Non-hazardous waste transfer note: free blank PDF
Download a printable non-hazardous waste transfer note for England, Wales. The PDF contains the record sections shown below and writing space for the actual findings.
Download the blank printable PDF for free.
Free blank Non-hazardous waste transfer note form
Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.
Blank Waste Transfer Note (Duty of Care) form
Record scope and contents
England, Wales. The transferor and transferee, with their actual capacity and registration details.
- Record Details: Certificate number, Date of transfer, Time(s)
- Work location: Work jurisdiction
- Section A – Description of waste: Waste description, LoW code(s), Contained, Kind of container, How much waste?
- Section B – Current holder of the waste – Transferor: Full name, Company name and address, Postcode, SIC code (2007), Unitary authority
- Are you:: Producer?, Importer?, Transporter?, The local authority?, Permit holder?, Registered waste exemption?, Carrier, broker or dealer?
- Permit number: Permit number, Issued by, Details, including registration number, Registration number, Registration details
- Section C – Person collecting the waste – Transferee: Full name, Company name and address, Postcode, Registration number
- Are you:: Transporter?, The local authority?, Permit holder?, Registered waste exemption?, Carrier, broker or dealer?
- Registration number: Permit number, Issued by, Details, including registration number, Registration details
- Section D – The transfer: Transfer address, Postcode
- D2 Broker or dealer who arranged this transfer (if applicable): Name, Address, Postcode, Registration number
- Transferor’s signature: Waste hierarchy, Name, Representing, Transferor’s signature, Date
- Transferee’s signature: Name, Representing, Transferee’s signature, Date
Primary source for this record · checked 2 October 2026
What the Non-hazardous waste transfer note covers
Record the waste description and classification, quantity, transfer parties, carrier details, place and time, and both parties' declarations. Keep this with the waste movement. Digital receipt reporting for permitted receivers is a separate service.
Who needs one
- The transferor and transferee, with their actual capacity and registration details.
- Record scope: England, Wales.
- Keep the completed record with the source documents, findings and job reference.
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