The Colorado Needles Takeback Program helps to reduce improper needle disposal in public places by locating safe collection kiosks in areas in need of assistance.

We are seeking information regarding locations in Colorado where needles are commonly found in outdoor, public places. If you are aware of any locations experiencing this concern, please fill out the information below. We will use this information to help inform possible future placement of needle collection kiosks.

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* 1. Describe the public area where needles/sharps are being found. Please provide the address, cross streets, park name or other description of the location where you've seen improper needle disposal.

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* 2. Please feel free to add any additional information which may be helpful.

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* 3. Are you the best contact person to discuss possibly locating a collection kiosk at this location?

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* 4. If yes, please provide the following information.

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* 5. If No, please provide a contact person if available. If you are unaware of who to contact, please leave blank.

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