Michigan PDF Templates

Michigan PDF Templates

Homepage Fill in Your Michigan Dch 0654 Form
Content Overview

In the realm of lead-based paint abatement in Michigan, the Michigan DCH 0654 form plays a critical role in ensuring compliance with state regulations. This form is a notification tool that must be submitted by any firm planning to conduct lead abatement activities within the state. It is essential to notify the Michigan Department of Community Health (MDCH) at least three business days before starting any lead abatement work. By doing so, firms help maintain safety standards and promote public health. The DCH 0654 form requires comprehensive information, including project details such as the start and end dates, contractor information, and the scope of work. Incomplete submissions will not be approved, underscoring the importance of thoroughness. Additionally, if there are any changes to the project schedule, firms must update the form and submit it at least 24 hours before the new schedule takes effect. This proactive approach not only facilitates effective communication with the MDCH but also ensures that all parties involved are informed and prepared for the abatement activities.

Misconceptions

Here are six misconceptions about the Michigan DCH 0654 form:

  • Only contractors need to fill out the form. In reality, any firm conducting lead-based paint activities must complete the form, not just contractors.
  • The form can be submitted after the work has started. This is incorrect. The form must be submitted at least three business days before the work begins.
  • Incomplete forms can still be accepted. This is not true. All required information must be provided, or the notification will not be approved.
  • Only specific types of lead assessments need notification. Any lead abatement activity, regardless of type, requires notification to the department.
  • Changing project details does not require a new form. If there are changes to the project schedule, the revision number must be marked, and the updated form sent in at least 24 hours before the change.
  • The form is optional for smaller projects. This is a misconception. All lead abatement activities, regardless of size, must follow the notification requirements.

Key takeaways

Filling out the Michigan DCH 0654 form is an important step for any firm conducting lead abatement activities in Michigan. Here are key takeaways to keep in mind:

  1. Notification Requirement: You must notify the Michigan Department of Community Health (MDCH) at least three business days before starting any lead abatement activities.
  2. Complete Information: Ensure that all sections of the form are filled out completely. Incomplete submissions will not be approved.
  3. Revision Process: If there are changes to the project schedule, indicate the revision number at the top of the form and submit it at least 24 hours before the change takes effect.
  4. Contact Details: Include accurate contact information for both the contractor and the project supervisor to facilitate communication.
  5. Scope of Work: Provide a detailed description of the lead abatement activities planned, including specifics like window replacement or paint removal.
  6. Occupancy Status: Clearly indicate the occupancy status of the building, whether it is occupied, vacant, or a child-occupied facility.
  7. Certification Numbers: Include the Michigan certification numbers for both the contractor and the lead abatement supervisor to ensure compliance.
  8. Work Hours: Specify the scheduled work hours and indicate if weekends are included in the abatement activities.
  9. Submission Method: You can submit the completed form via mail or fax to the MDCH Healthy Homes Section for processing.

By following these guidelines, you can help ensure a smooth notification process for lead abatement activities in Michigan.

Common mistakes

  1. Failing to submit the form on time: It's crucial to notify the department at least three business days before starting any lead abatement activities. Missing this deadline can lead to delays or penalties.

  2. Incomplete information: All sections of the form must be filled out completely. Leaving any part blank can result in the form being rejected.

  3. Incorrect contact details: Ensure that the contact person’s name and phone number are accurate. Incorrect information can hinder communication and project approval.

  4. Not indicating the correct certification numbers: Each contractor and supervisor must provide their Michigan certification numbers. Failing to do so can invalidate the submission.

  5. Omitting the reason for revision: If changes are made to the project schedule, clearly state the reason for the revision. This helps the department understand the context of the changes.

  6. Neglecting to specify work hours: Clearly outline the scheduled work hours. This information is essential for planning and compliance checks.

  7. Choosing the wrong occupancy status: Accurately indicate whether the building is occupied or vacant. This classification affects compliance requirements and safety measures.

  8. Inadequate description of the scope of work: Provide a detailed description of the work to be performed. Vague descriptions can lead to misunderstandings and compliance issues.

  9. Not marking weekends: If the project includes work on weekends, be sure to check the appropriate box. This ensures that the department is aware of the full scope of the work schedule.

Similar forms

  • EPA Lead Renovation, Repair and Painting (RRP) Notification Form: Like the Michigan DCH 0654 form, this document is required for notifying the Environmental Protection Agency about lead-related activities. It ensures compliance with federal regulations and mandates that contractors inform the agency at least 48 hours before starting work.
  • Lead Hazard Reduction Grant Application: This document is similar as it also involves notifying authorities about lead-related activities. It requires detailed information about the project scope and funding sources, just like the DCH 0654 form, to ensure that all lead abatement projects are properly documented and funded.
  • State Lead Abatement License Application: This form is essential for contractors who wish to obtain a license to perform lead abatement work. It shares similarities with the DCH 0654 in that it requires proof of certification and detailed project information, ensuring that only qualified individuals conduct lead-related activities.
  • North Carolina Bill of Sale: A crucial document for private sales that formalizes the transfer of ownership and ensures both parties have a clear record of the transaction. For templates and guidance, refer to the Bill of Sale form.
  • Lead Inspection Report: After lead inspections are completed, this report must be filed to document findings. Much like the DCH 0654 form, it is a notification tool that communicates important information about lead hazards to the appropriate state agencies and property owners.
  • Lead Safe Work Practices Training Certificate: This document certifies that individuals have been trained in safe lead work practices. Similar to the DCH 0654, it is a critical part of the compliance process, ensuring that all personnel involved in lead abatement are knowledgeable about safety protocols and procedures.