Chemical Waste Recharge Authorization Form

Follow these easy steps:

1) Download the Portable Document Format (PDF) file to a computer desktop or open in a web browser.

2) Complete all of the information on the form. For additional instructions, double click on the question marks on the PDF.

3) Print one copy to sign and send to EH&S and print one copy to keep for your records.

4) Fax or mail the completed Chemical Waste Recharge Authorization Form to the Office of Environment, Health & Safety.

FAX number: 643-7595
Campus Address: EH&S, University Hall, Room 317, MC 1150

Chemical Waste Recharge Authorization Form (PDF - 48K)