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Hazardous Materials and Waste Management Division
Solid Waste and Materials Management Program
New Waste Tire Fee Return Form WT-6

The fees collected each month are due to the department no later than the 20th day of the following month.
If you are reporting for more than ONE (1) store,
stop here and fill out Form WT-9 located on our web page.
Check here if this is an amended return
Check here if you no longer sell new tires
Check here if No Tires Sold this period
Line 2 - Amount Owed (Line 1 x $1.50 per tire) 
$0.00
Note: The fee will drop to $0.55 starting January 1, 2018.
Hit Calculate button and record this value for use on the payment page.
________________________________________________________________________________________________________

I certify that:
 
1. I have personally examined and am familair with the information contained in this submittal;
2. The information contained in this submittal is, to the best of my knowledge, true, accurate and complete in all respects; and
3. I am fully authorized to make this certification on behalf of this facility.
 
I am aware that there are significant penalties including, but not limited to, possible fines and imprisonment for willfully submitting false, inaccurate or incomplete information.
 

For the purposes of this form, the Colorado Department of Public Health and Environment accepts your typed name and date as an electronic signature equivalent to your valid signature on a paper copy of the form. As such, this electronically completed form bears the same rights and responsibilities as a hand-signed form.
 
Once your form has been submitted successfully, you will be re-directed to the Waste Tire pay portal.
 
A copy of the completed form will be sent as an attachment to the contact person at the email address provided. Please retain a copy in your facility files.