Applications and Forms

Note:  All forms are in PDF Format
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The Infectious Medical Waste Rule can be obtained here.

Applications

	Infectious Medical Waste Management Facility - Application Package for a New Permit
	Application only
	Infectious Medical Waste Management Facility - Application Package for a Major Change to Management Plan
	Application only
	Infectious Medical Waste Management Facility - Permit Renewal
	Infectious Medical Waste Transport Vehicle Permit
	Fill - In Application in Word
	Incinerator Operator Registration Application
	Evaluation of Alternative Medical Waste Treatment Technologies
	Permit Fee Schedule

For additional information contact:

David Thornton, R.S. - Program Manager

Email:  david.p.thornton@wv.gov
(304) 356-4328
(304) 558-1071 fax

 

Judy Ashcraft R.S. - Assistant Program Manager

Email:  judith.a.ashcraft@wv.gov

(304)356-4284

(304) 558-1071 fax

Forms

	IW-3  Infectious Medical Waste Shipping Manifest
	IW-10  Infectious Medical Waste Management Facility Annual Report in PDF
	IW-10  Infectious Medical Waste Management Facility Annual Report in Word
	IW-11  Transporter Quarterly Report in Excel
	IW-11  Transporter Quarterly Report in PDF
	IW-11  Transporter Quarterly Report in Word
	IW-11A  Transporter Quarterly Customer Information Report in Excel
	IW-16  Commercial Waste Treatment Facility Quarterly Report
	180 Day Evaluation Agreement