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Forms for Comprehensive Tobacco Control Program


Tobacco Control
Form # Title PDF/WORD Instruction/ Comments
ADA-3 (Changed to CTC-11)  
 		  
CTC-7 REBEL Youth Advisory Board (YAB) Election Packet pdf 51k
doc 110k		  
CTC-8 REBEL Youth Advisory Board (YAB) Council of Nine Election Application pdf 47k
doc 101k		  
CTC-10 REBEL Monthly Website Contact Submission Report pdf 13k
doc 80k		  
CTC-11 REBEL/REBEL2 Bimonthly Activity Report pdf 79k
doc 624k		  
CTC-11A REBEL/REBEL2 Bimonthly Activity Report Section A, Activity Continuation pdf 19k
doc 79k		  
CTC-12 Grant Application Checklist pdf 31k
doc 76k		  
CTC-13 Grant Progress Report (Community Partnerships) pdf 9k
doc 31k		  

Tobacco Age of Sale Enforcement Program
Form # Title PDF/WORD Instruction/ Comments
ADA-9 2008-2009 Batch Transmittal pdf 13k
doc 67k		  
ADA-10 Local Health Department Work Plan pdf 17k
doc 54k		  
CTC-9 Grant Progress Report Tobacco Age of Sale Enforcement (TASE) pdf 13k
doc 35k		  
Go to Comprehensive Tobacco Control Program     Additional Department Forms

Department of Health and Senior Services
P. O. Box 360, Trenton, NJ 08625-0360
Phone: (609) 292-7837
Toll-free in NJ: 1-800-367-6543
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