Legal Authority: 381.0098 Florida Statutes and 64E-16 Florida Administrative Code
 

A biomedical waste generator is required to apply for an annual biomedical waste permit and abide by the requirements of Chapter 64E-16, Florida Administrative Code (F.A.C.). The initial permit fee is $85.00. When the facility shall be in operation six (6) months or less before the annual renewal date, the initial fee shall be prorated on a quarterly basis. Permits expire September 30 of each year. The permit fee for renewal applications received by October 1 is $85.00. The permit fee for renewal applications received after October 1 is $105.00. State-owned and operated facilities are exempt from the permit fee. Submit the following information on this form to your local Department of health Biomedical Coordinator.

**FOR CURRENTLY PERMITTED GENERATORS ONLY:** A currently permitted biomedical waste generator, that produces less than 25 pounds of biomedical waste in each 30 day period, may claim an exemption from the fee and permitting requirements of Chapter 64E-16, F.A.C. Only a currently permitted biomedical waste generator applying for exemption from permitting must submit documentation from the previous 12 months showing the biomedical waste generated in each 30 day period during those 12 months was less than 25 lbs. Documentation must include the amount of waste generated in each 30 day period for the previous 12 months and may be in the form of a monthly log or receipts.
VerificationAll order information is subject to verification by Broward County Health Department no later than the end of the next business day. You will be notified by the health department if discrepancies are noted.

Contact InformationThe best way to contact the Broward County Health Department is to call 954.467.4837 or 954.847.3599 week days between 8:00AM and 5:00PM, or send an email to chd06ehe@doh.state.fl.us.

Service FeeCustomers of this site will be charged $6.00 or 4%, whichever is greater by VitalChek.

The undersigned owner/owner's representative, herby agrees to operate the biomedical waste generating facility described in this application in accordance with the requirements of Chapter 381.0098, Florida Statutes, and Chapter 64E-16, F.A.C. The information contained in this application, which serves as the basis for permitting or exemption, is true and correct. I understand that any misrepresentation of the facts in this application, or failure to comply with sanitary standards, is grounds for denial, administrative fine or revocation of the biomedical waste permit or exemption. Biomedical waste shall be handled within the facility in accordance with the generator's written operating plan. Operating plan must be in compliance with 64E-16, F.A.C.
 
Sign by typing your full name below

 
   
 
Permit Information
Operating Permit Number:   -  -  Required
Name of Facility:   Required
Address:   Required

City:   Required
State:   Required
ZIP Code:   Required
Contact Person:   Required
Telephone:   Required
Type of Waste Generated: 
Method of Removal: 
By Applicant, to Where
By Transporter, Company Name
Maximum weight of biomedical waste generated during any 30-day period:
 lbs.
Current Facility Type: 
 
Biomedical Waste Generator Fee:  $85.00
Past Due Amount:  N/A
NOTE: Permits will not be mailed until outstanding fees have been paid.
Facility Owner's Information
Name:   Required
Address:   Required

City:   Required
State:   Required
ZIP Code:   Required
Business Phone:   Required
24-HR Emergency Phone:   Required
Property Owner's Information
Name:   Required
Address:   Required

City:   Required
State:   Required
ZIP Code:   Required
Branch Office's Information

For information regarding multiple permit renewals click here
 
 
          Home      Payment Options       Our Difference      Agency Partners      Contact Us      Terms & Conditions      Privacy Policy      
                        Copyright © 2009 LexisNexis Risk Solutions. All rights reserved.