Fillable Printable Lead Order Form

Lead Order Form

NewYorkStateDepartmentofHealth

FREELeadPoisoningPreventionEducationalMaterials

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Instructions:

Pleasefillintheformwithyourmailinginformationandcirclequantitiesnexttoeachitem.Previewordownload

publicationsat//www.health.ny.gov/environmental/lead/education_materials/index.htm.CalltheLeadProgram

at(518)402‐7600forordersoverthemaximum.Orderscanbeplacedviamailoremail.Nophoneordersplease,butif

youhaveaquestionaboutyourorder,calltheDistributionCenterat(518)465‐8170.

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TitlePub#LanguageQuantity

AreyouPregnant?LearnhowtoProtectYourselfandYourBabyfromLead

Poisoning(Brochure)

2593English2550100

2599Chinese2550100

2598Spanish2550100

AtOneandTwoTestingforLeadisWhattoDo(11x17Poster)

2549English1510

2550Spanish1510

AtOneandTwoTestingforLeadisWhattoDo(8.5x11Poster)2547English1510

AtOneandTwo,TestingforLeadisWhattoDo(Stickers)

2554English2550100

2581Spanish2550100

BewareofLead!Doyouknowwhereleadmaybehiding?(English,Spanish,

Chinese,Italian,Russian,French,Burmese,Karen,Pashto,Creole,Arabic,Nepali,Farsi,

andSomali)(Factsheet)

Web‐Only

ClickHere

GetAheadofLead(Factsheet)(English,Bosnian,Chinese,Farsi,French,Russian,

Urdu,andVietnamese)(Factsheet)

Web‐Only

ClickHere

GetAheadofLead(Factsheet)2569Spanish2550100

GetAheadofLeadGoodNutritionHelpsYourFamilytoGetAheadofLead(11x17

Poster)

2524English1525

2525Spanish1525

GetAheadofLeadProgramCrayons258751525

GetAheadofLeadLeotheLittleLionLearnsHowtoGetAheadofLead(Coloring

book)

2528English50100250

2542Spanish2550100

GetAheadofLeadLeotheLittleLionLearnsHowtoGetAheadofLead(Storybook)

2533English50100250

2541Spanish2550100

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NewYorkStateDepartmentofHealth

FREELeadPoisoningPreventionEducationalMaterials

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TitlePub#LanguageQuantity

IdentificationandManagementofLeadExposureinChildrenWallChart(11x17

Poster)2509English1525

IdentificationandManagementofLeadExposureinChildrenWallChart(8.5x11

(Poster)2501English1525

LeadPoisoningisaDangerforEveryBabyandChild(Brochure)

2594English2550100

2601Chinese2550100

2600Spanish2550100

MakeyourCleaningCountWashLeadOut8.5X11(Poster)2548

English

Spanish11525

WhatChildCareProvidersNeedtoKnowaboutLead(Brochure)2517English2550100

WhatyourChild'sLeadTestMeans(Arabic,HaitianCreole,Hindi,Karen,MaayMaay

andSomali)(Factsheet)

Web‐Only

ClickHere

WhatyourChild'sLeadTestMeans(Factsheet)

2526English2550100

2604Chinese2550100

2603French2550100

2605Russian2550100

2527Spanish2550100

“MaterialsforHomeowners,Contractors,LandlordsandTenants”

HealthDangersfromLeadontheJob(Brochure)

2543English152550

2582Spanish152550

LeadPaintSafety‐FieldGuideforPainting(Booklet)2596English1525

LeadPoisoning(LeadandRoadConstruction)(Factsheet)2834English152550

LeadTipsforContractors(Factsheet)2597English152550

WhatYouNeedtoKnowAboutWorkingwithLeadBasedPaint2502English50100250



WeCannotShipToPostOfficeBoxes

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11/2017

MAILTO:

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NewYorkStateHealthDepartment

DistributionCenter

POBOX343

Guilderland,NY12084‐0343

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Email:[email protected]

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SHIPTO:

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ShippingAddress:__________________________________

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