Biowaste Pickup/Supply Request

To notify Environmental, Health, Safety, Risk and Emergency Management (EHSREM) that you are in need of a biowaste pickup or supply drop off, please complete the following form.

Department *

Name *

Sender's E-Mail *

Phone Number *

Building *

Room/Lab # *

Are you in need of additional supplies? *

Yes

What EHSREM supplies are needed? *

Biowaste Box

Biohazardous Bag

Red Bag

Broken Glass Box

Sharps Container

5 Quart

Sharps Container

4 Quart/1 Gallon

Sharps Container

1 Quart

Waste Descprition *

Include a brief description of the Biowaste, such as Biowaste box, sharps container, etc.

If you happen to see this, do not fill this field.