Forms and Information Supporting Participation
Covered Electronic Waste Recycling ProgramCalRecycle has a variety of resources available to assist participants in the Covered Electronic Waste (CEW) Recycling Program. Participants may use the appropriate form below or supply the required information in an alternate acceptable format.
The only exception is the Payee Data Record (STD. 204 Form), which is required.
- Prospective collectors, recyclers, or dual entities must complete the approval process prior to participation.
- The information provided below does not substitute for a thorough understanding of all CEW Recycling Program requirements. Prospective participants are urged to familiarize themselves with applicable statutes and regulations.
Listserv
CalRecycle sends out regular e-mail messages through a listserv to interested parties about developments in CalRecycle’s work to implement the Electronic Waste Recycling Act of 2003 (SB 20 [Chapter 526, Statutes of 2003]; as amended by SB 50 [Chapter 863, Statutes of 2004]).
- Subscribe to the California E-Waste Updates electronic newsletter
- View E-Waste newsletter archives: August 2004-June 2024 and June 2024-present
- See all currently available CalRecycle Listservs
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CEW Recycling Program Application Forms to Participate
There are three unique application forms provided below, as well as an authorized signatory update form. The three Application for Approval forms are intended to be submitted by either:
- A collector (CalRecycle 186C)
- A dual entity (CalRecycle 186D), or
- A recycler (CalRecycle 186R)
The definitions and requirements for collectors, recyclers, and dual entities are outlined in regulations. All interested parties should thoroughly review the regulatory requirements and comply with the applicable Department of Toxic Substances Control’s (DTSC) requirements regarding notification and inspections prior to applying.
Application Instructions
Prospective participants can complete the application either electronically by using the fillable PDF feature and a digital signature, or in hard copy form, printing legibly in permanent ink, and scanning to a digital format. Recent regulatory updates require all forms and attachments be submitted via email to EWasteApplications@calrecycle.ca.gov.
| Form/Date | Download Format | For Use By | Description |
|---|---|---|---|
| Application for Approval: Collector (CalRecycle 186C) Last revised: November 2025 | CalRecycle 186C (PDF) | Prospective Collectors or Collectors for Renewal | Use this form to apply to participate as only an approved collector. |
| Application for Approval: Dual Entity (CalRecycle 186D) Last revised: November 2025 | CalRecycle 186D (PDF) | Prospective Dual Entities or Dual Entities for Renewal | Use this form to apply to participate as both an approved collector and approved recycler. |
| Application for Approval: Recycler (CalRecycle 186R) Last revised: November 2025 | CalRecycle 186R (PDF) | Prospective Recyclers or Recyclers for Renewal | Use this form to apply to participate as only an approved recycler. |
| Authorized Signatory Update (CalRecycle 186S) Last revised: November 2025 | CalRecycle 186S (PDF) | Collectors, Dual Entities or Recyclers updating authorized signatories | Use this form to notify CalRecycle of changes to authorized signatories within the two-year application approval term. If a change is made to the Authorized Signatory who signed the certification statements, a complete CalRecycle 186C, 186R, or 186D application form will be required to encompass the acknowledgment of the certification statements noted on the application. |
| Payee Data Record (STD 204) Last revised: March 2021 | Form 204 (PDF) | Prospective Dual Entities and Recyclers or Dual Entities and Recyclers for Renewal | Use this form to provide CalRecycle the information necessary to prepare the Internal Revenue Service Form 1099 Miscellaneous Income documentation. This form should accompany only dual entity (186D) or recycler (186R) applications. |
- The signed application must be submitted electronically via email to EWasteApplications@calrecycle.ca.gov, as noted on the form.
- Digital signatures are acceptable, and electronic submissions are required per regulations (14 CCR § 18660.11 General Application Requirements).
Approved Applications
Approved applications remain valid for two years following the date of approval as long as the approved participants in the CEW Recycling Program:
- Continue to meet and fulfill the requirements of the Electronic Waste Recycling Act and implementing regulations;
- Comply with all applicable laws and regulations, including but not limited to DTSC’s laws and regulations; and
- Keep CalRecycle informed of any changes to information contained in the approved application, including but not limited to:
- Facility and operational status,
- Change of location; and
- Change of authorized signatories.
Updates to records can be made using the appropriate form or by notifying CalRecycle in writing. Failure to do so may result in revocation of approval.
Renewal Process
Participants must reapply 90 days prior to the expiration date of their approved application. Participants may use the appropriate form or supply the required information in an alternate acceptable format.
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CEW Recycling Program Collection and Recycling Forms and Documents
CalRecycle provides the following forms and documents to support approved recyclers’ and approved collectors’ participation in the CEW Recycling Program.
- 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 is 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/Date | Download Format | For Use By | Description |
|---|---|---|---|
| Covered Electronic Waste Recycling Payment Claim (CalRecycle 196) Last revised: May 2022 | CalRecycle 196 (PDF) CalRecycle 196 Instructions (PDF)
| Approved Recyclers | Use 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: May 2022 | CalRecycle 196A (PDF) | Approved Recyclers | Use 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 (PDF) | Approved 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: January 2026 Effective: January 2026 | CalRecycle 197S (PDF) | Approved Recyclers | Use 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: January 2026 Effective: January 2026 | CalRecycle 197 (PDF) | Approved Collectors and/or Approved Recyclers | Use 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: January 2026 Effective: January 2026 | CalRecycle 198 (PDF) | Approved Collectors | Use 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: January 2026 Effective: January 2026 | CalRecycle 198SA (PDF) | Approved Collectors | Use 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: August 2020 New regulations are effective on October 1, 2020 | CalRecycle 184 (PDF) | Local 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. |
Weighmaster Enforcement Program
CalRecycle established an interagency agreement (IAA) with the Department of Food and Agriculture (CDFA), Division of Measurement Standards (DMS), Weighmaster Enforcement Program (WEP).
The intent of this IAA is to survey, audit, inspect, and, as necessary, investigate compliance with applicable Weighmaster laws governing material transactions within the state. The IAA allows the WEP to focus further on the electronic waste management industry as a whole and participants in the CEW Recycling Program in particular. With payments in the CEW Recycling Program based on weight and with other associated requirements requiring counts, it is vital that these measures are determined and recorded compliantly.
Weighmaster Complaint Form
Links to the CDFA Weighmaster Enforcement Program complaint form, to be used for instances of suspected noncompliance.
Complete the form with as much information as possible, including the name of the organization in the address section.
Attach the complaint form and any supporting documents to an email and send to: CDFA.CalRecycle.Complaint@cdfa.ca.gov
Other Related Resources
- Designated Approved Collector Guidance
The Designated Approved Collector provision, as described under Title 14 CCR Chapter 8.2, Article 7 Section 18660.47 – 18660.50, provides a means for Local Governments to authorize approved collectors to conduct CEW recovery activities under specific circumstances. - DTSC Requirements
- Information on the Notice of Intent to Handle
Any entity handling a minimum threshold of discarded CRTs or universal waste electronic devices (UWED) is required to notify DTSC, regardless of whether they are participating in the CEW Recycling Program. Please note that, depending on a handler’s activities, other DTSC requirements may apply. - Electronic Waste Annual Reports
Collectors and recyclers must properly report their handling and recycling activities to the Department of Toxic Substance Control (DTSC) prior to their February 1 deadline as required 22 CCR Section 66273.32(d) and/or 66273.74(b).
- Information on the Notice of Intent to Handle
This page is for informational purposes only; it does not list all requirements in statute and regulations.
For more information contact: Covered Electronic Waste Recycling Program, CEDManufacturers@calrecycle.ca.gov