety measures that will be implemented, ensuring that all parties are aware of the project’s scope and safety protocols.

In addition, the Michigan Lead Abatement Certification Application shares similarities with the DCH-0654 form. This application is necessary for contractors seeking certification to perform lead abatement. While the DCH-0654 focuses on notifying authorities about specific projects, the Certification Application ensures that the contractors themselves meet the necessary qualifications and standards to conduct lead-related work.

The Lead-Based Paint Disclosure form is also comparable. This document is required when selling or leasing homes built before 1978, informing buyers and tenants about potential lead hazards. While the DCH-0654 is used for notifying authorities about abatement activities, both documents highlight the importance of transparency regarding lead exposure and safety measures. They play crucial roles in protecting public health and ensuring compliance with lead regulations.

When addressing your employment needs, utilizing a fillable Employment Verification form can streamline the process. This document plays a key role in confirming employee histories, which is essential for various situations, including job applications and loan approvals. To begin, ensure you familiarize yourself with the specifications by exploring the comprehensive Employment Verification documentation.

Lastly, the Lead Hazard Control Grant Application is relevant in this context. This application is used to request funding for lead hazard reduction projects. Similar to the DCH-0654, it requires detailed information about the project, including the scope of work and the intended outcomes. Both documents aim to facilitate lead safety initiatives, although the Grant Application focuses on securing financial support for lead remediation efforts.

Misconceptions

The Michigan DCH 0654 form is an important document for notifying the state about lead abatement activities. However, several misconceptions surround its use. Below are some common misunderstandings and clarifications.

  • Only contractors need to fill out the form. This is not true. While contractors are primarily responsible, building owners and other stakeholders involved in the project must also ensure the form is completed accurately.
  • Notifications can be submitted after the work has begun. This misconception is incorrect. Notifications must be sent at least three business days before starting any lead abatement activities.
  • Incomplete forms will still be processed. This is false. The Michigan Department of Community Health will not approve incomplete notifications. All required information must be provided.
  • Only specific types of lead abatement activities require notification. This is misleading. Any lead-based paint abatement activity, regardless of type, requires notification.
  • Changes to the project schedule do not need to be reported. This is inaccurate. If there are changes, the revision number must be marked on the form and submitted at least 24 hours prior to the change.
  • The form can be submitted via email. This is incorrect. The form must be mailed or faxed to the Healthy Homes Section as specified in the instructions.
  • There is no need for a certified lead abatement supervisor. This is not true. A certified supervisor is essential for overseeing the project and must be identified on the form.
  • Occupancy status is optional. This is a misconception. The occupancy status must be indicated on the form to ensure compliance with regulations.
  • The scope of work can be vague. This is false. A detailed description of the scope of work is required to provide clarity on the activities being undertaken.

Documents used along the form

The Michigan DCH 0654 form is essential for notifying the state about lead abatement activities. However, several other forms and documents may accompany this notification to ensure compliance with various regulations and to facilitate the abatement process. Below is a list of these important documents, each playing a unique role in the overall lead abatement procedure.

  • Lead Abatement Contractor License: This document certifies that the contractor is authorized to perform lead abatement work in Michigan. It ensures that the contractor meets state requirements for safety and expertise.
  • Risk Assessment Report: A risk assessment identifies potential lead hazards in a property. This report provides crucial information about the presence of lead-based paint and outlines necessary actions to mitigate risks.
  • Lead Inspection Report: Similar to the risk assessment, this report focuses on inspecting a property for lead-based paint. It details the locations and conditions of lead paint, helping to inform the abatement strategy.
  • Work Plan: This document outlines the specific steps and methods that will be used during the lead abatement process. It includes safety measures, timelines, and the scope of work to be performed.
  • Notification of Lead Abatement Activity: This is a formal notice to the local health department that lead abatement work will take place. It is crucial for compliance with state regulations and must be submitted prior to the start of work.
  • Post-Abatement Clearance Report: After the abatement work is completed, this report confirms that the property is free from lead hazards. It is essential for ensuring that the work meets regulatory standards.
  • California Employment Verification Form: This form is essential for confirming the employment eligibility of new hires, ensuring compliance with state labor laws. For more information and resources, visit legalpdf.org.
  • Occupant Notification Letter: This letter informs residents or occupants of the property about the lead abatement work. It provides details about the timeline and safety precautions being taken during the process.
  • Soil Testing Report: If the abatement involves outdoor areas, soil testing may be necessary to assess lead levels in the soil. This report helps determine if additional remediation is required.
  • Waste Disposal Manifest: This document tracks the disposal of lead waste generated during the abatement process. It ensures that hazardous materials are disposed of in compliance with environmental regulations.
  • Employee Training Records: These records demonstrate that all workers involved in the abatement have received proper training in lead safety and handling procedures. This documentation is vital for compliance and safety assurance.

Each of these documents plays a crucial role in the lead abatement process, ensuring that all activities are conducted safely and in accordance with Michigan regulations. Properly managing these forms helps protect public health and the environment while facilitating a successful abatement project.

Form Features

Fact Name Details
Purpose The Michigan DCH 0654 form is used to notify the Healthy Homes Section about lead abatement activities.
Notification Requirement Contractors must submit this form at least three business days before starting lead abatement work, as mandated by §333.5472 of the Michigan Lead Abatement Act of 1998.
Information Completeness All fields on the form are required. Incomplete submissions will not be approved.
Revision Process If changes occur in the project schedule, the contractor must indicate a revision number and submit the updated form at least 24 hours before the change.