Applications and Forms
64 CSR 56 Infectious Medical Waste Rule link: Infectious Medical Waste Rule
Infectious Medical Waste Facility Permit On-line Application and Payment Option for Renewal
To Complete an Online Application for Renewal of Infectious Medical Waste Facility Permit;
You will need:
- Current Infectious Medical Waste (IMW) Permit number
- Credit Card: VISA, MASTERCARD, AMERICAN EXPRESS, DISCOVER
Click here to begin Application and Payment Page.
Procedure To Renew A Permit
- No Changes In Your Infectious Medical Waste Management Plan
To renew a permit with no changes to the Infectious Medical Waste Plan simply complete an application form and submit it with the required fee from appendix A of the Infectious Medical Waste Rule, 64CSR56. - With Minor Changes To Your Infectious Medical Waste Management Plan
Minor changes to your infectious waste management plan should be submitted with your next permit renewal application. A copy of the infectious medical waste plan must be submitted with the application form and fee. If there is a problem with the plan the IMW program personnel will correspond with you until it meets the requirements. You may operate under your old plan until the new one is compliant. - Major Changes to You Infectious Medical Waste Management Plan Must Be Approved Before ImplementationIf you are making major changes to your infectious waste management plan the plan must be submitted before it is implemented. You may submit this plan at any time during the year but it must be submitted and approved prior to its implementation.
Please Contact for Questions or Additional Information:
Office of Environmental Health ServicesFairmont District Office416 Adams Street, Suite 530Fairmont, WV 26554Phone No. 304-368-2530
Or Email: Donna.R.Gorbey-Michael@wv.gov
Infectious Medical Waste Hauler On- Line Application and Payment
On-Line Applications and Payment for Infectious Medical Waste Haulers
Application Forms
- Infectious Medical Waste Management Facility - Application for a New Permit
- Infectious Medical Waste Management Facility - Application Package for a Major Change to Management Plan
- Infectious Medical Waste Management Facility - Permit Renewal
- Infectious Medical Waste Transport Vehicle Permit
- Incinerator Operator Registration Application
- Evaluation of Alternative Medical Waste Treatment Technologies
Infectious Medical Waste Permit Fee Schedule
Fee by Facility Type
Facility Type | Permit/Registration Fee | |
A. Hospitals: | 1 to 50 beds | $500.00 |
51 to 149 beds | $1,750.00 | |
150 or more beds | $2,500.00 | |
B. Commercial Infectious Waste Management Facility: $5000.00 | $5000.00 | |
Small Commercial Infectious Medical Waste Management Facility for Sharps (64 CSR 56 Section 11.19) | $150.00 | |
C. Transportation Vehicle | $250.00 (each) | |
D. Commercial Storage and Transfer Facility: | $250.00 | |
E. Other (generate over 50 lbs./month of Infectious Medical Waste) | 1. Health Care Professionals | $250.00 |
2. Independent Dialysis Center | $250.00 | |
3. Independent Laboratories | $250.00 | |
4. Independent Rural Clinics | $250.00 | |
5. Nursing Homes | $250.00 | |
6. Other Long Term Care Facilities | $250.00 | |
7. Outpatient Surgery Centers | $250.00 | |
F. Incinerator Operators Registration | $25.00 | |
G. Alternative Treatment Evaluation Fee | $500.00 |
Forms
- IW-3 Infectious Medical Waste Shipping Manifest
- IW-11 Transporter Quarterly Report in Excel
- IW-11 Transporter Quarterly Report in PDF
- IW-11 Transporter Quarterly Report in Word
- IW-11A Transporter Quarterly Customer Information Report in Excel
- IW-16 Commercial Waste Treatment Facility Quarterly Report
- 180 Day Evaluation Agreement