Pleasantville, NY · Westchester County

No notary required

Lead Safe Westchester Program Application

The Lead Safe Westchester application is for property owners and tenants seeking county grant assistance to address lead paint and safety hazards in eligible homes.

What this form is

This packet includes separate applications for property owners and tenants seeking Lead Safe Westchester grant assistance for lead-based paint and other safety hazards. The guide says eligible homes must have chipped or peeling paint, be built before 1978, and meet income limits; funds are limited and awarded first come, first served. It requests property, household, income, and supporting-document information, with additional forms depending on occupancy.

Who needs it

Property owners and tenants seeking Lead Safe Westchester assistance should complete the applicable application, with owners asking tenants to complete a tenant application when applicable.

How to submit it

Email the application to [email protected], fax it to (914) 995-9093, or mail it to Westchester County Planning Department, Lead Safe Westchester Program, 148 Martine Avenue, Room 414, White Plains, NY 10601.

About notarization

This document is signed without a notary; no notarized or sworn attachment is identified, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Lead Safe Westchester program PDF, which includes application directions and separate owner and tenant applications.

  2. 2

    Complete The Applicable Forms

    Property owners and tenants should complete the application sections that apply to them; owners should ask tenants to complete a tenant application when applicable.

  3. 3

    Gather Supporting Documents

    Use the application checklist to gather required supporting documents and any additional items that apply to the household.

  4. 4

    Submit To The County

    Email, fax, or mail the completed application using the contact details in the application directions.

Frequently asked questions

Who can apply for the Lead Safe Westchester program?
Property owners and tenants may apply for eligible homes with chipped or peeling paint, built before 1978, that meet the program's income limits.
How do I submit the Lead Safe Westchester application?
Email it to [email protected], fax it to (914) 995-9093, or mail it to the Westchester County Planning Department address listed in the application directions.
Do I need a notary for the Lead Safe Westchester application?
No. This document is signed without a notary; it does not identify a notarized or sworn attachment, so the signer just signs and dates it.
What supporting documents does the application request?
The checklist requests items such as a property deed, current photo ID, and homeowners insurance. Owner-occupied applications may also require income, household, and other supporting documents.

Need something notarized?

This Lead Safe Westchester Program Application doesn’t need a notary — but if you have another Pleasantville form that does, a commissioned online notary can help.