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Illinois Environmental Protection Agency 1021 North Grand Avenue East. O. Box 19276SpringfieldIllinois627949276(217) 7823397Medication Take back Program Application State Fiscal Year 2022Part A: Location,

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How to fill out medication takeback program application

01

Obtain the medication takeback program application form from the designated office or website.

02

Fill out all required personal information such as name, contact details, and address.

03

Provide details about the medication you wish to dispose of, including name, dosage, and quantity.

04

Check off any additional services you may need, such as home pick-up or drop-off locations.

05

Review the application for accuracy and completeness before submitting it to the appropriate authority.

Who needs medication takeback program application?

01

Individuals who have expired or unused medications that need to be safely disposed of.

02

Pharmacies, healthcare facilities, and other institutions looking to participate in a medication takeback program.

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What is medication takeback program application?

Medication takeback program application is a form used to apply for a program that allows individuals to safely dispose of unused or expired medications.

Who is required to file medication takeback program application?

Any organization or individual looking to establish a medication takeback program is required to file the application.

How to fill out medication takeback program application?

The application must be filled out with relevant information such as program details, collection methods, disposal procedures, and contact information.

What is the purpose of medication takeback program application?

The purpose of the application is to ensure that the medication takeback program meets safety and regulatory requirements.

What information must be reported on medication takeback program application?

Information such as program objectives, collection sites, disposal methods, and handling procedures must be reported on the application.

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