An invoice is a document that lists the goods or services a customer has received and the corresponding cost. The invoice form can be simple or complex, but it must include all of the necessary information for the customer and supplier to process the payment. When designing an invoice form, it's important to avoid any potential misunderstandings by including all of the relevant details. In this blog post, we'll discuss some of the key elements of an invoice form and provide tips for creating an accurate and clear document.
| Question | Answer |
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| Form Name | Deleading Invoice Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | massachusetts invoice print, deleading invoice full compliance, deleading form online, deleading invoice template |
DELEADING INVOICE
Please completely and clearly fill out appropriate information:
Name (print) |
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Telephone |
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Company: |
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Work/Cell |
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Address: |
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Zip Code |
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Address of Deleading Work |
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I hereby attest that all deleading activities and clean up were done in accordance with the Department of Labor and Workforce Development’s Regulations, 454 CMR 22.00 and the Childhood Lead Poisoning Prevention Program’s Regulations, 105 CMR 460.000.
Signature |
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Date: |
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Only complete section reflecting your authorization/license status |
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Deleading Contractor |
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License#: |
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Exp. Date |
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DS |
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Deleading Methods: |
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Scraping |
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Demolition |
Power Sanding |
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Caustics |
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Heat Gun |
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Replacement |
Covering |
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Making Intact |
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Liquid Encapsulation |
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Other |
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Work was done in the following rooms: |
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Work was done on the following types of components: |
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Start Date: |
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Finish Date: |
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Cost: $ |
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Authorization # MR- |
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RRP w/additional Moderate Risk Training |
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Issuance Date: |
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Authorization # |
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Moderate Risk Deleader (owner/agent) |
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Issuance Date: |
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Deleading Methods: |
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Replacement |
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Making Intact (interior) |
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Capping Baseboards |
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Covering |
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Making Intact (exterior) |
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Liquid Encapsulation |
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Work was done in the following rooms: |
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Work was done on the following types of components: |
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Start Date: |
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Finish Date: |
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Cost: |
$ |
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(Doesn’t Include Owner’s Labor) |
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Low Risk Deleader (owner/agent) |
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Issuance Date: |
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OL AL OE AE OB AB
Deleading Methods: |
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Covering |
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Liquid Encapsulation |
Capping Baseboards |
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Replacement (ONLY doors, cabinet doors, shutters, shelves not affixed, drawers, windows on hinges) |
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Work was done in the following rooms: |
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Work was done on the following types of components: |
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Start Date: |
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Finish Date: |
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Cost: $ |
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(Doesn’t Include Owner’s Labor) |
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Questions? Call the Department of Public Health at
DO NOT LOSE THESE DOCUMENTS