KeyBridge Pro — Job Submission Form

KeyBridge Pro — Job Submission Form

Enter your assessor and property details, select the report options, and upload the required field files for report generation.
New to KeyBridge Pro? Complete assessor onboarding before submitting a job. Register Here
- ODH License Number
  Enter your ODH License number without spaces (ex: LA1234)
- Email Address
  example@example.com
- Was a second assessor present during this assessment?
- Second Assessor ODH License Number
  ODH License number without spaces (ex: LA1234)
- Note: The second assessor must be registered in the KeyBridge Pro system prior to submitting this report. If they have not completed onboarding, please have them do so before submitting.
- Report Type
- Program Type
- Agreement Number
  HUD-funded assessments only. Enter your HUD grant agreement number. Leave blank for private pay, EPA, or NRSA jobs
- Program Name
  e.g. "City of Cleveland IV Program"
- Grant Recipient
  e.g. "City of Cleveland"
- Assessment Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Year Built
- Property Type
- Is this an additional unit
- Stories
- Facing Direction
- Bedrooms
- Bathrooms
- Square Footage
- Parcel Number
- Owner Information
- Property Owner Name
- Property Owner Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Property Owner Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Occupancy Status
- Occupant/Tenant Name
  Occupant/Tenant Name (if different from owner)
- Occupant Details (Children, Ages, Rooms Used)
  (Children, Ages, Rooms Used)
- Were any components excluded from testing?
- Add Excluded Components
- Were there additional lead-based paint hazards identified that are not reflected in the dust wipe lab results?
- Interior Hazards
- Exterior Hazards
- HEA 7731 — Lead Hazard Control Visual Clearance Form
  
  Cancelof
- Form 15.2 — Field Sampling Form for Dust-Lead Hazard Clearance
  
  Cancelof
- Field Assessment Transcript
  
  Cancelof
- Resident Interview Transcript
  
  Cancelof
- SciAps Export — All Scans
  
  Cancelof
- SciAps Export — Positive Scans
  
  Cancelof
- SciAps Export — Positive + Deteriorated Scans
  
  Cancelof
- Lab Reports (Dust Wipe and Soil)
  
  Cancelof
- Form 5.1 — Building Condition Survey (completed)
  
  Cancelof
- HEA 7729 — Visual Assessment Form (completed)
  
  Cancelof
- Form 5.0 — Resident Questionnaire (completed)
  
  Cancelof
- Site and Floor Plan
  
  Cancelof
- Property Photo - Exterior Front
  
  Upload as JPEG or PNG only. Do not upload as PDF.
  Cancelof
- Photographs — Full Property
  
  Upload photos as a compressed PDF only. Keep file size under 10MB.
  Cancelof
- Additional Notes
- Assessor Full Name
- Company Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

KeyBridge Pro — Job Submission Form

Owner Information