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No Specific License Required Moderately Regulated

Illinois Biohazard Cleanup Requirements

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.

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. This page was last reviewed April 2026.

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