[Image]Kansas Department of Health  and Environment
Bureau of Waste Management
1000 SW Jackson, Suite 320
Topeka, KS  66612-1366

SFY14 Waste Tire Grant  Registration

To register as a distributor for sales of a listed product for the SFY2014 Kansas tire-derived product grant, you just need to send an email with your name, company, address, phone, fax, and email address to KHicks@kdheks.gov.    Include EACH individual product you represent by KDHE code name - list by manufacturer.  This information is published in the approved list of products and distributors. You will not be a confirmed vendor until the product registration is approved by KDHE.  Check the webpage weekly for updates to the approved list of products and distributors as we build it, and for the grant application available after December 2, 2013. 

If YOU are the manufacturer - You must continue on to confirm YOUR product listing:

  1. A new product must be registered separately by the manufacturer before October 31, 2013.  If you are not the manufacturer, STOP HERE and follow the instructions above.

  2. For a returning product that was listed in the last three years, the manufacturer is asked to confirm that the information on the product registration is still correct.  Please check the scan of product registrations and then fill out the rest of this form.

Is there a change to a previously registered product? Do you have a new product that has not been listed in three years?
  • If this answer is YES to either question above, go back and resubmit the registration form for that product.
  • If this answer is NO to both questions above, continue on with the Submit Form below.