Disposal & Donation Requests Form
Certified disposals are at a minimum $1/case.
Certified disposals are at a minimum $1/case.
First Name
Last Name
Company Name
Email Address
What are you requesting?
Disposal
Certified Disposal
Donation
Please input which items, quantities, and lot codes (if applicable):
Do you have a preferred donation center you want your product to go to? If no, Dot will select one on your behalf.
Yes
No
Please list your preferred donation center.
Submit