Applications/ Forms
01/26/2022
PS Form 4615-EM – Mailer 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
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
01/26/2022
PS Form 4615-EM – Mailer 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
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
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
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
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  

Applications/ Forms
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
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