Duty of Care: Waste Transfer Note
One-Off
Keep this page and copy it for future use. Please write as clearly as possible.
Section A — Description of Waste
A1 Description of the waste being transferred
List of Waste Regulations code(s)
A2 How is the waste contained?
None selected
A3 How much waste?
Section B — Current Holder of the Waste (Transferor)
By signing in Section D below I confirm I have fulfilled my duty to apply the waste hierarchy as required by Regulation 12 of the Waste (England and Wales) Regulations 2011
B1 Full name
Company name and address
B2 Unitary authority or council
B3 Are you:
- The producer of the waste
- The importer of the waste
- The local authority
- Holder of an environmental permit
- Registered waste exemption
- Registered waste carrier/broker/dealer
Permit number
Issued by
Exemption details
Carrier registration
Carrier details
Section C — Person Collecting the Waste (Transferee)
C1 Full name
Company name and address
Postcode
C2 Are you the local authority?
C3 Are you:
- Holder of an environmental permit
- Registered waste exemption
- Registered waste carrier/broker/dealer
Permit number
Issued by
Exemption details
Carrier registration
Carrier details
Section D — The Transfer
D1 Address of transfer or collection point
Date of transfer
Time
D2 Broker or dealer
Registration number
Signatures
Transferor's Signature
Name
Representing
Date
Transferee's Signature
Name
Representing
Date
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