Household Recycling Checklist Form
Record your household's recyclable materials, sorting methods, and preparation steps for pickup or drop-off.
Household Name or Identifier
*
Date of Recycling Activity
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which recyclable materials are present?
*
Paper and Cardboard
Plastic Bottles and Containers
Glass Bottles and Jars
Metal Cans (Aluminum, Tin)
Electronics (e-waste)
Batteries
Textiles/Clothing
Other
How are paper and cardboard sorted?
*
Loose in bin
Bagged
Bundled/tied
Not applicable
How are plastics sorted?
*
Loose in bin
Bagged
Separated by type
Not applicable
How are glass items sorted?
*
Loose in bin
Bagged
Separated by color
Not applicable
How are metals sorted?
*
Loose in bin
Bagged
Separated by type
Not applicable
Preparation steps completed before pickup or drop-off
*
Rinsed containers
Removed lids/caps
Flattened boxes
Checked for non-recyclables
None of the above
Pickup or drop-off method
*
Curbside pickup
Drop-off at recycling center
Community collection event
Other
Additional notes or special instructions
Submit Checklist
Should be Empty: