Waste Pickup Request Form

Complete this form to request a pickup.

For Hazardous Waste Only
  1. The deadline for requests is NOON on the Friday before the scheduled pick-up date. Requests placed after this deadline will be addressed on the FOLLOWING scheduled pick-up date.
  2. The waste removal personnel do NOT have keys to room where your waste is located. If you CANNOT be in the room when they arrive, please leave a note on the door with a cell phone number where you can be reached to provide them prompt access.

First Name:
Last Name:
 
Phone:
  
Email:
   
Department:
v
 
Building:
v
 
Location (Room):
 

Waste type:
 
Description:
 
Special Handling Instructions:

Submit