Online Special Medical Waste Removal Request Form


Special Medical Waste type to be removed from laboratory
Type Number of containers to be removed)
*Detail "Other" in Comments Section


Declaration: I hereby certify that the above information is accurate to the best of my knowledge and ability to determine that no deliberate or willful omissions of composition or properties exist and that all known or suspected hazards have been disclosed and all infectious organisms/agents have been rendered nonviable.