In accordance with RSA 130-A:5, I(a), the commissioner shall require information and periodic reports for the purposes of medical and environmental case management and for lead investigations including:

1. (a) From a child’s health care provider:

   1. (1) The child’s full name;
   2. (2) The child’s date of birth;
   3. (3) The child’s race and ethnicity;
   4. (4) The child’s physical addresses;
   5. (5) The names of the child’s parents or guardians;
   6. (6) The child’s blood lead analysis results;
   7. (7) The plans for medical management of the child;
   8. (8) The names of the child’s siblings;
   9. (9) The child’s siblings’ dates of birth;
   10. (10) The results of the child’s siblings’ blood lead analysis;
   11. (11) Any information available about the child’s sources of lead exposure; and
   12. (12) Any other information pertinent to the management of the child’s elevated blood lead level;

2. (b) From an owner or owner’s agent of a dwelling or dwelling unit:

   1. (1) Dates of occupancy by the child;
   2. (2) Whether the child continues to occupy the dwelling or dwelling unit at the time of the request;
   3. (3) New address of family, if known, when the family has moved or is relocated under RSA 130-A:8-a;
   4. (4) The lead hazard reduction activities that will be used at the dwelling or dwelling unit;
   5. (5) A progress report on what lead hazard reduction activities have been completed;
   6. (6) Measures taken to protect the child from further exposure to lead;
   7. (7) A completed “Tenant Roster Form” (February 2025); and
   8. (8) Any other information pertinent to the lead investigation and environmental inspection;

3. (c) From an owner or operator of a child care facility:

   1. (1) Dates of attendance by the child;
   2. (2) Number of hours per week that the child attends the facility;
   3. (3) Whether the child is attending the child care facility at the time of the request;
   4. (4) Names and ages of other children attending the facility;
   5. (5) The lead hazard reduction activities that will be used at the child care facility;
   6. (6) A progress report on what lead hazard reduction activities have been completed;
   7. (7) Measures taken to protect the child and other children in the facility from further exposure to lead; and
   8. (8) Any other information pertinent to the lead investigation and environmental inspection; and

4. (d) From an owner, owner’s agent, or lead abatement contractor involved in lead inspection or hazard reduction activities at a child’s dwelling, dwelling unit, or child care facility:

   1. (1) A completed “Notification of Work Form” (February 2025) pursuant to He-P 1608.06;
   2. (2) An occupant protection plan, written in accordance with He-P 1608.05, outlining measures taken to protect the child and other persons in the dwelling, dwelling unit, or child care facility from further exposure to lead before and during lead hazard reduction activities;
   3. (3) A written work scope detailing all lead hazard reduction activities including identification and location of each component as well as abatement or interim control methods planned for use for each component; and
   4. (4) The results of any lead inspections conducted at a child’s dwelling, dwelling unit, child care facility, or at any other building associated with a lead investigation.

Source. #5920, eff 1-1-95; amd by #6096, eff 9-22-95; ss by #7181, eff 12-24-99; ss by #7495, eff 5-23-01; ss by #8039, eff 2-13-04; ss by #8932, eff 7-6-07; ss by #9986, eff 9-1-11, EXPIRED: 9-1-19 (from He-P 1612.02) New. #13052, eff 6-11-20; ss by #14230, eff 4-2-25