Regulated Medical Waste Shipping Paper Guide
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

Download Now
Related Content

Controlled Substance Disposal: Inventory vs. Wastage
August 10, 2026

Managing Category A Waste in Healthcare: Key Preparedness Considerations
July 08, 2026

Understanding OSHA’s HazCom Standard & Training Requirements
May 19, 2026

What Patients and Caregivers Should Know About Disposing of Cancer Drugs...
March 03, 2026