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Hazardous Waste Forms

Chemical Safety Day Program

• Form A: Pure Chemicals (PDF)
• Form B: Chemical Mixtures (PDF)
• Form C: Commercial Products (PDF)
• Form D: Unknown Laboratory Samples (PDF)

Controlled Substances

• Applying for an Exemption? (PDF)
• Authorized Users Signature Log (PDF)
• Controlled Substances Registration Form (PDF)
  All U of M departments wishing to conduct research with controlled substances are required to register with the Department of Environmental Health and Safety. Follow this link for further instructions. (Microsoft Word)
• Controlled Substances Disposal Form (PDF)
• DEA Form 225 Instructions (PDF)
  Contact Greg Casura at casur001@tc.umn.edu to get the DEA 225 form.
• DEA Registration Instruction Sheet (PDF)
• Large Animal Controlled Substances Form (PDF)
• MNBP Registration Instruction Sheet (PDF)
• Mid-Level Practitioners Addendum (PDF)
• Power of Attorney Transfer Form (HTML)
  Power of attorney may only be granted to another unit registrant according to U of M policy. Please record the Form 222 identifier numbers on the forms transferred on your Form 222 log.
• Minnesota Board of Pharmacy Applications for Researchers (PDF)
• Report of Theft or Loss of Controlled Substances (PDF)
• Research Controlled Substance Inventory (PDF)
• Research Controlled Substance Disposition Record (PDF)
• Schedule I (HTML)
• Schedule II (HTML)
• Security Control Questionnaire (HTML)
• Small Animal Use Record (Single Drug) (PDF)
• Small Animal Use Record (Combination Drug) (PDF)

Hazardous Waste

• Chemical and Labware Request Form (HTML)
• Emergency Information and Phone Numbers (PDF)
• Hazardous Material Building Construction Procedure (HTML)
• Hazardous Material Transport Form (PDF)
• Hazardous Waste Generator Record of Training (PDF)
• Hazardous Waste Video Record of Training Form (PDF) *
• Hazardous Waste Weekly Inspection Form 1 (PDF)
• Hazardous Waste Weekly Inspection Form 2 (PDF)
• Request for Permission to Dispose of Chemicals by Sewer or in Trash (PDF)
• Unknown Preliminary Analysis Checklist (PDF)