Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Radon Test Kit Request Form

  1. Instructions

    Please fill out the information below to request a radon test kit from the Lenawee County Health Department. Once you've submitted your information, a staff member will contact you by phone to let you know when your test kit is ready for pick-up.

  2. Important Information
    Test kits are free only during the month of January. Any requests submitted before the start or after the end of January will be subject to the regular $10.00 fee per test kit.
  3. Free test kits are limited to one per household or address. If you would like more than one test kit for a home, you may purchase additional test kits at a cost of $10.00 each.
  4. These test kits are for homes located in LENAWEE COUNTY only. If you would like a test kit for a home in another county, please contact the local health department for that county.
  5. Need help?
    If you have questions or need assistance, please contact our office by e-mailing or calling 517-264-5213.
  6. Once you've submitted your request for a test kit, please allow up to 5 business days for our department to process your request. Test kits will be provided for free as long as the request is received within the month of January.

  7. Leave This Blank:

  8. This field is not part of the form submission.