Tobacco

Manufacturer Information

These forms should be used when filing annual and/or quarterly certifications as required by Illinois law with the Attorney General’s office. An Adobe® Acrobat® Reader® is needed to view and print PDF documents available from this page. If you have any problems downloading any of these forms, please call the Tobacco Enforcement Bureau at 217-785-8541 for further assistance.

Participating Manufacturers

• Certification of Participating Manufacturer (PM-1) (updated 2/22/2021)

• Brands Addendum for PM-1 (updated 2/22/2021)

• Certification of Little Cigar/Cigarette (PM-LC) (updated 2/22/2021)

• Certification of PACT Act (PM-PACT) (updated 2/22/2021)

Non-Participating Manufacturers

• Certification Requirements for NPMs (updated 2/25/2021)

• Certification of NPM (NPM-1) (updated 2/25/2021)

• Brands Addendum for NPM-1 (updated 2/25/2021)

• Accounts Addendum for NPM-1 (updated 2/25/2021)

• Certification of PACT Act (NPM-PACT) (updated 2/25/2021)

• Certification of Little Cigar/Cigarette (NPM-LC) (updated 2/25/2021)

• Appointment of Agent for Service (NPM-2) (updated 2/25/2021)

• Certification of Additional Information (NPM-3) (updated 2/25/2021)

• Quarterly Affidavit for Escrow Payment (NPM-Q) (updated 2/25/2021)

  • Brands Addemdum for NPM-Q (updated 2/25/2021)
  
  

• Escrow Reconciliation Affidavit (NPM-R) (updated 2/25/2021)

• Non-Participating Manufacturer's Sales Information (NPM-S) (updated 2/25/2021)

• Foreign Non-Participating Manufacturer Information (NPM-F) (updated 2/25/2021)

• Model Escrow Agreement

Prevent All Cigarette Trafficking (PACT) Act

• PACT Act Notice (updated 3/21/11)

Fire Safety Standard Act

• Certification of Cigarette Manufacturer under Cigarette Fire Safety Standard Act (FS-1) (updated 02/24/20)

• Brands Addendum for FS-1 (updated 02/24/20)

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