ACTIVE MEMBER ADDITIONAL LOCATION(S) – American Bio Recovery Association

Please submit one form for every additional location you want to claim under your Active Membership.

ORGANIZATION INFORMATION

Email Address

Password *

First Name *

Last Name

Organization NameOrganization/Company Name

Organization Email *

Organization Phone

Organization Street Address *

Organization Suite, etc

Organization City *

Organization State/Province *

Organization ZIP / Postal Code *

Organization Country *

Website

APPLICANT DOCUMENTATION PREREQUISITE ITEMS (Please locate and be prepared to submit)

Submit contract or letter of agreement with a medical waste transporter or disposal facility/location.

No file chosen

Proof of existence as a legal business (i.e. occupational, city or county license or state corporation registration, tax number registration).

No file chosen

Current ABRA Certified Technicians at this Location (First Name, Last Name, Tech ID Number)If this is a new application you have 6 months to add an ABRA Certified Technician to this location.

Yes, I agree with the privacy policy and terms and conditions. I agree to abide by the ABRA Code of Conduct and Ethics and recognize that my Certification could be revoked in the event a party can prove that you are in violation of any of the statues here within.I agree