Shamokin, PA · Northumberland County
Recycling Report Form
This annual recycling report is for businesses, institutions, municipalities, haulers, and other companies that report recyclable materials collected or recycled.
What this form is
The form reports recycling activity for the prior calendar year and helps the municipality assess recycling ordinance compliance and prepare recycling performance grant information. Commercial, municipal, and institutional establishments use Form FM-11; haulers, document destruction companies, and other companies transporting recyclables use FM-12 or FM-13 as directed. It asks for establishment details, collection methods, materials recycled, and applicable weights.
Who needs it
Commercial, municipal, or institutional establishments, haulers, document destruction companies, and other companies transporting recyclables may need to complete the applicable report.
How to submit it
Submit the completed report to the municipality where the establishment is located or where the recyclables were collected by February 1. The instructions say to use Form FM-13 for county submission only after confirming the county will accept the data.
About notarization
This report is signed and dated without a notary; establishments reporting weights for materials recycled on page one must attach a legible weight ticket from their recycler.
How to submit this form
- 1
Download the Report
Download the Recycling Report Form and its instructions.
- 2
Choose the Applicable Form
Complete only one report: FM-11, FM-12, or FM-13, according to the instructions for your organization.
- 3
Complete and Sign
Enter establishment and recycling information, report applicable weights, and sign and date the report.
- 4
Attach Weight Ticket
If reporting materials marketed by your establishment, attach a legible weight ticket from the recycler for applicable page-one materials.
- 5
Submit the Report
Submit it to the municipality where you are located or where recyclables were collected by February 1.
Frequently asked questions
- Who uses the Recycling Report Form?
- Commercial, municipal, and institutional establishments use Form FM-11. Haulers, document destruction companies, and other companies transporting recyclables use FM-12 or FM-13 as directed.
- How do I submit the Recycling Report Form?
- Submit the applicable report to the municipality where the establishment is located or where recyclables were collected by February 1. County submission using FM-13 requires prior agreement from the county.
- Do I need a notary for the Recycling Report Form?
- No. The report is signed and dated without a notary. If reporting applicable weights, attach a legible weight ticket from the recycler.
- What information does the report request?
- It requests establishment and business details, how recyclables are handled and collected, materials recycled, and applicable weights. Report only post-consumer materials.