Hazardous Waste Handler Identification

State Form 55770 (R / 9-16)

The Handler Identification form displays information that IDEM currently has on file for your company. The left portion displays current information. The right portion is for your use in making any necessary changes. Please note that RCRA Identification numbers are site specific. If you change locations, you will need to submit a Notification of Regulated Waste Activity form (also called the RCRA Subtitle C Site Identification form or Form 8700-12) to request a number for the new location.

If you would like to receive a copy of the Handler Identification form by email, please fill out the information below. If you have any questions, you may contact the Office of Land Quality via e-mail at olqregulatoryreporting@idem.in.gov or, via phone at (317) 233-0066.

Questions marked with a * are required.

1. Company Name:
2. RCRA Identification:
3. Contact First Name:
4. Contact Last Name:
5. Telephone Number:
6. FAX Number:
*7. E-Mail: