Qualifications & Application 

You may be eligible if:

  • You live in the City of Roanoke
  • Your home was built before 1978 and not located in the floodplain
  • You have a child age 5 or under living in or regularly visiting the home
  • You meet income eligibility guidelines (MSA) median income (see chart below)
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Application

Click on link below for an application! 

You may be eligible if:  

  • You live in the City of Roanoke
  • Your home was built before 1978 and not located in the floodplain
  • You have a child age 5 or under living in or regularly visiting the home
  • You meet income eligibility guidelines

Roanoke MSA Median Income


Household Size Income Level
1 $40,950
2 $46,800
3 $52,650
4 $58,500
5 $63,200
6 $67,900
7 $72,550
8 $77,250


To apply, you must provide the following:

      Completed Application. All questions on the application must be answered. If a question does not apply to you, indicate that by writing none or N/A.

      Proof of Income. Provide supporting documentation for all sources of income for all occupants age 15 and over.

      Most recent W2 Tax Form or 1040 income tax form or 4 current, consecutive paystubs

      Additional income statements such as unemployment, social security, child support, TANF, etc.

      Zero Income Form for any occupant that receives no income

      Proof of Child Occupancy. Provide copies of Birth Certificates for all children aged 5 and under living or regularly visiting the home. If applicable, complete Part D: Visiting Child Certification.

      Proof of Home Owners Insurance. Include a copy of the Declarations Page with property address and current insurance policy dates.

      Photo ID. Submit copies of a photo ID for the owner(s) and, if applicable, the tenant(s).

Please send the following forms to:

Lead Safe Roanoke 
215 Church Avenue SW
Room 208 North
Roanoke, VA 24011

Contact us if you have questions. 
Phone: 540-853-5682
Fax: 540-853-5685
Email: LSRinfo@roanokeva.gov