California Covered Electronic Waste Transfer Receipt (Form 197)

Form Template

The California Covered Electronic Waste Transfer Receipt (Form 197) mobile app provides a paperless receipt for waste management professionals.

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The California Covered Electronic Waste Transfer Receipt (Form 197) app is accessible using a smartphone or tablet. This standard receipt can be customized for your business. The GoCanvas app builder makes it east toad and delete items in the app. This app includes fields for date of transfer, number of units transferred, certified weight transferred, declaration and verification and captures signatures. Once completed, a PDF of the receipt is created. The PDF can be sent directly to customers, clients and agencies. This helps speed up workflow processes while using a paperless data collection system. Use the app to provide information to document transfer of Covered Electronic Wastes (CEWs) between Approved Collectors and Approved Recyclers. This required information must accompany all Covered Electronic Waste Recycling Payment Claims (CIWMB Form 196). The collector must provide a description of any activity that explains any discrepancy between the CEWs transferred and the CEWs collected as recorded in the collection log.

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