What does the tobacco and vaping permit checklist require?

It lists the completed and signed application, permit fee, required workers’ compensation and disability insurance forms, and copies of applicable tobacco and vapor product registration certificates.

Do I need a notary for the tobacco and vaping permit application?

No. This document has no notary requirement; the applicant signs and dates the application and certification.

How do I submit the tobacco and vaping permit application?

Return the completed, signed application, fee, and required attachments to Dutchess County Department of Health, Attention: Tobacco, 85 Civic Center Plaza, Suite 106, Poughkeepsie, NY 12601.

When should I submit a renewal application?

The document says to submit a renewal application at least 30 days before the permit expires, or 15 days before selling tobacco products.

Dutchess County, NY · Dutchess County

No notary required

Checklist for Application for a Permit to Sell or Distribute Tobacco and Vaping Products

Dutchess County business owners use this checklist and application to request or renew a permit to sell or distribute tobacco and vaping products.

At a glance

Issued by: City of Dutchess County · Dutchess County, Dutchess County, New York
Notarization: Not required: file this form without a notary.
Official source: dutchessny.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This document combines a checklist with the Dutchess County Department of Health application for a permit to sell or distribute tobacco and vaping products. Applicants complete and sign the application, provide the required insurance documentation and registration certificates, and include the fee. Renewal applications must be submitted at least 30 days before expiration, or 15 days before tobacco sales.

Who needs it

Business owners or operators seeking a new or renewed Dutchess County permit to sell or distribute tobacco or vaping products need this document.

How to submit it

Complete and sign the application, include the required supporting documents and fee, and return it to Dutchess County Department of Health, Attention: Tobacco, 85 Civic Center Plaza, Suite 106, Poughkeepsie, NY 12601.

About notarization

This document is signed without a notary; the applicant signs and dates the application and certification.

How to submit this form

1
Download the Checklist
Download the checklist and permit application PDF.
2
Complete and Sign
Fill in all required application fields and sign the application and certification.
3
Gather Required Attachments
Include the applicable insurance forms, tobacco and vapor registration certificates, and permit fee.
4
Submit to the County
Return the application and attachments to the Dutchess County Department of Health address listed on the form.

Frequently asked questions

What does the tobacco and vaping permit checklist require?: It lists the completed and signed application, permit fee, required workers’ compensation and disability insurance forms, and copies of applicable tobacco and vapor product registration certificates.
Do I need a notary for the tobacco and vaping permit application?: No. This document has no notary requirement; the applicant signs and dates the application and certification.
How do I submit the tobacco and vaping permit application?: Return the completed, signed application, fee, and required attachments to Dutchess County Department of Health, Attention: Tobacco, 85 Civic Center Plaza, Suite 106, Poughkeepsie, NY 12601.
When should I submit a renewal application?: The document says to submit a renewal application at least 30 days before the permit expires, or 15 days before selling tobacco products.

Need something notarized?

This Checklist for Application for a Permit to Sell or Distribute Tobacco and Vaping Products doesn’t need a notary, but if you have another Dutchess County form that does, a commissioned online notary can help.