Hospital Food Waste Donation Consent Form
Hospital/Institution Details
Hospital/Institution Name
Address
Contact Person
Phone Number
Email
Food Waste Donation Information
Type(s) of Food Waste to be Donated
Approximate Quantity
Frequency of Donation
Special Storage/Handling Instructions
Recipient Organization Details
Recipient Organization Name
Contact Person
Phone Number
Consent
I confirm that the hospital/institution agrees to donate the specified food waste and that the information provided above is accurate to the best of my knowledge.
I acknowledge that the recipient organization accepts all responsibility for the collection, transport, and use of the donated food waste, and the hospital/institution is released from liability after transfer.
Signature of Authorized Person
Date