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http://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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