How To Qualify

This program is not accepting applications currently, but if you would like to be added to the waitlist for our next grant, please email blp@burlingtonvt.gov.

How to Qualify

The Lead Hazard Control program aims to provide a public health benefit through housing to low-income families and to aid in that goal, there are some differing qualification requirements for rental properties, and owner-occupied properties. Namely, that owner-occupied properties must have a child under 6 in the home, or an expecting parent. This is because rental properties are more likely to have a child move into the home in the near-future. Additionally, because this program directs public health benefit to low-income households, the occupant is always income-verified. This could be the owner, if it is an owner-occupied property, or the tenant in a rental property. See how a property or unit can qualify for our program below.

Qualifying a Rental Property:	Qualifying an Owner-Occupied Property:
Be located in Burlington or Winooski Have been constructed prior to 1978 Have at least one (1) bedroom Total household income cannot exceed 80% of the area median income. Income will be verified.	Be located in Burlington or Winooski Have been constructed prior to 1978 Have at least one (1) bedroom Total household income cannot exceed 80% of the area median income. Income will be verified. Must have a child under 6, or expectant parent, living at the residence or visiting frequently.

Apply

In order to apply, submit the following documentation:

Property Application: This application asks questions about the property and is filled out by the owner. Fill out the Property Application through OpenGov or download the PDF version.
Household Application: This application asks about the household demographic and income information. This should be filled out by the occupant, which could be a tenant in a rental property or the owner in an owner-occupied property. Landlords are responsible for collecting the application from their tenants. BLP staff will attempt to collect additional income documentation. Fill out the Household Application online through OpenGov or download the PDF version.
Property Insurance Policy: The cover page of your insurance policy, showing that you have obtained an insurance policy for the property.

Applications and documentation can be submitted to the Burlington Lead Program through OpenGov (linked above) or a digital .pdf can be sent through email to blp@burlingtonvt.gov. We also accept physical mail or drop-off to:

Burlington Lead Program

149 Church Street Room 32

Burlington, VT 05401

Income Verification Forms

Please send all PDF forms to the Burlington Lead Program at blp@burlingtonvt.gov or send physical copies to our address at 149 Church St. Room 32 Burlington, VT 05401. Webforms can be submitted online; if a webform is available for a particular form, you may fill that form out online instead of sending in the PDF version.

If you are employed, please provide a signed Verification of Employment Form. Please fill out the top half of the form and send it to us; we will then send the form to your employer to be completed.

Verification of Employment Form

If you receive gift income/bills paid on your behalf, please provide a signed Gift Income Affidavit. This includes situations where family members are paying rent or phone bills.

GIFT INCOME AFFIDAVIT PDF

If you receive zero income, please provide a completed Certification of Zero Income Form.

Certification of Zero Income Form PDF Certification of Zero Income Webform

If you are a full-time student, please provide a completed Full-Time Student Form and any other forms related to your income status.

Full-Time Student Form PDF Full-Time Student Webform

If you know that your household makes more than 80% of the Area Median Income (please see income limits here), please sign and return the Over-Income Verification Form.

Over-Income Verification PDF Over-Income Verification Webform

If you are self-employed, please provide a copy of your most recent tax return as well as a complete Self-Employment Affidavit Form.

Self-Employment Affidavit PDF Self-Employment Affidavit Webform

If you receive any public assistance income (unemployment benefits, SS, SSI, etc.), please provide either a letter from the benefit provider verifying your unemployment benefits (preferred) or a screenshot of your benefits account page showing the total annual amount received (an example of both the Vermont Department of Labor letter & portal page screenshot is below).

Unemployment Benefits Letter Example Unemployment Benefits Screenshot Example

If you receive a Section 8 Voucher, please return the completed Household Application form with the housing agency provider listed on the back.

If you have more than $5,000 in assets, please provide us with a statement describing the assets and specifying their value.

Please send all PDF forms to the Burlington Lead Program at blp@burlingtonvt.gov or mail to the address below. If you choose to use our webforms, those can be submitted online without the PDF version. If you have any questions or concerns, please contact us via email or phone at 802-865-LEAD.

Burlington Lead Program

149 Church St. Room 32

Burlington, VT 05401

Household Checklist for a Complete Application:

✓ Household Application Form completed and signed (front and back)

✓ Income is verified through a third party for every household member 18 years or older

✓ All required forms completed & sent to the Burlington Lead Program via email or mail for review