Environmental Health & Safety
Chemical Safety Waste Pick-up Form
Read the Chemical Collection Fact Sheet (FS-8)...
Click here if you need chemical tags sent to you...
E-mail Address (required to begin)
Your E-Mail Address
Your e-mail address will allow you to complete your task over several sittings, if necessary. Entries are saved as you type. If you browse away from a partially-completed form and return to an empty form, enter your e-mail address and press "Tab".
("Finished" work is not available to restore.)
Your First Name
Your Last Name
Enter Your Chemical Waste Items
(To enter more than one chemical, press "Add Another Chemical Tag".)
Chemical Collection Tag #
Chemical Name(s) / Percent (must equal 100%)
Type the text from the image into the space below.
Get a New Image
University of Nebraska Medical Center
42nd and Emile, Omaha, NE 68198
News & Events
© 2017 University of Nebraska Medical Center
University Computer Use Policy
Notice of Privacy Practices
Notice of Nondiscrimination
View Full Site