Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Refrigerant Removal Verification Statement

Get Refrigerant Removal Verification Statement

Print Form REFRIGERANT REMOVAL VERIFICATION STATEMENT (Prescribing Authority: 40 CFR 82.156(f)(2) & DoD 4160.21M) THE REFRIGERANT HAS BEEN REMOVED FROM THE ITEM(S) LISTED BELOW, IN COMPLIANCE.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Refrigerant Removal Verification Statement online

The Refrigerant Removal Verification Statement is a crucial document required to confirm the proper removal of refrigerants from appliances. This guide will help you navigate the online process of completing this form accurately and efficiently.

Follow the steps to successfully fill out the Refrigerant Removal Verification Statement

  1. Click ‘Get Form’ button to obtain the document and access it in your online form editor.
  2. Begin by entering the name of the technician who removed the refrigerant in the corresponding field. Ensure the name is spelled correctly, as this is important for compliance verification.
  3. Provide the technician’s street address, city, state, and zip code. This information should reflect the technician's registered business location.
  4. Indicate the date the refrigerant was removed. Use a standard date format to ensure clarity.
  5. In the ‘Item Description’ field, list the appliances from which the refrigerant was removed. You may use common item names and include serial numbers or other specific descriptions if necessary.
  6. Next, input the quantity of the items being reported in the ‘Qty’ field next to the corresponding item description.
  7. Enter the DTID (Document Tracking ID) number for each item. This number must be permanently marked on each item to ensure proper tracking.
  8. Finally, sign the form by entering the printed name of the person turning in the appliance(s) followed by their signature.
  9. Once all required fields are completed, review the form for accuracy. You can then save your changes, download a copy, print it out, or share it as needed.

Complete your documents online to ensure compliance and streamline your processes.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Stationary Refrigeration Safe Disposal...
May 6, 2020 — EPA does not mandate a sticker as a form of verification that the...
Learn more
Safe Disposal Procedures for Household ......
a written and signed statement from each of your customers verifying that the refrigerant...
Learn more
Refrigerant Recovery Machine Model No. RG3...
French. Warranty Statement . ... is used when referring to the RG3 refrigerant recovery...
Learn more

Related links form

Id No. & Advisor Allotment Form - G. B. Pant University Of Agriculture ... - Gbpuat-tech Ac Request For Loyalty Card Enrollment Kiosk Federal Bank Dd Form The All Breed Dog Grooming Guide Pdf Download

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

The final person in the disposal chain (such as a scrap metal recycler or landfill owner) is responsible for ensuring that refrigerant is recovered from equipment before its final disposal.

Types of Certification For servicing small appliances (Type I). For servicing or disposing of high- or very high-pressure appliances, except small appliances and MVACs (Type II). For servicing or disposing of low-pressure appliances (Type III). For servicing all types of equipment (Universal).

Who must certify recovery equipment used during maintenance, service or repair of small appliances that use CFCs, HCFCs, and HFCS? An EPA-approved laboratory. When servicing a small appliance found to be leaking it is; not mandatory to repair the leak but it is recommended to do so whenever possible.

When is it against EPA regulations to use system-dependent recovery equipment? When the appliance contains over 15 pounds of refrigerant.

For systems that are being completely retired or disposed of, recovery must be to the listed levels, and at least 90% of the refrigerant must be removed. Refrigerant must be stored in approved, labeled containers. If the refrigerant is contaminated, it must be taken off-site to a reclamation facility for reprocessing.

This EPA certification will enable you to service or dispose of medium- to very high-pressure appliances, except in applications such as small appliances or air conditioners within motor vehicles. The focus of this education and training is geared more toward leak detection and how to properly test equipment.

EPA has approved the Air-Conditioning, Heating, and Refrigeration Institute (AHRI) and Underwriters Laboratories (UL) to certify recycling and recovery equipment. Both organizations can provide information on certified equipment.

Which if the following is required on all new recovery equipment? A calibration stamp or label.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Refrigerant Removal Verification Statement
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program