Blank Arkansas Atc R4 Form

Form Properties

Key takeaways

Detailed Steps for Using Arkansas Atc R4

Common mistakes

Arkansas Atc R4 Sample

Fill out More PDFs

➔

The Arkansas ATC R4 form is a critical document required for employees working in establishments that sell tobacco products. This form ensures that employees acknowledge and understand the legal responsibilities associated with tobacco sales, particularly the prohibition against selling to minors. Proper completion and retention of this form are essential for compliance with Arkansas Tobacco Control regulations.

To fill out the Arkansas ATC R4 form, click the button below.

Prepare Arkansas Atc R4

Outline

Arkansas Employment Application - Employment status questions help assess the applicant's availability and flexibility.

For those looking to navigate the transfer of ownership with ease, the New York Dirt Bike Bill of Sale form can be conveniently accessed through UsaLawDocs.com, ensuring a smooth and legally compliant transaction that protects the rights of both parties involved.

Arkansas Crime Information Center - The Arkansas Bureau of Standards holds the right to revoke registrations for just cause.

New Hire Paperwork Checklist - Employers must ensure accuracy to prevent delays in processing and reporting.

Free Arkansas Atc R4 File

Fact Name	Description
Governing Law	This form is governed by Arkansas law, specifically A.C.A. § 5-27-227.
Purpose	The Tobacco Server Awareness Form ensures that employees understand their responsibilities regarding the sale of tobacco products.
Initialing Requirement	Each employee must initial each section of the form to indicate understanding and compliance.
Age Restrictions	Employees cannot sell tobacco products to anyone under 18 years of age.
Single Cigarette Sales	Sales of single cigarettes or any amount less than a full pack are prohibited.
Consequences of Violation	Violating the age restrictions can lead to criminal charges and fines up to $100 per violation.
Inspection Compliance	The store may be inspected at any time to ensure compliance with tobacco sales laws.
Record Keeping	The form must be kept on file at the store and accessible for inspection by Arkansas Tobacco Control employees.

Here are key takeaways regarding the Arkansas ATC R4 form:

Purpose: The form is designed to ensure that employees understand and comply with laws regarding the sale of tobacco products.
Initialing Required: Each employee must initial each section of the form to acknowledge their understanding of the rules.
Signature and Date: Employees must sign and date the form upon employment and before selling any tobacco products.
Accessibility: The completed form must be kept on file at the store and accessible to all employees at all times.
Inspection: The form should be available for inspection by any employee of Arkansas Tobacco Control.
Age Restrictions: Employees are prohibited from selling tobacco products to anyone under 18 years of age.
Legal Consequences: Violating age restrictions can lead to criminal charges and fines of up to $100 per violation.
Store Inspections: The store may be inspected at any time to ensure compliance with state laws regarding tobacco sales.
Employer Contact: Employees consent to their employers contacting Arkansas Tobacco Control for any citations related to tobacco law violations.

Filling out the Arkansas ATC R4 form is an important step for employees who will be selling tobacco products. After completing the form, it should be kept on file at the store and accessible for inspections. Here are the steps to fill out the form correctly:

Begin by downloading or obtaining a physical copy of the Arkansas ATC R4 form.
Read through the entire form to understand the requirements and regulations outlined.
In the designated area, write your printed name and the date you entered employment.
Initial each statement in the section that outlines prohibited actions related to the sale of tobacco products.
Sign your name in the Employee Signature section and include the date signed.
Have your Owner, Manager, or Supervisor sign the form in the appropriate section and include the date signed.
Ensure that the completed form is stored in a location accessible to all employees.

Filling out the Arkansas ATC R4 form is an important step for employees working in establishments that sell tobacco products. However, several common mistakes can lead to complications. Understanding these pitfalls can help ensure that the form is completed accurately and efficiently.

One frequent error is neglecting to initial each section of the form. Each employee is required to initial every statement to confirm their understanding and acknowledgment of the rules regarding tobacco sales. If initials are missing, it can create confusion and may even lead to penalties for the employee or the store. Ensuring that every section is properly initialed is crucial for compliance.

Another common mistake is failing to sign and date the document correctly. The form requires both the employee's signature and the date they signed it. If the signature is missing or the date is incorrect, it can raise questions about the validity of the form. This oversight can delay the processing of the form and might even result in fines if an inspection occurs.

Additionally, some employees may overlook the importance of keeping the form accessible at all times. The Arkansas Tobacco Control mandates that the completed form must be on file at the store and available for inspection. If the form cannot be produced during an inspection, it can lead to serious consequences for the business. Employees should ensure that the form is stored in a designated area that is easy to access.

Lastly, misunderstanding the regulations outlined in the form can lead to serious consequences. Employees must fully comprehend the restrictions on selling tobacco products, especially to minors. Misinterpretation of these rules can result in criminal charges or fines. It is essential for employees to read the entire document carefully and seek clarification if needed before signing.

Employee Signature

Date Signed

Printed Name of Employee

Date Entered Employment

Signature of Owner, Manager or Supervisor

Date Signed

FORM ATC R-4 02/2020)

(All blank lines on this form must contain information)

	DFA - ARKANSAS TOBACCO CONTROL
State of Arkansas	101 E. Capitol Ave., Suite 401
	Little Rock, AR 72201
Department of Finance
	Phone: (501)	682-9756

And Administration	Fax: (501)	682-9760

https://www.atc.arkansas.gov

TOBACCO AND VAPOR SERVER AWARENESS FORM

Upon employment, all employees must initial each section, sign, and date this document before selling any tobacco, vapor, alternative nicotine, or e-liquid products. This form is to be kept on file at the store, be accessible to any clerk or employee present, and be available at all times for inspection by any employee of Arkansas Tobacco Control.

As an employee of a permitted outlet, I understand that there are certain things I am prohibited from doing and certain actions that I cannot allow to occur in the outlet. In accordance with Arkansas law and the rules of Arkansas Tobacco Control, I have read, initialed and acknowledged the following:

(Please initial below)

		I will not sell cigarettes, tobacco products, vapor products, alternative nicotine products or e-liquid products
		to anyone 21 years of age or older when I know the products will be provided to a person or persons under the
		age of 21.
_______		I understand that cigarettes or “tobacco products” includes any substance that contains tobacco, including
		but not limited to, cigarettes, cigars, smokeless tobacco, loose tobacco, hookah tobacco, shisha, and cigarette
		papers.
		I will not sell single cigarettes or any number of cigarettes less than a full pack (20 or 25 cigarettes packaged
		together constitutes a pack) and I understand it is against the law to do so.
________		I understand that sales to anyone under the age of 21 can result in criminal charges being filed against me. I
		understand that as a clerk, if I am found guilty of a violation of A.C.A. § 5-27- 227, I shall be subject to a fine up to
		$100 per violation, plus local court costs.
		I understand that this store may undergo inspection at any time to assess its compliance with the state law
		regarding the sale of cigarettes, tobacco products, vapor products, alternative nicotine products or
		e-liquid products to a minor under the age of 21.

I understand it is illegal to reuse or refill tobacco boxes with cigars, little cigars, cigarillos or any other tobacco product. Any person doing this can be charged with a Class D Felony.

By signing below, I hereby certify that I have read and fully understand the above statements. I agree to always follow state law and not to sell cigarettes, tobacco, vapor, alternative nicotine, or e-liquid products to minors. I further consent to allowing any current or potential employer to contact Arkansas Tobacco Control to determine if I have received any citations for violations of Title 5, Chapter 27 of the Arkansas Code.