Tidy House Clearances
Professional Household & Garage Clearances In Lincolnshire
Controlled Waste Transfer Note
Duty of Care Compliance Certificate | Environmental Protection Act 1990
WTN Reference No.
WTN-2026-[00001]
Section A: Current Holder of the Waste (Transferor)
Full Name / Company Name:
[Client Full Name / Business Name]
[Client Full Name / Business Name]
Collection Address / Waste Origin:
[House Number, Street Name, Town, Postcode]
[House Number, Street Name, Town, Postcode]
Status of Transferor:
[ ] Householder [ ] Commercial Producer [ ] Landlord
[ ] Householder [ ] Commercial Producer [ ] Landlord
Section B: Person Collecting the Waste (Transferee)
Company Name:
[Your Company Name Ltd]
[Your Company Name Ltd]
Registered Address:
[Your Office Address, Postcode]
[Your Office Address, Postcode]
Waste Carrier Licence No:
CBDU[YOUR-LICENCE-NUMBER]
CBDU[YOUR-LICENCE-NUMBER]
Licence Tier:
Upper Tier Carrier, Broker & Dealer
Upper Tier Carrier, Broker & Dealer
Issuing Authority:
Environment Agency
Environment Agency
Vehicle Registration No:
[AB12 CDE]
[AB12 CDE]
Section C: Description of Waste Removed
| Waste Type / Description | EWC Code | Quantity / Volume | Packaging Stream |
|---|---|---|---|
| Mixed Household Clearance Waste | 20 03 01 | [e.g., 1x Luton Van / 12 Cubic Yards] | Loose / Bagged |
| Upholstered Domestic Seating (POPs) | 20 03 07 | [e.g., 1x 3-Seater Sofa] | Segregated |
| Waste Electricals (WEEE) | 20 01 36 | [e.g., 1x Washing Machine] | Loose |
Section D: Designated Waste Facility (Disposal / Recycling Site)
Transfer Station Name:
[Authorized Commercial Recycling / Transfer Station]
[Authorized Commercial Recycling / Transfer Station]
Facility Environmental Permit No:
EPR/[PERMIT-NUMBER]
EPR/[PERMIT-NUMBER]
Date & Time of Removal:
[DD/MM/YYYY] at [00:00 AM/PM]
[DD/MM/YYYY] at [00:00 AM/PM]
Section E: Signatures & Duty of Care Declaration
By signing below, both parties confirm that the waste detailed above has been transferred in compliance with Section 34 of the Environmental Protection Act 1990 and Duty of Care Regulations. The transferor confirms the waste is accurately described, and the transferee confirms they hold a valid Upper Tier Waste Carrier Licence.
Transferor (Client / Holder):
Signature: ___________________________
Date: ____ / ____ / ________
Transferee (Clearance Representative):
Signature: ___________________________
Date: ____ / ____ / ________
Note: Under Environmental Protection (Duty of Care) Regulations, this document must be retained by both parties for a minimum of 2 years from the date of transfer.