My Santa Cruz County Tobacco Reporting
Under California state law, the sale of tobacco products to persons under the age of 21 is prohibited.
Fill out form to report underage sales of Tobacco.
Business Name
Business Location/Address
Clerk or Employee Name (if known)
List of Violations
Select One
Tobacco was sold to a minor.
Tobacco was purchased for a minor (shoulder tap).
Other, please describe in box below.
Description of Violation
Name of person creating report
Would you like to be contacted?
No
Yes
Method of Contact
Date & Time of Violation
Submit Report »
