Tobacco Retailer App
Tobacco Retailer
Sign in
Tobacco Retailer - Add Application
 
For which table?
Permit Application
THD - Tobacco Sales Quiz
THD - Tobacco Handlers Permit Application
Tobacco Sales Complaint Form
Cancel

Open
Open in New Window

We are updating our Terms of Service. See our blog post highlighting the changes. By continuing to use the Quickbase Service, the new Terms of Service will become effective on the renewal date for each account that you manage. If you do not accept the changes, please notify us thirty days in advance of your renewal date.
Quickbase will send a report of the events currently displayed on your calendar.
New apps will be added to your account close
close
Create your own free Quickbase app
Quickbase Exchange has hundreds of free apps for any business process.
It's simple to get started and you don't need to be technical to do it.
  • Project Management
  • Customer Support
  • Sales & CRM
  • Marketing
  • Team Management
  • Human Resources
  • Information Technology
  • Industry-specific solutions
Find an app in Quickbase Exchange
close
We need to check with your admin first...
We know you're eager to create your first app-but your account settings don't let you create apps yet. We've asked your account admin to allow it, and you'll get an email from us when you can.
Prefer a more hands-on solution? Can't wait? Try a 30-day free trial, and get started creating apps immediately.
Build a new app from scratch Import a spreadsheet to create a new app
Start a trial
Quickbase is a web-site that lets you select, customize, and share online workgroup applications. The application you are using right now is powered by Quickbase.

Chances are that your organization has purchased the Quickbase service, in which case you might be able to build and deploy your own web application for little or no additional cost.

You have permission to create your own web applications.

To find out more about Quickbase, visit our web site.

Terms of Service



For which table?

Permit Application THD - Tobacco Sales Quiz THD - Tobacco Handlers Permit Application Tobacco Sales Complaint Form
  • From scratch
    Design your own table
Permit Application

Add Application

Save & close Cancel
Create a new Quickbase user by entering his/her email address, first name, and last name below:

Email address:
First Name:
Last Name:
  • Save & close
  • Save & new
  • Save & close
  • Save & new
Prev | Next

 
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, and 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 are no self-service displays 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;

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 nicotine products;

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;

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

5) Sell flavored electronic cigarette products** (See Utah Code definition);

6) 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 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.
 
Retail Tobacco Specialty Business – This type of retail location typically specializes in the sale of tobacco products, electronic cigarette products, and/or nicotine products*.
- 35% or more of the total quarterly gross receipts are from the sale of tobacco products, electronic cigarette products, or nicotine products; or

- 20% or more of the retail floor space; or 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

- The retail space features a self-service display for tobacco products, electronic cigarette products or nicotine products; or

- The business sells flavored electronic cigarette products**; or

- 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:

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

2) 600 feet of another retail tobacco specialty business; or

3) 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.
Map of Proposed Location for Retail Tobacco Specialty Businesss
Section 2: Business Information
 *
 *
 *
 * ext.
 *
Section 3: Contact / Mailing Information
ext.
 
Section 4: Proprietor Information
 *
 * ext. ext.
 %  %
*   
Has any of the proprietors listed above been determined to have violated any state or federal tobacco laws in the past 24 months? If so, list all violations and dates of each violation:
Attestation
I certify that the information provided is true and accurate. I understand that any incorrect information may result in the
suspension or revocation of the tobacco retailer permit. I also understand that the health department may recommend to
the business licensing entity that the business license be suspended or revoked. Any such action will be reported to the
Utah State Tax Commission.

By clicking this box, I am signing this application and my signature binds all proprietors for the business listed on this application to the above agreements.  
* 
Payment Processing Information
Show fields from Show fields from Show fields from a related table
Save & close Cancel
 
 
 
 
 
 
Don't show me this message again

 

Can I annotate fields to indicate their intended use?

Yes. You can provide "Help" to your users for any field:

1. On any page in your application, click "Customize" then "Fields". If it is a multi-table application, select the table.

2. Click the "Edit" button next to the field for which you want to add an annotation.

3. In the "Help" text input box, enter text that will assist your users, and click "Save".

Your text will appear when the user hovers over or clicks on the question mark icon next to that field on the Add Record and Edit Record pages.
 
foo

We're glad you're interested in doing more with Quickbase!

Now we need to make you official before you share apps or manage your account.

Verifying your email lets you share Quickbase with others in your company.

Your work email
Your company
Client Performance Report
Network latency: ()
The time taken for page load once the page is received from the server:()
The total process of navigation and page load: ()

From inline js at page top..
        .. to the time until docready:( s)
        .. to the time until window load begins: ( s)
        .. to the time until window load ends: ( s)
  • User profileProfile
  • Sign up linkSign up now
  • Manage realmManage
  • LogoutSign out
  • This app
  • Tobacco Retailer
  • Your role is Everyone on the Internet
  • Switch accounts
  • {{firstServiceAccount.FirstName}} {{firstServiceAccount.LastName}} (Service)
    {{firstServiceAccount.Email}}
  • {{secondServiceAccount.FirstName}} {{secondServiceAccount.LastName}} (Service)
    {{secondServiceAccount.Email}}
  • More accounts
    • {{serviceAccount.FirstName}} {{serviceAccount.LastName}} (Service)
      {{serviceAccount.Email}}
You've made changes to this Application. Do you want to save these changes before going to the next screen?
Report Name *
Description
Reports and Charts Panel
Each table has a panel listing its reports and charts, organized in groups.
Please wait while your new report is saved...
Print the report as a table
Print one Application per page ( total)
Using the form:
Print as much of the timeline as fits on a single page
Print the timeline over multiple letter-size pages in landscape orientation
  • New subscription...
  • Print
  • Search & replace in this report...
  • Save as a spreadsheet
  • Clear New and Updated flags
  • Sorting & grouping...
  • View as a calendar
  • View as a timeline
  • Change the owner of these records...
  • Delete all records in this report
  • Show the expanded URL for this report
  • Report
  • Group up Group down
    Hide this column Add a column...
    New table based on this column...
    Column properties... Field properties...
    grouping by
    Field label
    Column heading override
    Justification
    What does auto mean?
      Multiple values found.   more...
    Fields in:

    Fields to Extract:

    Name for the new table:
    Items in the new table are called:

    When you bring additional fields into a conversion, Quickbase often finds inconsistencies. For example, say you're converting your Companies column into its own table. One company, Acme Corporation, has offices in New York, Dallas and Portland. So, when you add the City column to the conversion, Quickbase finds three different locations for Acme. A single value in the column you're converting can only match one value in any additional field. Quickbase needs you to clean up the extra cities before it can create your new table. To do so, you have one of two choices:

    • If you want to create three separate Acme records (Acme-New York, Acme-Dallas and Acme-Portland) click the Conform link at the top of the column.
    • If the dissimilar entries are mistakes (say Acme only has one office in New York and the other locations are data-entry errors) go back into your table and correct the inconsistencies—in this case, changing all locations to New York. Then try the conversion again.

    Read more about converting a column into a table.


    Cut
    Copy
    Paste
    Paste Special

    Fill Down
    Reset to Original Values

    Insert Blank Rows
    x
    x

    Undo

    Edit this Field's Properties...
    x
    x

    Editing Conflict
    you changed ' '
    from:
    to:
      changed ' '
    from:
    to:

    To Paste

    To paste clipboard data that comes from another program right-click on the text area below, select Paste, then click OK.
    Unable to Save Changes
    While you were editing these records, someone else was also editing some of the same records and made changes that conflict with some of your changes.
    Unable to Save Changes
    You are no longer signed in to Quickbase.
    Either your session expired or you signed out in another browser window.
    Please sign in below and then click the Save Changes button again.
    Sign in failed. Please try again.
    Email address (or user name):
    Password:
     
  • Expand this section to show all related x
  • Collapse this section and make it scrollable
  • Clear "New" and "Updated" Flags for all x