TOBACCO RETAIL PERMIT INITIAL APPLICATION

There are two types of Tobacco Retailer permits. Please read the following descriptions and choose the type of permit you need for your tobacco retail location, and sign indicating you understand the requirements for the permit.

A. General Tobacco Retailer - This type of retail location typically sells a wide variety of products so that the sale of tobacco products, electronic cigarette products, or nicotine products* accounts for less than 35% of the total quarterly gross receipts. In addition, less than 20% of the retail floor space and less than 20% of the total shelf space is allocated to the offer, display or storage of tobacco products. There is no self-service display for tobacco products, electronic cigarette products, or nicotine products. The business does not sell any "flavored" electronic cigarette products. Lastly, the business does not hold itself out as a retail tobacco specialty business and cause a reasonable person to believe the commercial establishment is a retail tobacco specialty business. I understand that in order to be permitted as a General Tobacco Retailer, the business identified in this application may not at any time:

1. Have any self-service display of tobacco products, electronic cigarette

products, or nicotine products; or

2. Have 20% or more of the total retail floor space allocated to the offer, display, or storage of tobacco products, electronic cigarette products, or

3. Have 20% or more of the total shelf space allocated to the offer, display, or storage of tobacco products, electronic cigarette products, or nicotine products; or

4. Have 35% or more of total quarterly gross receipts from the sale of tobacco products, electronic cigarette products, or nicotine products

I understand that retailers are responsible for knowing and complying with local, state, and federal laws and regulations.

I further understand, and my signature binds all proprietors for the business, that if any requirements for a General Tobacco Retailer are violated this permit may be revoked by the issuing health department. 

B. Retail Tobacco Specialty Business - This type of retail location typically specializes in the sale of tobacco products, electronic cigarette products, or nicotine products*. This designation is applicable if any of the following are true: 

1. 35% or more of the total quarterly gross receipts are from the sale of tobacco products, electronic cigarette products, or nicotine products, or;

2. 20% or more of the retail floor space is allocated to the offer, display, or storage of tobacco products, electronic cigarette products, or nicotine products, or;

3. 20% or more of the total shelf space is allocated to the offer, display, or storage of tobacco products, electronic cigarette products, or nicotine products, or;

4. The retail space features a self-service display fortobacco products, electronic cigarette products or nicotine products, or;

5. the business sells "flavored" electronic cigarette products, or;

6. the business holds itself out as a retail tobacco specialty business and causes a reasonable person to believe the commercial establishment is a retail tobacco specialty business.

I understand that in order to be permitted as a Retail Tobacco Specialty Business, the business identified in this application may not at any time be within:

a) 1,000 feet of a community location**; or,

b) 600 feet of another retail tobacco specialty business; or,

c) 600 feet of property used or zoned for agricultural or residential use.

I understand that retailers are responsible for knowing and complying with local, state, and federal laws and regulations.

I further understand, and my signature binds all proprietors for the business, that if any requirements for a Retail Tobacco Specialty Business are violated, this permit may be revoked by the issuing health department. 

*Tobacco products include any cigar, cigarette, electronic cigarette, chewing tobacco, or any substitute for a tobacco product, including flavoring or additives to tobacco, and tobacco paraphernalia. Electronic cigarette products include any electronic cigarette, electronic cigarette substance, or a prefilled electronic cigarette. Nicotine product includes any alternative nicotine product or a nontherapeutic nicotine product. Please refer to Utah Code 76-9-1101 for specific definitions.

**Community location public or private K-12 school; licensed child-care or preschool; trade or technical school; church; public library; public playground; public park; youth center or other place used primarily for youth oriented activities; public recreational facility; public arcade; homeless shelter.

***Beginning July 1, 2021 (businesses grandfathered prior to 12/31/2018) and July 1, 2022 (businesses grandfathered prior to 12/31/2020), a retail tobacco specialty business may not be located within 1,000 feet of a public or private kindergarten, elementary, middle, junior high, or high school, even if the business had "grandfather status" prior. Refer to Utah Code 10-8-41.6(7) and Section 1: Business Information.