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  4. Illinois

Illinois Biohazard Cleanup Requirements

Licenses, permits, and OSHA rules for biohazard cleanup in Illinois.

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All States No Specific License Required Moderately Regulated

Moderate regulation focused on waste transport. Illinois requires an IEPA PIMW Hauling Permit with substantial fees and vehicle-specific requirements. No trauma scene practitioner license exists.

General Business License

City/county level business license; no statewide contractor license required for biohazard cleanup.

Medical Waste Transport

Mandatory PIMW Hauling Permit from IEPA; $2,000 annual fee per permit + $250 per vehicle per year + $4.00 per manifest; one of the most structured transporter permit programs in the country.

Meth / Drug Lab Cleanup

No known contractor certification or numerical cleanup standards.

OSHA Requirements

Illinois has an OSHA-approved State Plan covering only state and local government employees; private sector workers fall under federal OSHA.

Insurance Requirements

No state-mandated minimum specific to biohazard work beyond transporter permit requirements.

What the permits cost in Illinois

Figures below are quoted from the issuing agency. Every one is linked to its source.

Medical waste transporter

$2,000/yr + $250/vehicle

$2,000 annually for each PIMW hauling permit application. Additional volume-based fee: $0.03 per pound (3 cents/lb) collected from a person required to have a PIMW hauling permit (listed on the Illinois EPA fee page as the treatment/disposal fee). Manifest fee $4 per manifest.

Issued by: Illinois Environmental Protection Agency (Illinois EPA), Bureau of Land - PIMW ProgramRenewal: Annual - fee and permit application are submitted together each yearPer vehicle: $250 for each PIMW hauling vehicle (truck or trailer) identified in the annual permit application, and $250 for each vehicle added to the permit during the year

Sources high confidence

Read from the pages below, last updated IDPH meth cleanup guidance marked Rev 1/12 (January 2012); Illinois EPA fee page shows no revision date. Official state agency and state code pages only.

  1. https://epa.illinois.gov/topics/forms/fees/pimw.html
  2. https://epa.illinois.gov/topics/waste-management/waste-disposal/general-regulations/transporter.html
  3. https://epa.illinois.gov/topics/waste-management/waste-disposal/general-regulations.html
  4. https://codes.findlaw.com/il/chapter-415-environmental-safety/il-st-sect-415-5-56-6/
  5. https://dph.illinois.gov/topics-services/environmental-health-protection/toxicology/indoor-air-quality-healthy-homes/meth-labs-cleanup.html

Federal Requirements (Apply in Every State)

  • OSHA BBP (29 CFR 1910.1030): Written Exposure Control Plan, annual employee training, Hepatitis B vaccine offer, appropriate PPE, 30-year recordkeeping
  • DOT (49 CFR 173.134): Proper classification, packaging, labeling, and transport of regulated medical waste
  • EPA: Use of EPA-registered disinfectants, proper waste disposal under RCRA, waste manifest documentation
  • Certifications (recommended): IICRC TCST, ABRA CBRT, or GBAC (not legally required but increasingly expected by insurance companies and referral partners)

Verify before operating: Licensing requirements change frequently. Confirm all information directly with Illinois state agencies before starting or expanding operations. Permit costs on this page were read from the linked Illinois agency sources in September 2026. The surrounding guidance was last reviewed April 2026.

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