Tobacco Products Manufacturer Certification Form

TOBACCO PRODUCTS MANUFACTURER CERTIFICATION FORM. This form is used in the State of Arkansas to ensure that all tobacco product manufacturers, whether participating in the national Master Settlement Agreement (MSA) or classified as non-participating manufacturers (NPMs), comply with state and federal laws governing the sale of tobacco products. This annual certification, due on or before April 30 each year, requires manufacturers to provide detailed information about their business, brand families, sales, permits, packaging, labeling, fire-safety compliance, ingredient lists, and warning label rotation plans. For NPMs, the form also requires proof of escrow deposits, bonding, consent to be sued in Arkansas, and acceptance of joint-and-several liability by importers. Manufacturers must disclose ownership, facility details, equipment, and any criminal or regulatory actions, as well as provide documentation such as photographs of facilities, federal permits, nationwide shipment reports, and escrow account statements. Completion of this form ensures that only compliant manufacturers and brand families are listed in the Arkansas Approved-for-Sale Directory, protecting the state’s ability to enforce escrow obligations and maintain oversight of the tobacco marketplace. www.FormsWorkflow.com