Online Applications DEQ Commonwealth of Virginia General Instructions

Register as a Transporter of Regulated Medical Waste

** Denotes Required Fields
Name of the person or firm:
Business address of person or firm:
Address: ** --
City: **     State:
The name and phone number of a person who may be contacted in the event of an accident or release
Name: Phone:
Type of waste expected (Check all those for which certification is sought)
Name of Chief Executive Officer
First Name                           MI         Last Name
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