Forms
The following forms are to be used for new applications only. DO NOT use these forms for permit renewals. Please fill out completely and mail completed forms and payment to:
Arkansas Tobacco Control
101 East Capitol Ave., Suite 401
Little Rock, AR 72201-3824
Select an option below to find a form.
- Manufacturer
- Retail
- Wholesale
- Sales Representatives
- Cigarette Vending
- Application to sell at less than the presumptive cost of doing business
- Additional Forms
| Manufacturer | |
Manufacturer's Application for Fire Safe Standard Compliant Cigarette Approval Includes using either one of these sets of forms: |
|
| PDF Files Require Acrobat Reader | Download | |
| Manufacturer's Application for Fire Safe Standard Compliant Cigarette Approval in Adobe Acrobat | |
| Manufacturer's Application for Fire Safe Standard Compliant Cigarette Approval in Excel - XP Version | |
| Manufacturer's Application for Fire Safe Standard Compliant Cigarette Approval in Excel - 2007 Version | |
| Retail | |
Retail Cigarette and Tobacco Permit Application Includes: |
|
| PDF Files Require Acrobat Reader | Download | |
| Retail Cigarette Tobacco Application | |
| Unfair Cigarette Sales Act Letter | |
| Tobacco Server Awareness Form | |
| Special Event Permit | |
| Sales to Minors Sign | |
| Act 1073 of 2003 - Sale of Brands not on the Attorney General's Approved-for-Sale Tobacco Products Directory | |
| Duplicate Permit Request Form Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Duplicate Permit Request Form | |
| Wholesale | |
| Wholesale Cigarette Only Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Instructions to obtain a Wholesale Cigarette Permit | |
| Application for Wholesale Cigarette Permit | |
| Affidavit | |
| Suggested Advertisement for Wholesale Cigarette and Tobacco Permit Affidavit | |
| Application for Wholesalers, Manufacturers, and Tobacco Products Vendor Representatives' License | |
| Unfair Cigarette Sales Act Letter | |
| Act 1073 of 2003 - Sale of Brands not on the Attorney General's Approved-for-Sale Tobacco Products Directory | |
| Wholesale Tobacco Only Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Instructions to obtain a Wholesale Tobacco Permit | |
| Application for Wholesale Tobacco Permit | |
| Affidavit | |
| Application for Wholesalers, Manufacturers, and Tobacco Products Vendor Representatives' License | |
| Suggested Advertisement for Wholesale Cigarette and Tobacco Permit Affidavit | |
| Act 1073 of 2003 - Sale of Brands not on the Attorney General's Approved-for-Sale Tobacco Products Directory | |
| Wholesale Cigarette and Tobacco Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Requirements to obtain a Wholesale Cigarette and Wholesale Tobacco Permit | |
| Application for Wholesale Cigarette Permit | |
| Application for Wholesale Tobacco Permit | |
| Suggested Advertisement for Wholesale Cigarette and Tobacco Permit | |
| Affidavit | |
| Application for Wholesalers, Manufacturers, and Tobacco Products Vendor Representatives' License | |
| Unfair Cigarette Sales Act Letter | |
| Act 1073 of 2003 - Sale of Brands not on the Attorney General's Approved-for-Sale Tobacco Products Directory | |
| Sales Representatives | |
| Wholesale Sales Representative Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Application for Wholesalers, Manufacturers, and Tobacco Products Vendor Representatives' License | |
| Unfair Cigarette Sales Act Letter | |
| Manufacturer's Sales Representative Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Application for Wholesalers, Manufacturers, and Tobacco Products Vendor Representatives' License | |
| Unfair Cigarette Sales Act Letter | |
| Cigarette Vending | |
| Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Cigarette Vending Machines (Information Sheet) | |
| Application for General Tobacco Products Vending Permit | |
| Cigarette Vending Machine Stamps Application | |
| Coin Operated Cigarette Machine Operators Bond | |
| Application to sell at less than the presumptive cost of doing business | |
| Includes: | |
| PDF Files Require Acrobat Reader | Download | |
| Application to sell at less than the presumptive cost of doing business | |
| Additional Forms | |
| Report a Violation | |
| Training Request | |