Regulated Medical Waste Shipping Paper Guide

June 2, 2022

If you generate regulated medical waste (RMW) and send it off site for treatment, it is important to understand that documentation is required by the U.S. Department of Transportation (DOT) to help track medical waste from its point of generation to treatment. In addition to DOT requirements, the transportation of RMW may be subject to additional state and local regulations.

What Is the Purpose of Shipping Papers?

The purpose of a shipping paper is to describe and document the material being transported, and record each handler of the material. Different portions of the shipping paper must be completed by the person offering the material for shipment (an RMW generator), the transporter, any intermediate handlers, and by the end destination facility (such as an RMW treatment facility). RMW shipping papers vary by state, but generally contain the following information:

  • Generator name, address, phone number

  • Transporter name, address, phone number

  • Treatment facility name, address, phone number

  • Signatures and dates for each transfer/receipt

  • Description of waste

  • Container type

  • Number of containers and quantity

  • Generator Certification

RMW Treatment and Disposal

Beyond shipping papers, the generation, storage, shipping, transportation, treatment and disposal of RMW is subject to regulation at the local, state, and federal level. Some examples include:

  • The DOT Hazardous Materials Regulations which, as noted above, include requirements for shipping papers and packaging

  • The U.S. Occupational Safety and Health Administration (OSHA), including the Bloodborne Pathogens Standard

  • State health department and/or environmental agency regulations

  • Local city or county regulations

With WM, Your Facility Can Take Steps to Maintain Compliance

Learn more about our regulated medical waste service and how we can help you take steps to protect your practice.

This article is for general information purposes only and should not be construed as legal advice on any specific facts or circumstances.

Regulated Medical Waste Shipping Paper Guide

An informational guide on regulated medical waste shipping papers, showing a biohazard box and an example of a completed medical waste tracking form.

Download Now

Related Content

  • Doctor holding a prescription bottle while writing on a clipboard at a desk
    Controlled Substance Disposal: Inventory vs. Wastage

    August 10, 2026

  • Healthcare worker in a full hazmat suit and respirator caring for a patient in a hospital bed
    Managing Category A Waste in Healthcare: Key Preparedness Considerations

    July 08, 2026

  • Chemical container label showing GHS flammable, toxic and health hazard pictograms
    Understanding OSHA’s HazCom Standard & Training Requirements

    May 19, 2026

  • Home health nurse explaining a prescription bottle to an older couple seated on a couch
    What Patients and Caregivers Should Know About Disposing of Cancer Drugs...

    March 03, 2026

Skip to main content

US - English

Schedule & ETAMake a Payment Find a Facility
WM logo
SupportSupport
WM logo
Waste Management (WM) logo.

Products & Services

Residential Garbage & Recycling Pickup

Commercial Trash & Recycling Service

Roll-Off Dumpster Rentals

Bulk Pickup

Construction Waste Disposal

Bagster® - Dumpster in a Bag

eWaste

National Accounts

Moving In?

Customer Support

Pay My Bill

Billing & Invoice Help

Manage My Account

Log into MyWM

Customer Support

Request Extra Pickup

Report Missed Pickup

WM.com Security

Quick Info

Recycling 101

Our Service Areas

Find a Facility

10 Yard Dumpster

20 Yard Dumpster

30 Yard Dumpster

Holiday Schedule

Our Company

Who We Are

Media Room

WM Phoenix Open

Sustainability Report

Work With Us

Careers

Investors

Suppliers

Acquisitions & Divestitures

Former Employee HR Support

© 2026 WM Intellectual Property Holdings, LLC.

California Privacy Notice

Privacy Policy

Terms of Use

Service Terms & Conditions

Disputes/Arbitration

Accessibility

Sitemap

© 2026 WM Intellectual Property Holdings, LLC.

California Privacy Notice

Privacy Policy

Terms of Use

Service Terms & Conditions

Disputes/Arbitration

Accessibility

Sitemap

© 2026 WM Intellectual Property Holdings, LLC.

California Privacy Notice

Privacy Policy

Terms of Use

Service Terms & Conditions

Disputes/Arbitration

Accessibility

Sitemap