Waste transfer note
Example
A Description of the waste
- Description
- Mixed construction and demolition waste from a kitchen refit
- List of Waste code(s)
- 17 09 04
- How it is contained
- Skip: 8-yard skip
- How much
- 1 skip
B Current holder of the waste (transferor)
- Name
- Sam Carter
- Company
- Example Builders Ltd
- Address
- 12 Sample Road, Exampletown, EX1 2AB
- SIC code (2007)
- 41202 Construction of domestic buildings
- Acting as
- Producer of the waste
- Waste hierarchy
- Yes. By signing in section D, I confirm that I have fulfilled my duty to apply the waste hierarchy as required by regulation 12 of the Waste (England and Wales) Regulations 2011.
C Person collecting the waste (transferee)
- Name
- Alex Morgan
- Company
- Example Skips Ltd
- Address
- Unit 4, Model Way, Exampletown, EX3 4CD
- Acting as
- Registered waste carrier, CBDU000000
D The transfer
- Address of transfer
- 12 Sample Road, Exampletown, EX1 2AB
- Date
- 27/09/2026
- Time
- 10:30
Transferor’s signature
Sam Carter, Example Builders Ltd
Transferee’s signature
Alex Morgan, Example Skips Ltd
Keep a copy until at least 27 September 2028.