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

Waste Tire Grant Vendor Registration

To register as a vendor for the SFY2013 Kansas tire-derived product grant, please provide the information below.

This information will be published in the grant guide if the product is registered, the Kansas tire report is on file, and this listing is verified by the manufacturer before the grant deadline.

On page two, you will have an opportunity to choose the approved products that you will be representing.

A new product must be registered separately by the manufacturer before November 15, 2012. Even if you have filled out this form,  you will not be a confirmed vendor until the product is approved by KDHE.  If you are not sure if the product is approved, please have the manufacturer contact Kris Hicks by email or by phone at 785-296-1026 for the registration form.

Is this a change to a previous submission?

Vendor Information