"Registration Form for Television Manufacturers" - North Carolina

This "Registration Form for Television Manufacturers" is a North Carolina-specific form released by the North Carolina Department of Environmental Quality on June 1, 2012.

Download the form by clicking the link below, fill it out by hand, and mail it as per the guidelines provided by the department or the applicable legal instructions.

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Download "Registration Form for Television Manufacturers" - North Carolina

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State of North Carolina
Department of Environment and Natural Resources
Registration Form for Television Manufacturers
NC Senate Bill 887 places statutory requirements on television manufacturers as follows:
1. Television Manufacturers, before selling or offering for sale televisions in the State of North Carolina, must register with the Department
of Environment and Natural Resources (DENR) and, at the time of registration, shall pay an initial registration fee of $2,500 and an annual
renewal registration (no later than June 30) for each fiscal year thereafter. The initial registration shall be valid from the day of registration
through the last day of the fiscal year in which the registration fee was paid. The proceeds of these fees shall be credited to the
Electronics Management Fund.
CHECK HERE -You are not required to pay a fee if you are a television manufacturer selling globally 1,000 televisions or fewer per
year. You are exempt from the requirement to pay the registration fee and the annual renewal fee.
CHECK HERE -You are not required to pay a fee if you are a manufacturer selling televisions to non-consumers only (non-profits
who employ greater than 10 people and businesses).
2. Manufacturer Label Required. - A television manufacturer shall not sell or offer to sell any television in the State of North Carolina
unless a visible, permanent label clearly identifying the manufacturer of that device is affixed to the equipment.
3. Recycling of Market Share Required. - The obligation to recycle televisions shall be allocated to each television manufacturer based on
the television manufacturer's market share. A television manufacturer must annually recycle or arrange for the recycling of its market
share of televisions.
4. Due Diligence and Compliance Assessments. - A television manufacturer shall conduct and document due diligence assessments of
the recyclers the manufacturer contracts with, including an assessment of compliance with environmentally sound recovery standards
adopted by DENR.
5. Contact Information Required. - A television manufacturer shall provide DENR with contact information for the manufacturer's
designated agent or employee whom DENR may contact for information related to the manufacturer's compliance with the requirements
of this section.
6. Joint Television Recycling Plans. - A television manufacturer may fulfill the requirements of this section either individually or in
participation with other television manufacturers.
7. Annual Report. - A television manufacturer shall report to DENR by October 1 of each year the total weight of televisions the
manufacturer collected and recycled in the state during the previous fiscal year.
Manufacturer Information
Manufacturer Name:
Date:
Manufacturer Street Address (headquarters/main office):
City:
State or Province:
Postal (ZIP) Code:
Country (if other than U.S.):
Manufacturer Website (URL):
Manufacturer's Toll Free Recycling Phone Number:
Contact Information
Contact Name:
Title:
Company / Organization (if different from Manufacturer):
Telephone Number:
E-mail Address:
Mailing Address (Street, Route, or PO Box):
City:
State or Province:
Postal (ZIP) Code:
Country (if other than U.S.):
NC DENR - Electronics Management Program
Page 1 of 2
Television Manufacturer Registration (6/12)
State of North Carolina
Department of Environment and Natural Resources
Registration Form for Television Manufacturers
NC Senate Bill 887 places statutory requirements on television manufacturers as follows:
1. Television Manufacturers, before selling or offering for sale televisions in the State of North Carolina, must register with the Department
of Environment and Natural Resources (DENR) and, at the time of registration, shall pay an initial registration fee of $2,500 and an annual
renewal registration (no later than June 30) for each fiscal year thereafter. The initial registration shall be valid from the day of registration
through the last day of the fiscal year in which the registration fee was paid. The proceeds of these fees shall be credited to the
Electronics Management Fund.
CHECK HERE -You are not required to pay a fee if you are a television manufacturer selling globally 1,000 televisions or fewer per
year. You are exempt from the requirement to pay the registration fee and the annual renewal fee.
CHECK HERE -You are not required to pay a fee if you are a manufacturer selling televisions to non-consumers only (non-profits
who employ greater than 10 people and businesses).
2. Manufacturer Label Required. - A television manufacturer shall not sell or offer to sell any television in the State of North Carolina
unless a visible, permanent label clearly identifying the manufacturer of that device is affixed to the equipment.
3. Recycling of Market Share Required. - The obligation to recycle televisions shall be allocated to each television manufacturer based on
the television manufacturer's market share. A television manufacturer must annually recycle or arrange for the recycling of its market
share of televisions.
4. Due Diligence and Compliance Assessments. - A television manufacturer shall conduct and document due diligence assessments of
the recyclers the manufacturer contracts with, including an assessment of compliance with environmentally sound recovery standards
adopted by DENR.
5. Contact Information Required. - A television manufacturer shall provide DENR with contact information for the manufacturer's
designated agent or employee whom DENR may contact for information related to the manufacturer's compliance with the requirements
of this section.
6. Joint Television Recycling Plans. - A television manufacturer may fulfill the requirements of this section either individually or in
participation with other television manufacturers.
7. Annual Report. - A television manufacturer shall report to DENR by October 1 of each year the total weight of televisions the
manufacturer collected and recycled in the state during the previous fiscal year.
Manufacturer Information
Manufacturer Name:
Date:
Manufacturer Street Address (headquarters/main office):
City:
State or Province:
Postal (ZIP) Code:
Country (if other than U.S.):
Manufacturer Website (URL):
Manufacturer's Toll Free Recycling Phone Number:
Contact Information
Contact Name:
Title:
Company / Organization (if different from Manufacturer):
Telephone Number:
E-mail Address:
Mailing Address (Street, Route, or PO Box):
City:
State or Province:
Postal (ZIP) Code:
Country (if other than U.S.):
NC DENR - Electronics Management Program
Page 1 of 2
Television Manufacturer Registration (6/12)
Brands Information
Currently Manufactured Brand Name
Make checks payable to: North Carolina Department of Environment and Natural Resources. Write "Electronics Management Program
Fee" on the check.
Mail to:
NC DENR - DWM
Completed forms can be sent separately
Solid Waste Section - Electronics
via e-mail to:
Management Program
electronic_recycling@ncdenr.gov
Mail Service Center 1646
Raleigh, NC 27699-1646
NC DENR - Electronics Management Program
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Television Manufacturer Registration (6/12)
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