Environmental Health & Safety
Supporting the campus community by proactively protecting people, property and the environment in a responsible and cost effective manner.

Controlled Substance Disposal Request

Section 1

Controlled Substance Disposal Request

Any person in possession of any controlled substance is required to follow appropriate disposal procedures. Complete the form below to request a pick up by an approved and authorized representative from EH&S. The animal protocol number and copies of inventory utilization (if available) will be requested at the time of pick up.

 

Disposal Information:

* Required fields

*Name: (first)    (last) 

*Phone:

*Principal Investigator or Supervisor: (first)   (last) 

*Department:

*Building (pick-up location):

*Room (pick-up location):

Email:

Research Protocol number (if applicable):

Item Information:

Controlled Substance (type and quantity):

Additional Information: