Cigarette, E-Cigarette and Tobacco Inspection Monthly Report

Form Template

When complete the Cigarette, E-Cigarette and Tobacco Inspection Monthly Report mobile app Provide the exact date and time at which the enforcement activity took place.

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Part 2: For retailers selling cigarette or tobacco products, provide the tobacco retailer's permit information. For retailers selling only e-cigarettes or e-cigarette products, provide the sales tax information. Part 3: Provide the results of the inspection. ALL questions must be answered. If a citation is written, the citation number MUST be provided. Part 4: If a citation was issued during this enforcement activity, provide all required court information. This information is utilized to follow up on citations that are written. Part 5: Provide Law Enforcement Agency/Officer Information for verification and follow-up contact purposes.

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