Texas Tobacco Enforcement – Law Enforcement Forms

Grantee Reporting Forms

Monthly Reporting

These forms are submitted to the Comptroller’s Tobacco Enforcement Program by the 10th of the month immediately following the month in which the activities occurred:

• Minor In Possession of Tobacco, or MIP (PDF, 242K)
• Inspection/Sting Report (PDF, 365K)

Quarterly Forms

These forms are submitted to the Comptroller’s Tobacco Enforcement Program by the 15th of the month immediately following the quarter in which the activities occurred. They are mailed by the Comptroller’s Tobacco Enforcement Program to each Grantee one month before the deadline.

• Compliance Education Quarterly Summary Report
• Financial Status Report (FSR)
  View detailed instructions for completing the FSR.

Reported as Violations Occur

• 69-120 Texas Cigarette/Tobacco Final Proceeding Report (PDF, 69K)

Other Forms

• Tobacco Grantee Request for Allocation Change
• Certificate of Recognition
• Underage/Minor Decoy Agreement

Tobacco Grantee Request for Allocation Change

Any needed changes in percentage allocations in these budget categories must be submitted and approved by the Comptroller’s Office before the change can take effect.

Fax the request to Tobacco Enforcement at (512) 463-3268. The request must:

• be on department letterhead;
• state by percentages the proposed change;
• be signed by the grant contact;
• state how the money will be used in the category that will increase;
• and state how the requirement in the category that decreases will still be handled. Changing allocations does not relieve the obligation to conduct the activities.

Certificate of Recognition

Certificates of Recognition can be used to reward compliant retailers and can be ordered by contacting Tobacco Enforcement.

Underage/Minor Decoy Agreement

Underage/Minor Decoy Agreement SAMPLE (PDF, 31.2K)