Sharps Reporting Form

Report a Community Found Sharp

Date when sharp was found(Required)

Where was the sharp found?(Required)

Please provide town/location with as much specifics as possible (e.g., sidewalk, driveway, parking lot, business name, park, trail, etc.). Include other details as needed.

How many sharps were found?

Who is reporting?

Community Member

County Staff

Health Unit Staff

Other (please specify)

Do you feel comfortable picking up sharps on your own if you were provided with instructions on how to do so safely?

Yes

Sharps (Needles and other Hazardous Waste)