Fla. Admin. Code Ann. R. 53ER19-20 - Retailer Application and Fee Schedule
Form DOL-374 will be provided to the applicant during the application process and must be completed by a corporate officer or legal counsel to state whether any of the corporate executive officers or its chairperson has been convicted of or entered a plea of guilty or nolo contendere, to a felony committed in the preceding ten years, regardless of adjudication.
Retailer contracts shall be renewed by execution of a new retailer contract. Prior to the expiration of a retailer contract, a retailer shall submit Form DOL-307, Application for Contract Renewal, or Form DOL-320, Application for Chain Account Contract Renewal, and a new retailer contract signed by the retailer, along with a fee of $10.00 per location and $25.00 for each new officer, director, or shareholder of 10% or more of the corporation since the last application. Renewal applicants shall be subject to a background investigation and fingerprinting may be required when it is determined by the Florida Lottery to be necessary to adequately complete the background investigation.
An application to change a location must be submitted to the Florida Lottery at least thirty days in advance of the change on Form DOL-129, DOL-129-1, or DOL-129C, as applicable, and must be accompanied by a fee of $10.00.
Form DOL-129, Retailer Application, revised 4/19,
Form DOL-129-1, Retailer Application in Spanish, revised 4/19,
Form DOL-129C, Chain Account Retailer Application, revised 7/17,
Form DOL-129CA, Chain Account Retailer Additional Location Application, revised 7/17,
Form DOL-374, Publicly Traded Organization Retailer Affidavit, revised 7/17,
Form DOL-307, Application for Contract Renewal, revised 7/17, and
Form DOL-320, Application for Chain Account Contract Renewal, revised 7/17.
Forms DOL-129, DOL-129-1, DOL-129C, and DOL-129CA may be obtained from the Florida Lottery's website at flalottery.com or from the Florida Lottery's retailer website at retailerwizard.flalottery.com. Forms DOL-374, DOL-307 and DOL-320 may be obtained by contacting the Florida Lottery's Retailer Contracting office at (850)487-7714 or at RCSupport@flalottery.com.
Notes
Rulemaking Authority 24.105(15), 24.109(1), 24.112(1) FS. Law Implemented 24.105(2), (3), 24.112 FS.
New 4-15-19, Replaces 53ER17-42.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
Form DOL-374 will be provided to the applicant during the application process and must be completed by a corporate officer or legal counsel to state whether any of the corporate executive officers or its chairperson has been convicted of or entered a plea of guilty or nolo contendere, to a felony committed in the preceding ten years, regardless of adjudication.
Retailer contracts shall be renewed by execution of a new retailer contract. Prior to the expiration of a retailer contract, a retailer shall submit Form DOL-307, Application for Contract Renewal, or Form DOL-320, Application for Chain Account Contract Renewal, and a new retailer contract signed by the retailer, along with a fee of $10.00 per location and $25.00 for each new officer, director, or shareholder of 10% or more of the corporation since the last application. Renewal applicants shall be subject to a background investigation and fingerprinting may be required when it is determined by the Florida Lottery to be necessary to adequately complete the background investigation.
An application to change a location must be submitted to the Florida Lottery at least thirty days in advance of the change on Form DOL-129, DOL-129-1, or DOL-129C, as applicable, and must be accompanied by a fee of $10.00.
Form DOL-129, Retailer Application, revised 4/19,
Form DOL-129-1, Retailer Application in Spanish, revised 4/19,
Form DOL-129C, Chain Account Retailer Application, revised 7/17,
Form DOL-129CA, Chain Account Retailer Additional Location Application, revised 7/17,
Form DOL-374, Publicly Traded Organization Retailer Affidavit, revised 7/17,
Form DOL-307, Application for Contract Renewal, revised 7/17, and
Form DOL-320, Application for Chain Account Contract Renewal, revised 7/17.
Forms DOL-129, DOL-129-1, DOL-129C, and DOL-129CA may be obtained from the Florida Lottery's website at flalottery.com or from the Florida Lottery's retailer website at retailerwizard.flalottery.com. Forms DOL-374, DOL-307 and DOL-320 may be obtained by contacting the Florida Lottery's Retailer Contracting office at (850)487-7714 or at RCSupport@flalottery.com.
Notes
Rulemaking Authority 24.105(15), 24.109(1), 24.112(1) FS. Law Implemented 24.105(2), (3), 24.112 FS.
New 4-15-19, Replaces 53ER17-42.