WASHINGTON UNIVERSITY SCHOOL OF MEDICINE

ENVIRONMENTAL HEALTH & SAFETY



Infectious Waste/Biohazardous Waste Removal Request Form

By submitting this form you certify that these materials are properly documented and containerized for pick-up. Unless specifically identified above, none of the materials contain arsenic, barium, chromium, lead, mercury, nickel, osmium, selenium or silver.

Please provide the following contact information:

First:
Last:
Department:
Division:
Work Phone:
Email Address:


Billing Information:

Dept. Billing #
Name of P.I.

Boxes To Be Picked-Up:

Quantity
Description
Biohazard Boxes
Sharps Containers

Number of empty biohazard boxes to be dropped-off: .
Note: Departments are responsible for purchasing sharps containers directly from a vendor,
such as BFI (888-BFI-8690), Fisher (800-766-7000) or LabSafety (800-356-0783).

LOCATION:

Select Building:
Enter Building if not on
"Select Building" list:
Floor
Room #
COMMENTS:



Every effort will be made to pick up waste within 2 working days of request. Please
schedule your requests accordingly.

If you have any questions or need to make special arrangements, call Environmental Health &
Safety at 362-6816.