Application for Firms to Conduct Lead-Based Paint Activities and/or Renovations - EPA Form 8500-27

Oct 4, 2026

Uploaded by Sarah

Application and instructions for firms seeking EPA certification to conduct lead-based paint activities and/or renovations, as required under 40 CFR. The form covers selection of an application type (renovation/RRP, abatement, combinations, amendments, or certificate replacement), total application fees, applicant and firm contact details, and attesting individual information. It also requests website service types, discloses any lead-based paint violations, and includes a certification statement affirming accuracy, qualified staffing, compliance with specified work practice standards, and awareness of possible revocation.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages9

Reading Time23 min

AccessFree to download

Application Type

Option 1 Renovation, Repair, and Painting (RRP) and Dust Sampling Technician Firm Certification

Option 2 Abatement (and/or Abatement/RRP Combination) Firm Certification

Option 3 Amend Existing Certification

Option 4 Replace Certificate

Applicant Information

Firm and Attesting Individual Details

Website Listing

Service Type Selection

Lead-Based Paint Activity or Renovation Violations

Certification Statement

Application and Instructions for Firms Applying for Certification to Conduct Lead-Based Paint Activities and/or Renovations [This page intentionally left blank] U.S. ENVIRONMENTAL PROTECTION AGENCY Form Approved OMB No. 2070-0155 Expires 10/31/11 APPLICATION FOR FIRMS TO CONDUCT LEAD-BASED PAINT ACTIVITIES AND/OR RENOVATIONS Important: This application is required by 40 CFR §745 .89(a) for renovations and is a substitute for the letter required by §745 .226(f)(2) for abatement. Consult the instructions for firms applying for certification to conduct lead-based activities or renovations. For abatement activities, persons seeking individual certification should use the Application for Individuals instead of this form. Please fill out all sections. Type or print responses in black or blue ink only. A. Application Type (select only one box from Option 1, 2, 3 or 4 of Section A) 1. Option 1: Renovation, Repair, and Painting (RRP and Dust Sampling Technician) Firm Certification Initial Recertification or Renovation, Repair and Painting Firm Certification ($300) or 2. Option 2: Abatement (Abatement, Risk Assessment, and Inspection) or Abatement/RRP Combination Firm Certification Initial Recertification or Abatement Firm Certification ($550 for first jurisdiction and $35 for each additional jurisdiction – list jurisdiction(s) below ) Initial Recertification or Combination Abatement/RRP Firm Certification ($550 for RRP and one abatement jurisdiction, $35 for each additional abatement jurisdiction – list abatement jurisdiction(s) below ) List abatement jurisdiction(s): 1)___________________ ($550) 2) ____________________ ($585) 3) ____________________ ($620) (Please note, if applying for more than three jurisdictions add an additional $35 for each jurisdiction and list them on a separate sheet of paper) or 3. Option 3: Amend Existing Certification Update firm information (no fee required) Add abatement jurisdiction ($35 per abatement jurisdiction) List abatement jurisdiction(s) being added to your existing certification: 1) ($35) 2) ($70) 3) ($105) or 4. Option 4: Replace Certificate Replace Certificate ($15) B. Enter total application fee $ Note 1: See instructions for additional fee information and examples of required fees. Note 2: If you are a federally recognized Indian Tribe seeking certification as a firm check yes in the question below and see Fees Schedule in the instructions to determine fee required. Yes No Indicate whether you are a federally-recognized Indian tribe seeking certification as a firm. C. Applicant Information Name of Firm: Business Address: Street Address, Suite Number (Please no P.O. Box) City State Zip Code Mailing Address: (if different from above) Street Address, Suite Number City State Zip Code Name of Attesting Individual: Last First Middle Firm’s Phone \#: ext \#: Attesting Individual’s Phone \#: ext. Attesting Individual’s E-mail Address: EPA Form 8500-27 (Rev 9/11) Page 1 of 2 Form Approved OMB No. 2070-0155 Expires 10/31/11 D. Website Listing Once certified your firm will be listed on EPA’s web based search tool. Please select the type of service(s) your firm will provide: Renovation Evaluation Lead Abatement E. Lead-Based Paint Activity or Renovation Violation[s] Does the firm have any past, present, or pending lead-based paint violations of EPA, Yes No State, U.S. territory, or Indian tribal land(s) regulations? If yes, please attach a written explanation. F. Certification Statement I hereby attest and affirm the following: 􀁸 The information included on this application, including any attachments, is true and accurate to the best of my belief and knowledge. 􀁸 This firm shall only employ appropriately qualified individuals to conduct lead-based paint activities and renovations. 􀁸 This firm and its employees shall follow the work practice standards set forth

FAQs

What is the purpose of this EPA form for firms?

It is used to apply for EPA certification for a firm to conduct lead-based paint activities and/or renovations, and it serves as a required application under 40 CFR sections referenced in the instructions.

What application types can a firm select?

The firm selects one option covering RRP certification, abatement certification (or combination with RRP), amendments to an existing certification, or replacement of a certificate.

What compliance and eligibility statements must the attesting individual affirm?

The attesting individual affirms the information is true and accurate, the firm will employ qualified individuals, the firm and employees will follow required work practice standards under the cited CFR parts, and the certification may be revoked if issued based on incorrect or inadequate information.

Oct 4, 2026

Uploaded by Sarah