HazWaste Form
Early sign-in is now available for New Haven. Fill out the form below and save time on Saturday!
Personal Information
First Name
*
Last Name
*
Address
*
City/Town
*
Bethany
Branford
East Haven
Fairfield
Guilford
Hamden
Madison
Meriden
Milford
New Haven
North Branford
North Haven
Orange
Wallingford
West Haven
Woodbridge
Zip
*
Email
Phone
License Plate Number
Type Of Residence
*
Single-Family
Two-Family
Three-Family
More Than Three Families
Condominium
Date (If filling ahead of time, please list the date you plan to come to HazWaste)
*
Note: HazWaste Central is only open on Saturdays
Location
*
New Haven
Milford
Woodbridge
Amount of Waste Being Disposed of Today
Amount of Liquid Waste
*
0 gallons (0)
1 to 7 gallons (1/2)
8 to 15 gallons (1)
16 to 30 gallons (2)
31 to 45 gallons (3)
46 to 61 gallons (4)
Other (list details)
If you selected "other," please give details:
Amount of Solid Waste
*
0 pounds (0)
1 to 10 pounds (1/2)
11 to 20 pounds (1)
21 to 40 pounds (2)
41 to 60 pounds (3)
61 to 80 pounds (4)
Other (list the details)
If you selected "other," please give details:
Types of Waste Being Disposed of Today
Aerosol (With waste in Can)
Fluorescent Bulbs
Pool Chemicals
Paints & Paint-related Products
Cleaners (Household/Industrial)
Gasoline
Mercury, (thermometers)
Pesticides/Herbicides
Other (Please specify)
If you are disposing of batteries, Please specify what type:
Alkaline
Button-Cell
Lithium
Ni-Cad
Non-Rechargeable
Re-Chargeable
Other
Different types of batteries should not be mixed. Each type should be in a separate bag or box.
Waste Oil, Antifreeze and Auto Batteries
Please specify amounts in gallons
Antifreeze Mixed with Other Chemicals
1 to 7 gallons (1/2)
8 to 15 gallons (1)
16 to 30 gallons (2)
31 to 45 gallons (3)
46 to 61 gallons (4)
Antifreeze Not Mixed with Other Chemicals
1 to 7 gallons (1/2)
8 to 15 gallons (1)
16 to 30 gallons (2)
31 to 45 gallons (3)
46 to 61 gallons (4)
Other (list details)
Oil Mixed with Other Chemicals
1 to 7 gallons (1/2)
8 to 15 gallons (1)
16 to 30 gallons (2)
31 to 45 gallons (3)
46 to 61 gallons (4)
Oil Not Mixed with Other Chemicals
1 to 7 gallons (1/2)
8 to 15 gallons (1)
16 to 30 gallons (2)
31 to 45 gallons (3)
46 to 61 gallons (4)
Other (list details)
Auto Batteries
We Need Your Help
Would you help us spread the word about HazWaste Central? (Check off where interested)
Would you tell a friend, neighbor, or relative about HazWaste Central?
Would you give out HazWaste Central Information brochures to friends, neighbors, or relatives?
Are you a member of a civic group or local organization? If so, would you arrange for a HazWaste display?
Have you been to Hazwaste Central before?
How many times?
Tell us how you heard about us or provide other comments here.
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