Cigarette
Important Note: To avoid processing delays, please be sure to print forms at 100% and that your system does not default to "Fit to Page" or any other reduction in page scaling.
If you have comments or suggestions regarding our forms, please Send Us an Email.
| Cigarette and Tobacco Tax Forms | File Links | Form Number | |
| Application -- Cigarette Distributor | Form | DR 0218 | |
| Application -- Tobacco Products Distributor | Form | DR 0222 | |
| Authorization Agreement For Automatic Deposits (ACH Credits) | Form | DR 1011 | |
| Cigarette Tax Return | Form | DR 0221 | |
| Copy of Form Filed -- Request for | Form | DR 5714 | |
| Electronic Payment (EFT) Authorization | Form | DR 5785 | |
| Electronic Payment (EFT) Program Information | Form | DR 5782 | |
| Manufacturer Certification -- Tobacco Product | Form | DR 0231 | |
| Manufacturer -- Non-Participating Member, Escrow | Form | DR 0237 | |
| MSA Reporting Form -- Exemption from Monthly Reporting | Form | DR 1286 | |
| MSA Reporting Form -- Monthly Non-Participating Brands Sold | Form | DR 1285 | |
| MSA Reporting Form -- Monthly Transfer and Exports of NPM products | Form | DR 1284 | |
| Order Form -- Cigarette Tax Stamp | Form | DR 5225 | |
| Surety Bond -- Cigarette Licensee | Form | DR 0219 | |
| Tobacco Tax Return | Form | DR 0229 | |