Last updated: 5/29/2025
Participating Tobacco Product Manufacturer Certificate Of Compliance
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Description
PM001 - PARTICIPATING TOBACCO PRODUCT MANUFACTURER CERTIFICATE OF COMPLIANCE. Pursuant to R.C. 1346.02 and 1346.05 and Ohio Adm.Code 109:8-1-01 thru 109:8-1-03. This form is used by tobacco product manufacturers to certify their compliance with Ohio state regulations concerning the sale and distribution of tobacco products. Specifically, it is for manufacturers who are Participating Tobacco Product Manufacturers (PTM) under the Master Settlement Agreement (MSA) and outlines various obligations for manufacturers selling tobacco products in Ohio. Key points of the form include: Company Identification: The form collects identifying information about the tobacco product manufacturer, including their company name, federal tax identification, and contact details. Brand Family Identification: The manufacturer must list all tobacco brands they sell in Ohio, both those currently listed on the Ohio Tobacco Directory and those they wish to add or remove from the directory. Required Attachments: Manufacturers must provide additional documents, such as a U.S. Treasury Tobacco Tax Bureau (TTB) permit, packaging samples, and proof of compliance with reduced ignition propensity standards for cigarettes. PACT Act Compliance: The form ensures compliance with the Prevent All Cigarette Trafficking (PACT) Act, which regulates the sale and shipment of tobacco products across state lines. MSA Payment Compliance: The form collects information on the manufacturer’s compliance with MSA payments, including details on quarterly payments and any disputes. Affidavit: The form concludes with an affidavit that must be signed and notarized by an authorized representative of the manufacturer, certifying the accuracy of the information and the manufacturer's compliance with all relevant laws. www.FormsWorkflow.com





