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Run: Used Oil Filter Drop-Off Acceptance Form

Track used oil filter drop-offs from DIY customers with a clear acceptance record, contamination screening, and customer attestation that filters were hot-dr...

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Drop-Off Details

Drop-Off Date (required)

Drop-Off Time (required)

Site Location (required)

Accepted By (required)

Customer Information

Customer Type (required)

Customer Name

Customer Phone

Customer Email

Used Oil Filter Details

Number of Used Oil Filters (required)

Container Type (required)

Container Condition (required)

Visible Free Oil Present? (required)

Acceptance Screening

Customer Attestation: Filters Were Hot-Drained (required)

Customer confirms the used oil filters were hot-drained before drop-off.

Yes No N/A

Screening Result (required)

Rejection Reason

Staff Notes and Sign-Off

Staff Notes

Staff Signature (required)

Customer Signature

Optional if your site requires customer acknowledgment.

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Email (required)

Your name (optional)

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