This rebate provides $500 towards the recycling of a ULT freezer.

To qualify for this rebate, you must recycle a ULT freezer.
This program is only applicable to ULT freezers; ordinary refrigerators and freezers are not eligible for this program. Eligible freezers must be installed in/recycled from university-owned and/or operated properties.
Fill out all required information and attach all required documentation.
The principal investigator will be responsible for the decontamination of the ULT freezer and an Equipment Decontamination Certificate will be required before freezer is recycled.

denotes required fields.

Applicant Information:

Name First and Last name

Date Submitted

Department

Freezer Information:

Attach proof of freezer recycling (certificate of recycling and receipt).

Freezer Recycler (if applicable):

Freezer Location (building name and room number):

Old Freezer Model and SN:

IDC Number: 436/7/8xx

Expected rebate amount ($):