Licensed Processor Form

Licensed Processor Reporting Form

This is a form for Processors licensed by CSWD to report on recyclables and/or compostable materials that are aggregated and shipped to other recycling facilities or used in recycled products. This form covers all materials that were generated within Chittenden County only.

Deadlines:

July 30 for the period January 1 – June 30

January 30 for the period July 1 – December 31

All boxes marked with * are required and must be completed for this form to be successfully submitted. Click “Save and Continue Later” at the bottom of this form to save your progress and submit later.

Your Contact Information
Business name * Required

Please enter the name of your business.
Your name * Required
First Last
Your title
Phone * Required
Email * Required
Business Street Address * Required
Street Address Address Line 2 City State ZIP Code
Business Mailing Address (if different from street address)
Street Address Address Line 2 City State ZIP Code
Information About Material You Ship or Use
Year of Report * Required

Please specify which year your report covers.
Reporting Period: * Required
- January 1 – June 30
- July 1 – December 31
Select the items that you market. If none apply, choose "other" option (last on list). * Required
- SINGLE STREAM RECYCLABLES
- MIXED RECYCLABLE CONTAINERS
- MIXED PAPER
- CORRUGATED CARDBOARD
- NEWSPAPER
- OTHER PLASTICS
- PLASTIC FILM (pallet wrap, mixed grocery bags, etc.)
- GLASS BOTTLES & JARS
- METAL CANS
- FOOD SCRAPS
- SPENT GRAIN
- YARD DEBRIS
- CLEAN WOOD
- SCRAP METAL
- TEXTILES
- TIRES
- ASPHALT
- DRYWALL
- CONCRETE
- ASPHALT SHINGLES
- ELECTRONICS
- OTHER: (specify)
Single stream recyclables
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Mixed recyclable containers
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Mixed paper
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Corrugated cardboard
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Newspaper
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Other plastics
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name, & state/province
Plastic film
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Glass bottles & jars
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Metal cans
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Food scraps
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Spent grain
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Yard debris
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Clean wood
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Scrap metal
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Textiles
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Tires
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Asphalt
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Concrete
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Drywall
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Electronics
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
Asphalt Shingles
Enter tons or cubic yards of material marketed
Choose Tons or Cubic Yards
Destination facility or use

Enter facility name & state/province
List
Material Quantity (number) Units (tons/yards) Destination (name & state)
Hidden
Other material

Please describe the material
Hidden
Other (quantity)
Enter tons or cubic yards of “other” material marketed
Hidden
Choose Tons or Cubic Yards
Hidden
Destination facility or use

Enter facility name & state/province

Save and Continue Later

Material	Quantity (number)	Units (tons/yards)	Destination (name & state)

Licensed Processor Reporting Form

Your Contact Information

Information About Material You Ship or Use