To obtain a commercial medical waste transportation permit, the commercial transporter shall submit at least forty-five (45) days before the anticipation of the permit issue date and thirty (30) days before the expiration date of an existing permit to the Department of Health, Medical Waste Program each of the following:

1. (1) An application fee of two hundred-fifty dollars ($250);
2. (2) A completed and signed application on forms provided by the Department of Health for a commercial medical waste transportation permit;

3. (3) Certification form provided by the Department of Health of a duly authorized representative of the company stating the company understands and is/will be in full compliance with all applicable portions of the following:

   1. (A) This part, Rules Pertaining to the Management of Regulated Medical Waste from Healthcare Related Facilities;
   2. (B) United States Occupational Safety and Health Administration Bloodborne Pathogen Standard, 29 C.F.R § 1910.1030, as applicable;
   3. (C) United States Department of Transportation Hazardous Materials Regulations, 49 C.F.R. pts. 171, 172, 173, and 178 in relationship to medical waste, as applicable; and
   4. (D) United States Department of Transportation Federal Motor Carriers Safety Regulations, 49 C.F.R. pts. 383 – 399, as applicable;

4. (4) Certification by a duly authorized representative of the company on forms provided by the Department of Health that all vehicles transporting commercial medical waste shall meet the requirements listed below:

   1. (A) Each truck, trailer, semitrailer, vacuum tank, cargo tank, or container used for transporting medical waste shall be designed and constructed and its contents so limited, that under conditions incident to transportation, there shall be no release of medical waste to the environment;
   2. (B) It is against the policy of the company to transport commercial medical waste with other types of waste or nonwaste materials (with the exception of medical waste equipment and supplies) and that the cargo body or compartment shall be separated by a solid barrier from the driver and passengers; and
   3. (C) All vehicle/trailer compartments in which medical waste is stored for transport shall remain locked at all times except when loading and unloading;

5. (5)

   1. (A) A list of all vehicles and type of containers to be used by the permittee for transporting commercial medical waste shall be maintained.
   2. (B) A copy of the registration paper for each vehicle/trailer shall be submitted with the application and copies of all required inspection documents as outlined in 20 CAR § 53-412;

6. (6)

   1. (A) A written copy of the company's operating plan for the handling and transport of commercial medical waste meeting the requirements of 20 CAR § 53-402 is required with the permit application.
   2. (B) For renewal of the permit, the operating plan need be submitted only if changes have occurred to the plan;
7. (7) A copy of the permit of an approved treatment, storage, or disposal facility to which the medical waste is being transported is required with the application;

8. (8)

   1. (A) A copy of the transporter's training program is required with the application.
   2. (B) For renewal of the permit, the training program need be submitted only if changes have occurred in the program;

9. (9)

   1. (A) Copies are required with the permit application of any inspections, reviews, etc., conducted by any government agencies (federal, state, or local) of the transporter, transporter’s equipment, or personnel as related to commercial medical waste during the preceding twelve (12) months.
   2. (B) If no such inspections or reviews exist, the transporter must reveal that fact;
10. (10) A copy of the insurance provider's certificate of insurance coverage is required, listing the Department of Health as certificate holder for cancellation notice or, when self-insured, a copy of the letter from the Department of Finance and Administration certifying the company is self-insured; and
11. (11) A copy of the Department of Health-issued transfer facility permit, as applicable.