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Clean Indoor Air Act Forms 

  • Clean Indoor Air Act Application for Exception for Cigar Bar, Drinking Establishment or Tobacco Shop - Use this form to apply for a smoking exception. CIAA Application Guidance Document
  • Event Exception Form - Use this form to notify the Department of Health of a fundraiser or facility at which smoking will occur.
  • Private Club Reporting Form - Use this form to report the result of a vote of a private club to allow smoking.


The Department renews annual Clean Indoor Air Act (CIAA) exceptions each month according to the location of the establishments.  The Department uses the Pennsylvania Liquor Control Board (PLCB)'s districts to determine the renewal month for each annual exception.  CIAA exceptions are due for renewal during the same month as an establishment's liquor license.  For those establishments without liquor licenses (Tobacco Shops), renewals are still due according to this schedule.

Starting in 2021, the Pennsylvania Department of Health (DOH) is no longer mailing Clean Indoor Air Act (CIAA) renewal documents to establishments with CIAA smoking exceptions and is no longer accepting paper sales forms for CIAA renewal applications.  In 2020, the DOH sent businesses with smoking exceptions instructions on how to complete the updated renewal process. Renewals will now be processed online using the Pennsylvania Department of Revenue’s e-TIDES (Electronic Tax Information and Data Exchange System), an internet filing system that allows electronic filing of returns, payments and/or extension requests.

Establishments will be mailed their approval letter and certificate each year if they continue to meet CIAA exception criteria.  To confirm if an establishments CIAA exception is still valid please click here .

Instructions for amending information previously entered into e-TIDES, including appeals to a CIAA smoking exception renewal denial letter, can be found here

CIAA exceptions are not renewed if:

  • An establishment fails to submit renewal information into e-TIDES, as instructed;
  • Sales figures reported exceed the required percentage for the exception type, or
  • The liquor license is not active according to the PLCB website (for Drinking Establishment and Cigar Bar exceptions only).

For Drinking Establishment exception holders, this renewal application process includes an internal review including one or more of the following steps:

  1. Verifying active liquor license status with the Pennsylvania Liquor Control Board (PLCB), and
  2. Verifying that the percentage of food sales for the smoking area of your establishment is at or below 20%.

For Tobacco Shop exception holders, the internal review includes verifying that the percentage of tobacco and tobacco-related products is at or above 50% of the gross annual sales.

For Cigar Bar Exception holders, this internal review includes one or more of the following steps:

  1. Verifying active liquor license status with the PLCB, and
  2. Verifying that the percentage of tobacco and tobacco-related products are at least 15% of the combined gross annual sales of the establishment.

If you have any questions, please contact the Division of Tobacco Prevention and Control:

625 Forster Street
Room 1032 
Health & Welfare Building
Harrisburg, PA 17120
Phone:  717-783-6600
Fax: 717-214-6690