Arizona Attorney General

Mark Brnovich

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Tobacco Forms

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:
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 Statement:
To register under the PACT Act with the state taxing authority for Arizona, the Arizona Department of Revenue.

2015 Quarterly Escrow Deposit Form of Certification:
The 2015 certification form for a NPM to certify its quarterly deposit of escrow funds.

2016 Quarterly Escrow Deposit Form of Certification:
The 2016 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.