UAMS Biohazard Materials Pickup Request

Fri, May 24, 2013

Biological Safety Chemical / Lab Safety Driver Safety / Insurance Environmental Programs Fire and Life Safety Industrial Hygiene Radiation Safety Respirator Safety S.A.F.E. Program

This form is for requesting pick-up of Biohazardous Materials only.

Do not use this form for pick-up of Radioactive Materials or Chemical Materials.

Building: Floor:

Room:

Department:

Biohazard Waste Supplies
	Type	Quantity	Type	Quantity
	Boxes		Brutes

Check here if you only need supplies delivered. (No waste pickup.)

First Name: Last Name:

Work Phone: Email:

UAMS ID Badge Barcode Number or SAP ID Number:

The Badge ID # is located beneath the barcode on your UAMS Student or Employee ID Badge.
Your SAP ID # is found in the upper right hand corner of your UAMS ID.
Your First Name and Last Name must match the name listed for you in SAP.

By submitting this form, you are certifying that you are the individual named above.
(The name typed into First and Last Name fields).

University of Arkansas for Medical Sciences
Occupational Health & Safety, Slot 617
Central Building, Ground Floor, Room # G154
4301 W. Markham St., Little Rock, AR 72205

Office, Call 501-686-5536
Fax 501-296-1339
Business Hours 8:00 am - 4:30 pm, Monday - Friday

Questions or comments about this page? Send us an email.
This site created and maintained by Campus Operations Data & Decision Support
All contents © 2000-

Copyright Statement Privacy Statement