Arkansas ATC-R10: Tobacco Server Awareness Form

ATC-R10 PDF Details

I will not give, barter, or sell tobacco products, vapor products, alternative nicotine products, e-liquid products, or cigarette papers to anyone under the age of 21.

On file: this completed form is to be kept on file at the store, accessible and available for inspection upon the demand of an agent of Arkansas Tobacco Control.

Single cigarettes: I will not sell single cigarettes or any number of cigarettes less than a full pack (20 or 25 cigarettes packaged together).

Tobacco boxes: it is illegal to reuse or refill tobacco boxes with cigars, little cigars, cigarillos, or any other tobacco product.

Inspection: the store may be inspected by Arkansas Tobacco Control at any time.

Signatures: Employee Signature and Signature of Permit Holder, Manager, or Supervisor.