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
All forms below are in PDF format unless otherwise noted.
| Manufacturer |
|---|
| Manufacturer Cigarette Only Permit Application Includes: |
| Application for Manufacturer Cigarette Only Permit |
| Application for Manufacturer’s Salesperson Permit |
| Manufacturer Tobacco Products and Alternative Nicotine Products Only Permit Application Includes: |
| Application for Manufacturer Tobacco Products and Alternative Nicotine Products Only Permit |
| Application for Manufacturer’s Salesperson Permit |
| Manufacturer Vapor Product and E-liquid Product Only Permit Application Includes: |
| Application For Manufacturer Vapor Product and E-liquid Product Only Permit |
| Application for Manufacturer’s Salesperson Permit |
| Manufacturer’s Application for Fire Safe Standard Compliant Cigarette Approval Includes using either one of these sets of forms: |
| Manufacturer’s Application for Fire Safe Standard Compliant Cigarette Approval (PDF) |
| Manufacturer’s Application for Fire Safe Standard Compliant Cigarette Approval (Excel) |
| Retail |
|---|
| Retail Cigarette and Tobacco Permit Application and/or Exclusive Vapor Product and Alternative Nicotine Product Permit Application Includes: |
| Retail Application – All Inclusive |
| Retail Application – Vapor Product and E-Liquid Product Only |
| ATC – R9 Replacement Form for Use of Owner’s Permit |
| Tobacco and Vapor Server Awareness Form |
| Temporary Event/Special Event Permit Application |
| New Sales to Minors Sign |
| Cigarette and Tobacco Inventory Instructions |
| Cigarette and Tobacco Inventory Form (PDF) |
| Cigarette and Tobacco Inventory Form (Excel) |
| Required Procedure and Form for Selling Discounted Cigarettes |
| Act 1073 of 2003 – Sale of Brands not on the Attorney General’s Approved-for-Sale Tobacco Products Directory |
| Duplicate Permit Request Form Includes: |
| Duplicate Permit Request Form |
| Wholesale |
|---|
| Wholesale Permit Tobacco Products, Vapor Products, Alternative Nicotine Products, or E-liquid Products Application Includes: |
| Application for Wholesale Permit |
| Application for Wholesaler’s Salesperson Permit |
| Wholesale Sales Reporting |
| Act 1073 of 2003 – Sale of Brands not on the Attorney General’s Approved-for-Sale Tobacco Products Directory |
| ATC Insufficient Fund Notice |
| Vapor Product and E-liquid Product Exclusive Permit (Manufacturer, Wholesaler, and Retailer) |
|---|
| Vapor Product and E-liquid Product Exclusive Permit (Manufacturer, Wholesaler, and Retailer) Application Includes: |
| Vapor Product and E-liquid Product Exclusive Permit Application |
| Wholesale Sales Reporting |
| Tobacco and Vapor Server Awareness Form |
| New Sales to Minors Sign |
| Application for Wholesaler’s Salesperson Permit |
| Application for Manufacturer’s Salesperson Permit |
| Sales Representatives |
|---|
| Wholesaler’s Salesperson Permit Application Includes: |
| Application for Wholesaler’s Salesperson Permit |
| Manufacturer’s Salesperson Permit Application Includes: |
| Application for Manufacturer’s Salesperson Permit |
| Tobacco/Vapor/E-liquid/Alternative Nicotine Products Vendor |
|---|
| Vendor Permit Application Includes: |
| Application for Vending Permit |
| Vending Machine Stamps Application |
| Vending Machine Operators Bond |
| Application to sell at less than the presumptive cost of doing business |
|---|
| Includes: |
| Application to sell at less than the presumptive cost of doing business |
