Request for Hazardous Waste Generation Fee Waiver or Exemption

Use this form to apply for:

A one year waiver if you did not generate any amount of hazardous waste in the year billed.
An exemption if you never generate an amount of hazardous waste.

Your opportunity to apply for a waiver or exemption is lost after an invoice is referred to collections.

Instructions

Submit your request by the due date on your invoice.

To fill out the form, you must:

Fill in all fields.
Provide a correct email address.
Provide your eleven-digit invoice number.
Answer the questions that apply to your business type. If your business type is not listed please use the "All Others" section.

After we receive your request, we will respond within a few business days by email. We may request more information in order to make a determination.

Lack of information will result in a denial of your request for relief.

* required field

Your Name*

Business Name*

Contact Phone Number*

Your email*

Please re-enter your email*

Eleven-digit invoice number located on the billing coupon.*

Please enter with no dashes or spaces.

Six-digit business classification code (NAICS)*

This number is located on the back of your invoice. Please enter with no dashes or spaces.

Are you applying for a one year waiver or a permanent exemption?*

Do you have an active dangerous waste Site Identification number?*

Does your business contract with a dangerous waste disposal company to dispose of your waste?*

Is your business out of state?*

Optional

Businesses may use this box if they wish to provide additional information that may assist Ecology in making a decision on their request for relief from this fee.

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