CalRecycle has developed a variety of tools to assist participants in the covered electronic waste recovery and recycling payment system. These resources are intended to ease compliance with regulations that were adopted to implement portions of landmark legislation that established a funding system for the collection and recycling of certain electronic wastes. Prospective collectors and recyclers must be approved prior to participation.

Important: Approved participants in the covered electronic waste (CEW) recovery and recycling payment system must keep all organizational information associated with applications updated with CalRecycle. This includes facility and operational status, locations, and personnel matters. Failure to do so may result in revocation of approval.

The tools listed below do not substitute for a thorough understanding of all system requirements. Prospective participants are urged to familiarize themselves with applicable statutes and regulations.

Application to Participate in the Covered Electronic Waste (CEW) Payment System

Form/DateDownload FormatDescription
Application for Approval: Covered Electronic Waste Recovery and Recycling Payment System (Form 186)

Last revised: December 2018

Form 186, WordThis application can be completed electronically using the text fields prior to printing; however it may not be submitted electronically and must be mailed or delivered to CalRecycle at the address noted on the form. Interested parties should review all payment system regulatory requirements and comply with any and all DTSC requirements regarding notification and inspections prior to applying.

This application is to be used by entities intending to participate in the CEW Recovery and Recycling Payment System (CCR Title 14, Division 7, Chapter 8.2) established pursuant to the Electronic Waste Recycling Act of 2003 (Chapter 526, Statutes of 2003).

Payee Data Record (Std. 204)

Last revised: May 2018

Form 204, PDFThis form is used by State agencies to prepare information returns (Form 1099) and is required as part of a recycler's application for approval to participate in the payment system. Applicants for Collector should not submit this form.

Covered Electronic Waste (CEW) Payment System Forms and Documents

The following are forms and documents to support Approved Recyclers' and Approved Collectors' participation in the payment system. These materials are provided as guidance and do not relieve participants of any other data, information or record maintenance requirements contained in regulation or statute. While use of the forms are not mandatory, participants must provide equivalent information in supporting documentation and submit as part of a complete payment claim package. The forms below are listed in the order they should be organized in a claim.

Form/DateDownload FormatFor Use ByDescription
Covered Electronic Waste Recycling Payment Claim
(CalRecycle 196)
Last revised: October 2018
CalRecycle 196, WordApproved RecyclersUse this form for each Reporting Month within which payment is claimed. Information on this form includes calculation of payment claim, indication of supporting documents attached to the claim, and declarations and signatures of authorized agents. All applicable forms included below (or equivalent documentation) must accompany this form to make a complete payment claim package.
Worksheet A: Covered Electronic Waste Recycling Payment Claim (Cancellation of CRT CEWs)
(CalRecycle 196A) 
Last revised: October 2018
CalRecycle 196A, WordApproved RecyclersUse this form if the Approved Recycler cancels CRT CEWs. Information documented will include the type of cancellation method used, calculation of payment, post-cancellation disposition of glass cullet or bare CRTs, and weights of treatment residuals.

Worksheet B: Covered Electronic Waste Recycling Payment Claim (Cancellation of Non-CRT CEWs)
(CalRecycle 196B)
Last revised: October 2018

CalRecycle 196B, WordApproved Recyclers

Use this form if the Approved Recycler cancels Non-CRT CEWs. Information documented will include calculation of payment, post-cancellation disposition of Bare Plasma Panels and LCD Lamps and weights of treatment residuals.  

Covered Electronic Waste Transfer Summary
(CalRecycle 197S)
Last revised: October 2018
CalRecycle 197S, ExcelApproved RecyclersUse this form to summarize CEW transactions between Approved Collectors and an Approved Recycler as documented on all Covered Electronic Waste Transfer Receipts (CalRecycle 197s). The form summarizes unit and weight transfers by Approved Collectors.
Covered Electronic Waste Transfer Receipt
(CalRecycle 197)
Last revised: October 2018
CalRecycle 197, WordApproved Collectors and/or Approved RecyclersUse this form to document the transfer of CEWs between an Approved Collector and an Approved Recycler. The form allows for required declarations and weight verifications.
Covered Electronic Waste Collection Log
(CalRecycle 198)
Last revised: October 2018
CalRecycle 198, ExcelApproved CollectorsUse this form to document required information on all CEWs accepted by the Collector from California sources.
Covered Electronic Waste Source-Anonymous Collection Log
(CalRecycle 198 SA)
Last revised: October 2018
CalRecycle 198SA, ExcelApproved CollectorsUse this form to document the handling of source-anonymous (SA) CEW. SA CEWs must be logged separately from other CEWs. Depending on the circumstances, limitations may apply regarding who may collect SA CEWs.
Proof of Designation
(CalRecycle 184)
Last revised: March 2019
CalRecycle 184, PDFLocal Government

Use this form as a Proof of Designation (POD) under Title 14 CCR § 18660.49, when initiated by a California Local Government and duly executed by a representative authorized to take action on behalf of that Local Government. A copy of this POD must be transmitted to CalRecycle at least 30 days prior to CEW collection activities conducted under the Designation.

Evidence of this POD must accompany the CEW collection logs associated with CEWs transferred from a Designated Approved Collector to an Approved Recycler, and must also accompany any recycling payment claim that includes CEWs recovered under this Designation. Interested parties should review the applicable regulations and guidance.

Other Related Resources and Forms

  • Designated Approved Collector Guidance
  • The Designated Approved Collector provision as described under Title 14 CCR Chapter 8.2, Article 7 § 18660.47 – 18660.51 provides a means for Local Governments to authorize Approved Collectors to conduct CEW recovery activities under specific circumstances. Revised regulations were approved March 16, 2017.
  • DTSC Notification of Intent to Handle CRTs and/or UWEDs
    Any entity handling a minimum threshold of discarded cathode ray tubes (CRT) or universal waste electronic devices (UWED) is required to notify the Department of Toxic Substances Control (DTSC), regardless of whether they are participating in the SB 20 payment system. Information on the process is available on the DTSC website, including an informative fact sheet. Please note that, depending on a handler's activities, other DTSC requirements may apply.
  • Net Cost Reporting Guidance
    Covers the reporting and documentation requirements and provides detailed, line-by-line instructions for completing the Annual CEW Net Cost Report (Form 220) and Net Cost Estimation Worksheets for Collectors (Form 220a) and Recyclers (Form 220b).
  • Collector Outreach Initiative
    CalRecycle has provided an informative flyer for participants to distribute to parties discarding their CEW. The flyer helps memorialize the transaction and explains why their personal information is needed for source documentation. English and Spanish versions are available for download with other languages available upon request.

As CalRecycle, in consultation with the Department of Toxic Substances Control ( DTSC), works to implement this important legislation, more information will be available through this website. Note that any guidance provided by CalRecycle should not substitute for careful reading of the original statute or subsequent regulations. Interested parties are encouraged to check back often, or subscribe to an email newsletter to be kept apprised of developments and events.

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