The autoreduction of pertechnetate (99TcO4-) to Tc(IV/V) alkoxide complexes in aqueous, alkaline, solutions is described. Solutions of sodium pertechnetate (0.01M) reacted with nitrogen and oxygen donor ligands (1.0M) in 2M sodium hydroxide. Solutions containing nitrogen donor ligands (e.g., EDTA) showed the initial formation of lightly colored complexes followed by rapid decomposition in air. In contrast, stable, reduced complexes were formed within minutes of mixing pertechnetate with mono- and disaccharides in strong base, as indicated by a persistent color change. Chemical yields of these reactions were determined by thin layer chromatography or paper chromatography and radiochemically assayed with a Bioscan imaging scanner. Analysis by UV-vis spectroscopy suggested that Tc(IV) or Tc(V) complexes were produced, with the oxidation state dependent on the reducing ligand. These experiments may help explain the reduction of pertechnetate to the soluble complexes that have been found in the Hanford nuclear waste tanks.