Girard, OH · Trumbull County

No notary required

Lead Status Unknown Service Line Survey Form

This survey helps Girard identify a property’s service line material, and property owners complete and return it to the city.

What this form is

Girard sends this notice because a home or building has a service line whose material is unknown. The survey asks for the owner’s name, property address, phone or email, water service location, and information about plumbing materials. The city asks residents to complete it to help identify the service line material; the notice also provides steps for reducing possible lead exposure.

Who needs it

Property owners receiving this notice can complete the survey to help Girard identify the material of their home or building’s service line.

How to submit it

Submit the survey online using the QR code, deliver it to the window at the Water Department, or email it to Gaye Martuccio at [email protected].

About notarization

This survey does not require a notary; it has no notarized attachment or sworn step, and the signer simply signs and dates it.

How to submit this form

  1. 1

    Download The Survey

    Download the Lead Status Unknown Service Line Survey Form.

  2. 2

    Complete The Survey

    Provide the owner’s contact details, water service location, and information about the plumbing materials.

  3. 3

    Gather Attachments

    The notice does not list any required attachments.

  4. 4

    Submit To The City

    Submit online using the QR code, deliver it to the Water Department window, or email it to Gaye Martuccio.

Frequently asked questions

What is the Lead Status Unknown Service Line Survey?
It asks property owners for information about their water service location and plumbing materials to help Girard identify the service line material.
Who should complete this survey?
Owners of homes or buildings that received the notice can provide owner and property details and identify the plumbing materials listed on the survey.
Do I need a notary for the Lead Status Unknown Service Line Survey?
No. The survey has no notarized attachment or sworn step; the signer simply signs and dates it.
How do I submit the survey?
Use the QR code to submit it online, deliver it to the window at the Water Department, or email your response to Gaye Martuccio at [email protected].

Need something notarized?

This Lead Status Unknown Service Line Survey Form doesn’t need a notary — but if you have another Girard form that does, a commissioned online notary can help.