1. (a) The commission shall provide to each direct delivery permittee at or prior to initial permit issuance, a “Direct Shipping Worksheet” form D-006.

2. (b) The permittee shall include the following on the “Direct Shipping Worksheet”:

   1. (1) The direct shipper name;
   2. (2) The direct shipper address;
   3. (3) The direct shipper permit number;
   4. (4) The month covered by the form;
   5. (5) The number of invoices shipped into New Hampshire during the month;
   6. (6) The dollar total of the above invoices, including shipping, and with shipping subtracted;
   7. (7) The number of products shipped;
   8. (8) The total direct shipment fee owed;
   9. (9) Fulfillment house used, if applicable; and
   10. (10) A signature attesting to the accuracy of the “Direct Shipping Worksheet” under the provisions of RSA 641:3.

3. (c) The permittee shall attach to the “Direct Shipping Worksheet”:

   1. (1) The names and addresses of the individuals to whom the alcoholic beverages were shipped;

   2. (2) Product information as follows:

      1. a. For domestic, fortified, and table wine, the vintage, brand, specific variety, and quantity of each product shipped;
      2. b. For liquor, the manufacturer, brand, specific types, and quantity of each product shipped; and
      3. c. For beverage or beer, the manufacturer, brand, specific style, and quantity of each product shipped;
   3. (3) The prices charged for each product;
   4. (4) The licensed common carrier used to deliver the alcoholic beverages; and
   5. (5) The licensed common carrier tracking number used to identify each shipment.

Source. #6837, Interim, eff 9-1-98, EXPIRED: 12-30-98 New. #6924, eff 1-1-99, EXPIRED: 1-1-07 New. #9441-A, eff 6-9-11 (para. (a)); #9441-B, eff 6-9-11 (paras. (b) & (c)); ss by #12968, eff 1-3-20