California Tobacco Directory
Forms
CALIFORNIA
TOBACCO DIRECTORY CLICK HERE TO VIEW By Brands By Manufacturers Updated 10/3/2008
TOBACCO DIRECTORY CLICK HERE TO VIEW By Brands By Manufacturers Updated 10/3/2008
Forms for use by tobacco manufacturers and distributors in listing products on the California Tobacco Directory.
To Be Filed By All Manufacturers
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JUS-TOB1
[PDF 257 kb / 12 pg]
Instructions [PDF 254 kb / 4 pg]
Certification for Listing on California Tobacco Directory.
All Master Settlement Participating and Nonparticipating tobacco product
manufacturers must use this Certification Form (JUS-TOB1) to list any
brands and brand families for sale or distribution in the California.
To Be Filed By Non-participating Manufacturers (NPM) With Certification for Listing on California Tobacco Directory (JUS-TOB1)
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JUS-TOB2
[PDF 97 kb / 2 pg]
Appointment of Service Process Agent.
Non-participating manufacturers that are not registered to do business in
California must appoint and engage continuously a California registered
agent to receive service of process on behalf of the manufacturer. The
Nonparticipating Manufacturer must file proof of the appointment and
availability of the agent to the Attorney General with its certification
for listing on the Tobacco Directory.
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JUS-TOB3
[PDF 62 kb / 2 pg]
Instructions
[PDF 30 kb / 1 pg]
Certification of Compliance and Affidavit Regarding Deposit of Reserve
Funds into Escrow.
Non-participating manufactures (NPMs), which are tobacco manufacturers
that have not joined in the Master Settlement Agreement, must file this
compliance certification and affidavit with their certification for listing
on the California Tobacco Directory. This form generally must be filed
no later than April 30 of the year following the sales year, although
certain NPMs will be required by the Attorney General to file quarterly.
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JUS-TOB4
[PDF 71 kb / 2 pg]
Cigarette Brand Unit Sales Schedule 1.
Non-participating manufacturers must file this form with each filing
of the Certification of Compliance.
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JUS-TOB5
[PDF 84 kb / 2 pg]
Instructions
[PDF 81 kb / 1 pg]
Acknowledgment of Receipt & Review of NPM Statute, Implementing Regulations,
Forms, Calculation Method & Reporting Responsibilities for Depositing Reserve
Funds.
Non-participating manufacturers must file this form acknowledging that the
NPM has received and reviewed Health & Safety Code sections 104555-104557
and implementing regulations. This form must be filed by an NPM during its
first quarter of sales in California and until its first Certification of
Compliance (JUS-TOB3) is filed. The form must be filed with the Attorney
General within 30 days of its receipt and provided to all wholesalers or
distributors before the NPM sells or ships its product to the wholesalers
or distributors until the initial filing of the Certification of Compliance
(JUS-TOB3).
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JUS-TOB6
[PDF 582 kb / 13 pg]
Model Escrow Agreement.
The California model escrow agreement must be used by non-participating
manufacturers in connection with establishing the Qualified Escrow Fund.
All NPMs must use the most recently revised escrow agreement that is posed
on this website. (2/2004)
To Be Filed By Distributors
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JUST-TOB8
[PDF 10 kb / 1 pg]
Distributor Electronic Mail Registration.
All distributors of cigarettes and roll-your-own cigarettes are required
by California law to provide the Attorney General with an email address
for the purpose of receiving notifications regarding the California Tobacco
Directory.
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