Your home was built before 1978 and is not located in the floodplain
You have a child age 5 or under living in or regularly visiting the home
You meet income eligibility guidelines
To apply, you must provide the following:
Completed Application. All questions on the application must be answered. If a question does not apply to you, indicate that by writing none or N/A.
Proof of Income. Provide supporting documentation for all sources of income for all occupants age 15 and over.
Most recent W2 Tax Form or 1040 income tax form or 4 current, consecutive paystubs
Additional income statements such as unemployment, social security, child support, TANF, etc.
Zero Income Form for any occupant age 15 and over that receives no income (see attachment).
Proof of Child Occupancy. Provide copies of Birth Certificates for all children aged 5 and under living or regularly visiting the home. If applicable, complete Part D: Visiting Child Certification.
Proof of Home Owners Insurance. Include a copy of the Declarations Page with property address and current insurance policy dates.
Photo ID. Submit copies of a photo ID for the owner(s) and, if applicable, the tenant(s).
Note: Processing of your application will not begin until all required documentation is provided and verified. Submission of your application does not guarantee approval or program participation. Staff may make inquiries regarding application information and documentation to verify eligibility and accuracy. Failure to verify information may result in a delay or application denial.
Please send your completed application to:
Lead Safe Roanoke 215 Church Avenue SW Room 208 North Roanoke, VA 24011
Contact us if you have any questions. Phone: 540-853-5682 Fax: 540-853-5685 Email: LSRinfo@roanokeva.gov