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MassDEP Mercury Forms, Instructions & Guidance

The agency's registration, reporting, and certification requirements ensure safe end-of-life management of mercury-containing products and wastes.
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Table of Contents

Dental Practices & Clinics

MassDEP Dental Amalgam/Mercury Recycling Program 

Mercury-Added Lamp Manufacturers

Mercury-Added Lamp Manufacturer Registration Form (DOCX 48.36 KB)
Mercury-Added Lamp Manufacturer Registration Form (PDF 161.16 KB)
List of Mercury-Added Lamp Manufacturers Registered to Sell Lamps in Massachusetts, February 2020 (PDF 82.76 KB)

Mercury-Added Product Manufacturers

IMERC Mercury-Added Products Online Reporting System 
Product Labeling Plan (DOC 123 KB)
Product Labeling Plan (PDF 65.46 KB)
Fact Sheet: Manufacturer Collection & Recycling Plans for Mercury-Added Products (PDF 49.15 KB)
Guidance & Instructions: Collection & Recycling Plan (PDF 44.2 KB)
Manufacturer's Plan for Collecting & Recycling Mercury-Added Products (DOC 141 KB)
Manufacturer's Plan for Collecting & Recycling Mercury-Added Products (PDF 45.67 KB)
Certification for Manufacturers of Mercury-Added Products (DOC 168.5 KB)
Certification for Manufacturers of Mercury-Added Products (PDF 49.39 KB)
Mercury-Added Products Return to Compliance Plan (DOC 56.5 KB)
Mercury-Added Products Return to Compliance Plan (PDF 26.19 KB)

Municipal Waste Combustors

Guidance for Solid Waste Facility Operators: Handling Products Containing Mercury (PDF 209.65 KB)
Material Separation Plan Guidance for Municipal Waste Combustors (PDF 52.85 KB)
Material Separation Plans Submitted by Massachusetts Facilities 

Scrap Recycling Facilities

Mercury Management for Vehicle Recyclers, Scrap Recycling Facilities & Mobile Crushers (PDF 153.77 KB)
Scrap Recycling Facilities Annual Certification (DOC 119 KB)
Scrap Recycling Facilities Annual Certification (PDF 79.62 KB)
Scrap Recycling Facilities Return to Compliance Plan (DOC 63 KB)
Scrap Recycling Facilities Return to Compliance Plan (PDF 26.35 KB)

Vehicle Manufacturers

Vehicle Manufacturers Annual Certification (DOC 158 KB)
Vehicle Manufacturers Annual Certification (PDF 38.14 KB)
Vehicle Manufacturers Return to Compliance Plan (DOC 48.5 KB)
Vehicle Manufacturers Return to Compliance Plan (PDF 22.66 KB)

Vehicle Recyclers & Mobile Crushers

Mercury Management for Vehicle Recyclers, Scrap Recycling Facilities & Mobile Crushers (PDF 153.77 KB)
Vehicle Recyclers Mercury Certification (DOC 158 KB)
Vehicle Recyclers Mercury Certification (PDF 89.2 KB)
Vehicle Recyclers Return to Compliance Plan (DOC 72 KB)
Vehicle Recyclers Return to Compliance Plan (PDF 29.02 KB)

Contact

Phone

Hardiesse Dicka-Bessonneau 617-654-6528

Online

hardiesse.dicka-bessonneau@mass.gov
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