Annual Escrow Deposit Form of Certification:
The certification form for a NPM to certify its annual April 15th deposit of escrow funds.
Arizona Resident Agent Form:
The certification form for a NPM to provide its Resident Agent Information.
Cigarette Directory Certification (Calendar Year 2023):
The certification form for compliance with A.R.S. § 44-7111.
Directory Change Notification:
To receive e-mail notifications of changes to the Arizona Cigarette Directory, complete and submit the Cigarette Notification Form.
Fire Safe Compliance:
Fire Safe requirements include completing and filing the following forms- FSC-1, FSC-2, and FSC-2A -with the appropriate fees and supporting documentation on a timely basis.
Government-Owned NPM Waiver of Sovereign Immunity:
The certification form for a Government-owned NPM to waive Sovereign Immunity as a defense to any enforcement action arising out of A.R.S. §§ 44-7101, 44-7111 or 36-798.06.
NPM Standard Waiver of Sovereign Immunity:
The certification form for a non-Tribal, non-Government-owned NPM to waive Sovereign Immunity as a defense to any enforcement action arising out of A.R.S. §§ 44-7101, 44-7111 or 36-798.06.
NPM Waiver of Sovereign Immunity by Native American Tribe:
The certification form for a Tribal NPM to waive Sovereign Immunity as a defense to any enforcement action arising out of A.R.S. §§ 44-7101, 44-7111 or 36-798.06.
NPM Surety Bond:
The certification form for a NPM to file a surety bond.
PACT Act Registration:
Please contact the Arizona Department of Revenue.
2022 Quarterly Escrow Deposit Form of Certification:
The 2022 certification form for a NPM to certify its quarterly deposit of escrow funds.
2023 Quarterly Escrow Deposit Form of Certification:
The 2023 certification form for a NPM to certify its quarterly deposit of escrow funds.
US Importer Declaration Accepting Joint and Several Liability:
The certification form for an importer of NPM products manufactured by a foreign NPM to accept joint and several liability for the escrow deposit requirements set forth in A.R.S. § 44-7101.
Report a Violation of a Tobacco Law.
Other tobacco-related forms are located at the Department of Revenue website.