Applications/ Forms
01/26/2022
01/26/2022
PS Form 4615-ER – Recipient Information Worksheet
PACT Act Application for Business/Regulatory Purposes Exception—ENDS, with PS Form 4615-ER – Recipient Information Worksheet and PS Form 4615-EM – Mailer Information Worksheet (if needed)
Applications/ Forms
12/10/2021
12/10/2021
Applications/ Forms
10/21/2021
10/21/2021
PS Form 4616 - PACT Application for Consumer Testing/Public Health Exception
Combustible cigarettes only: PS Form 4616, PACT Act Application for Consumer Testing/Public Health Exception
Applications/ Forms
10/21/2021
10/21/2021
PS Form 4615-E - PACT Act Application for Business/Regulatory Purposes Exception - ENDS
ENDS: PS Form 4615-E, PACT Act Application for Business/Regulatory Purposes Exception—ENDS
Applications/ Forms
10/21/2021
10/21/2021
PS Form 4615 - PACT Act Application for Business/Regulatory Purposes Exception – Cigarettes/Smokeless Tobacco
Combustible cigarettes or smokeless tobacco: PS Form 4615, PACT Act Application for Business/Regulatory Purposes Exception—Cigarettes/Smokeless Tobacco