CT Cigarette Retailer | Underage Prevention Certification

First Name *

Last Name *

Email Address *

Confirm Email Address *

Are you taking this training because you or your store failed a tobacco or e-cigarette inspection? *

Yes No

Are you taking this training because you need the license to sell electronic nicotine delivery systems (ENDS) and vapor products? *

New license Renew license N/A

PA 24-54 (SB 199) An Act Requiring Online Prevention Education for Electronic Nicotine Delivery System Dealer Registration. This bill requires DMHAS to administer an online prevention education program for authorized owners and designees of businesses registered or seeking registration to sell electronic nicotine delivery systems and vapor products by October 1, 2024. The bill further prohibits DCP from issuing an e-cigarette dealer registration unless applicants certify that the business owner or designee have completed the online training program. Effective upon passage.

Business Name *

Business Entity/Owner *

Business Address *

Business Address 2

Business City *

Business Zip Code *

Is the business name and address above correct? *

Yes No

Daytime Phone *

What is your job title? *

Please specify *

Your Gender *

Male Female Non-Binary I prefer not to answer

Are You Hispanic or Latino? *

Yes No I prefer not to answer

Race (please check all that apply) *

Your Age *

Tobacco and Electronic Cigarette Sales: Do The Right ThingPrevention Education Program for Retailers

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