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The Florida Lottery Dol 129 form is a comprehensive document designed for entities interested in applying to become an authorized retailer of lottery tickets. This application form, managed by the Florida Lottery at their headquarters in Tallahassee, FL, necessitates a non-refundable application fee, with varying rates depending on the type of application—ranging from initial setups, additional locations, to changes in the business structure or ownership. Every applicant undergoes a thorough background investigation, potentially including fingerprinting, to ensure the integrity and security of lottery operations. Moreover, some applicants might need to secure the payment of lottery proceeds through bonds or similar security measures. The form also gathers detailed business information, owner/officer details, including any criminal history, and compliance with the Americans with Disabilities Act for the retail location. Additionally, the form contains instructions for the certification process, highlighting the necessity of accurate information, and includes a marketing evaluation/site survey section intended to gather specifics about the business premises. It concludes with a notice regarding the collection and use of Social Security numbers, in compliance with federal regulations, emphasizing the seriousness with which the Florida Lottery approaches privacy and legal compliance.

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RETAILER APPLICATION

FOR LOTTERY USE ONLY

Florida Lottery

ID#___ CHAIN#___

250 Marriott Drive

PROSPECT#______

Tallahassee, FL 32399-6573

(850) 487-7714 or flalottery.com

DO___________

 

Non-refundable Application Fee: Payable to the Florida Lottery by check or money order.

Initial Application $100, Additional Location $25, Change of Location $10,

New Officer, Director or Shareholder $25 each.

Each applicant shall be subject to a background investigation which can include fingerprinting.

A retailer applicant shall be required to post a bond, certificate of deposit or other security if it is determined during the background

investigation that such requirement is necessary to secure payment of lottery proceeds.

Check application type and complete the information below - PLEASE PRINT OR TYPE:

0 INITIAL APPLICATION O100% SALE OF STOCK O NEW OFFICER(S), DIRECTOR(S), SHAREHOLDER(S) 0 ADDITIONAL STORE LOCATION

0 CHANGE OF LOCATION: Date of Relocation ____________

0 CHANGE OF OWNERSHIP: Previous Location ID#___________ Date of Sale _______

For information concerning sale of business: Contact Name ________ Phone Number ( ___

SECTION 1 - BUSINESS INFORMATION

1.CORPORATE OR OTHER LEGAL NAME: ________________________

2.STORE NAME (dba): _______________ 3. STORE PHONE: { __ } __ - ___

4.STORE ADDRESS: _______________________________

StreetCityState Zip Code County

 

 

 

_

5. MAILING ADDRESS: _____________________________

SameasStoreAddressO Street or P.O. Box

City

State

Zip Code

6. CONTACT NAME AND TITLE: ___________________________

First

Middle Initial

Last

Title

7. CONTACT NUMBERS AND E-MAIL ADDRESS:

 

{ __} __-____

{ __} __-____

{ __} __- ____

Phone

Alternate Phone

 

Fax Number

E-mail Address

8.TAXPAYER IDENTIFICATION NUMBER: Provide number used to file business income tax return.

Sole Proprietors, list Social Security Number. All other entities, list Federal Employer Identification Number.

9.FLORIDA SALES TAX NUMBER: _ _ - _ _ _ _ _ _ _ _ _ _ - _ 0 Applied For O Tax Exempt

10. ALCOHOLIC BEVERAGE LICENSE NUMBER: __-_____

0 Applied For O Not Applicable

11.

MINORITY BUSINESS: 0 YES

ONO (If yes, check appropriate minority category)

 

African American

Native American

_ Hispanic American

 

American Woman

Asian American

 

12.

BUSINESS TYPE: (Check One)

_ Partnership

Non Profit

_ Sole Proprietorship

 

_ Corporation

 

_ Limited Partnership

_ Limited Liability Company

_ Limited Liability Partnership

13.

FLORIDA DEPT. OF STATE, DIVISION OF CORPORATIONS DOCUMENT NUMBER: ____________

DOL-129 (Revised 4/19)

1

SECTION 2 - OFFICER/OWNER INFORMATION

THE LOTTERY SHALL NOT CONTRACT WITH ANY PERSON WHO IS RELATED TO AND RESIDING WITH ANY EMPLOYEE OF THE LOTTERY.

1.Are any of the individuals listed below related to an employee of the Florida Lottery in one of the following ways: husband, wife, parent, grandparent, spouse's parent, child, brother, sister, spouse of a child, aunt, uncle, grandchild, niece, nephew, first cousin, and living in the same household as the employee? ____ Yes ___No

2.LIST ALL OWNERS, INDIVIDUAL PARTNERS, MANAGING MEMBERS, CORPORATE OFFICERS, DIRECTORS. LIST

SHARE-HOLDERS OF 10% OR MORE OR LIMITED PARTNERS WITH 10% OR MORE INTEREST IN THE BUSINESS. IF MORE SPACE IS REQUIRED, PLEASE ATTACH ADDITIONAL SHEETS.

Name (first, middle initial, last)

 

Phone

 

Title

 

 

Birthdate (MM-DD-YY)

Home Address

City

State

Zip

Sex

Race

% Ownership

Social Security Number

Name (first, middle initial, last)

 

Phone

 

Title

 

 

Birthdate (MM-DD-YY)

Home Address

City

State

Zip

Sex

Race

% Ownership

Social Security Number

Name {first, middle initial, last)

 

Phone

 

Title

 

 

Birthdate (MM-DD-YY)

Home Address

City

State

Zip

Sex

Race

% Ownership

Social Security Number

Name {first, middle initial, last)

 

Phone

 

Title

 

 

Birthdate (MM-DD-YY)

Home Address

City

State

Zip

Sex

Race

% Ownership

Social Security Number

Name (first, middle initial, last)

 

Phone

 

Title

 

 

Birthdate (MM-DD-YY)

Home Address

City

State

Zip

Sex

Race

% Ownership

Social Security Number

3.Have any of the individuals listed above:

a.Been convicted of, or pleaded guilty or nolo contendere to a felony within the last 10 years, regardless of adjudication?

b.Been convicted of, or pleaded guilty or nolo contendere to any gambling offense within the last 10 years, regardless of adjudication?

Yes No

Yes No

c. Been arrested and have any pending criminal charges that have not been resolved?

Yes

No

d. Been a Florida Lottery Retailer?

Yes

No

e. Been suspended or terminated as a Florida Lottery Retailer?

Yes

No

f. Been subject to any adverse actions or findings as a lottery retailer with any other state lottery within

 

 

the continental United States?

Yes

No

If yes to questions a, b, c, d, e, or f, please explain response and include dates below (use additional sheet if necessary).

DOL-129 (Revised 4/19)

2

4.For any individuals listed in the Officer/Owner Information, Section 2, who are not U.S. citizens, please list the individual's name, mother's maiden name, father's name; passport number, permanent resident or 1-94 number; the last permanent address prior to entering the U.S. and the last date of entry into the U.S.

How did you learn about becoming a Florida Lottery Retailer? Check one:

D Sales Rep Visit

D Florida Lottery Website

D Word of Mouth

D Direct Mail

D Print Ad

D Florida Business Information Portal

D Other: Please Specify

 

 

Certification:

An attorney in fact may not make any affidavit as to the personal knowledge of the principal.

I HEREBY CERTIFY that the information contained on this form or otherwise submitted to the Florida Lottery in connection with my application to become a retailer is true and correct in every material respect. I understand that providing inaccurate or misleading information is grounds for rejection of this application or cancellation of the Retailer Contract. The Florida Lottery is authorized to obtain criminal background, Florida tax, credit, and general information about me, my business, and any persons listed on this application, which may assist in making a decision on this application. The business location where lottery tickets will be sold is in compliance with the accessibility requirements set forth in sections 553.501 - 553.513, Fla. Stat., the Florida Americans with Disabilities Accessibility Implementation Act.

I HEREBY CERTIFY I have read and understand the content contained in the Retailer Awareness and Integrity Training document found on the Florida Lottery's website at flalottery.com/HowToApply.

State of _______________

Signature of Authorized Corporate Officer, Partner, or Owner

 

County of _______________

 

Sworn to or affirmed and subscribed before me this

Print or type name

________ day of ______, ___,

 

 

 

(Day)

(Month)

(Year)

 

 

Title

by _______________

 

 

(Name of Authorized Corporate Officer, Partner, or Owner)

 

 

 

 

 

 

Signature of Notary Public

 

 

 

 

(Print, Type or Stamp Commissioned Name of Notary Public)

 

__ Personally Known or __ Produced Identification

 

Type of

 

 

Affix Notary stamp above.

Identification ______________

Certificates of Authority and retailer contracts are not assignable or transferable between persons or locations. STATEMENT OF PUBLIC DISCLOSURE: Information contained in this application shall be open to the public for inspection.

DOL-129 (Revised 4/19)

3

MARKETING EVALUATION/SITE SURVEY

Store Name: ---------------- COMPLETE WITH LOTTERY SALES REPRESENTATIVE

1.TRADE STYLE (Circle One)

Airport Location

Convenience Store­

Hardware/Building Supplies

 

Restaurant - No Liquor

Appliances

no gas pumps

Hotel/Motel

 

 

Shopping Mall Location

Auto Parts/Repair

Convenience Store-

Ice Cream Shop

 

Small Grocery/Meat/Fish Market

Bakery

with gas pumps

Jewelry Store

 

Sports Arena/Amusement Park

Bar/Tavern/Lounge

Department Store

Laundry/Dry Cleaner

 

Supermarket

 

Barber Shop/Hairdresser

Dollar Store/Discount Store

Mail Services/Copy Center

 

Telecommunications Center

Beauty Shop

Drug Store/Pharmacy

Municipality/Political Subdivision

Travel Agency

 

Bingo Hall

Financial Services

Newsstand/Tobacconist/Sundries

Travel Plaza/Truck Stop

Bowling Alley

Flea Market

Non-Profit Organization

 

Wholesale Club

 

Car Wash

Florist

 

Package Liquor Store

 

Other ________

Clothing/Shoes

Gas Station/Auto Repair

Pari-Mutuel

 

 

 

 

Coffee/Deli/Sub Shop

Gift/Card Shop

Restaurant - Liquor

 

 

 

2. BUSINESS OPERATION:

0 SEASONAL BUSINESS

0 YEAR-ROUND BUSINESS

 

Business Hours

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

FROM

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

3. RETAILER INSTALLATION INFORMATION:

■ Yes

■ No

New Construction or Store Not Yet Open? Please Check.

If yes, complete a, b, & c below.

 

 

a. Store opening date:___________

b. Approximate date for terminal and communications equipment installation:__________

c. Building contact name and phone number: _____________________

Retailer Owns Location? Please Check.

■ Yes

■ No

If no, complete a & b below.

Retailers with a lease agreement must have their landlord's approval for the installation of communications equipment on the roof and the installation of cables inside the location.

a.Landlord contact name:---------------------------------

b.Landlord phone number:_________________________________

4.COMMENTS:

Sales Representative: -----------------------------------

 

 

 

 

 

 

 

 

 

 

Lottery Sales Representative Signature

SR#

Stop#

Date

Lottery District Manager:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lottery District Manager Signature

Date

4

DOL-129 (Revised 4/19)

PRIVACY ACT NOTICE

RETAILER APPLICANTS

Under the Federal Privacy Act, disclosure of a person's Social Security number is voluntary unless a Federal statute specifically requires such disclosure or allows states to collect the number. In connection with filing an application to become a Florida Lottery retailer, disclosure of the applicant's Social Securtiy number is required by 26 U.S.C.A. s. 6109 for tax reporting purposes. The applicant's Social Security number will also be used in performing the background investigation necessary to implement Section 24.112, Florida Statutes, because the Social Security number is used as an identifier in the databases searched.

The Lottery may also provide this information to law enforcement agencies to enforce criminal laws.

Under Section 119.071(5), Florida Statutes, an agency may collect Social Security numbers if it is imperative for the performance of the agency's duties and responsibilities. Notice is hereby provided that for retailer applicants that are legal entities, it is imperative that the Lottery use the Social Security numbers of members, partners, officers, directors, etc., to conduct the background investigations necessary to implement Section 24.112, Florida Statutes, because the Social Security number is used as an identifier in the databases searched.

5

DOL-129 (Revised 4/19)

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Document Overview

Fact Description
Form Purpose Used for applying to become a Florida Lottery retailer.
Application Fee Initial Application: $100, Additional Location: $25, Change of Location: $10, New Officer/Director/Shareholder: $25 each.
Background Investigation Applicants are subject to a background check that may include fingerprinting.
Security Requirement A bond, certificate of deposit, or other security may be required based on the findings of the background investigation.
Governing Law The application process is governed by Section 24.112, Florida Statutes, which outlines the requirements for becoming a lottery retailer in Florida.
Privacy Act Notice Disclosure of Social Security numbers is required for tax reporting purposes and for conducting the background investigation as per 26 U.S.C.A. s. 6109 and Section 24.112, Florida Statutes, respectively.

Instructions on How to Fill Out Florida Lottery Dol 129

Filling out the Florida Lottery DOL-129 form is a crucial step for retailers wishing to sell lottery tickets. This comprehensive application process ensures that all necessary information is accurately captured to meet the Florida Lottery's requirements. Whether applying for an initial license, adding a new location, or making changes to existing information, the form must be completed correctly. Here’s how to fill it out:

  1. Start by entering the Florida Lottery ID, CHAIN#, and PROSPECT# at the top of the form, if known.
  2. Indicate the application type by checking the appropriate box for initial application, sale of stock, new officer(s), additional store location, change of location, or change of ownership.
  3. In SECTION 1 - BUSINESS INFORMATION:
    1. Provide the corporate or other legal name of the business.
    2. Enter the store name (dba).
    3. Fill out the store phone number.
    4. Input the store address, including street, city, state, zip code, and county.
    5. Specify the mailing address, checking the box if it's the same as the store address.
    6. Detail the contact name and title for the primary contact person.
    7. Include contact numbers and e-mail address: phone, alternate phone, fax number, and email.
    8. Enter the taxpayer identification number: Social Security Number for sole proprietors or Federal Employer Identification Number for other entities.
    9. Provide the Florida Sales Tax Number or indicate if applied for or tax-exempt.
    10. If applicable, input the alcoholic beverage license number.
    11. Mark whether it is a minority business and specify the category.
    12. Select the business type.
    13. Write down the Florida Department of State, Division of Corporations document number.
  4. Under SECTION 2 - OFFICER/OWNER INFORMATION:
    1. Indicate if any listed individuals are related and living with a Florida Lottery employee.
    2. Provide detailed information for all owners, partners, and shareholders, as specified on the form.
    3. Answer questions about criminal history, previous lottery retailer experience, and citizenship details for officers/owners.
    4. Check how you learned about becoming a Florida Lottery Retailer and specify if necessary.
    5. In the certification section, sign and date the form to attest to the accuracy of the provided information and your understanding of the terms. Ensure a notary public notarizes this section.

    Once completed, the DOL-129 form should be submitted to the Florida Lottery along with any required application fees. Following submission, the application will undergo a review process including a background check. If approved, the retailer will receive further instructions on starting to sell lottery tickets at their establishment. It’s important for applicants to provide accurate information and ensure all relevant sections of the form are thoroughly completed to avoid delays in the approval process.

Listed Questions and Answers

What is the non-refundable application fee for becoming a Florida Lottery retailer?

The application fee for becoming a Florida Lottery retailer is structured based on the type of application. For an initial application, the fee is $100. If you are applying for an additional store location, the fee is $25. A change of location fee is set at $10, and if you are adding a new officer, director, or shareholder, the fee for each is $25. These fees are payable to the Florida Lottery by check or money order.

What does the background investigation for Florida Lottery retailer applicants entail?

Applicants for a Florida Lottery retailer license will undergo a rigorous background investigation. This process can include fingerprinting and is designed to secure the integrity of the Lottery by ensuring that applicants meet certain standards. It covers criminal background checks and may extend to financial or other personal background inquiries. The primary aim is to verify the applicant's eligibility and reliability in handling lottery proceeds responsibly.

Why might a retailer applicant be required to post a bond or other security?

A retailer applicant might be required to post a bond, certificate of deposit, or other security forms as a precondition for approval. This requirement is determined during the background check process and is typically necessary when the applicant's financial history or background investigations suggest a heightened risk in securing payment of lottery proceeds. It acts as a financial guarantee against potential losses that the Florida Lottery might incur due to the retailer's actions.

How are the types of business entities that can apply for a Florida Lottery retail license categorized?

Business entities that can apply for a Florida Lottery retail license include a variety of structures. These are sole proprietorships, partnerships, corporations, non-profit organizations, limited liability companies (LLC), and limited partnerships (LP), as well as limited liability partnerships (LLP). Each type of entity must provide specific documentation related to its structure during the application process.

Are there any restrictions related to family members of Florida Lottery employees becoming retailers?

Yes, there are restrictions. The Florida Lottery will not contract with any individual who is related to and residing with any employee of the Florida Lottery. Relationships covered under this restriction include immediate family members such as spouses, children, parents, siblings, and others who reside in the same household as the Lottery employee.

What information is required from applicants concerning convictions or pending criminal charges?

Applicants must disclose if any listed owners, individual partners, managing members, corporate officers, or directors have been convicted of or pleaded guilty or no contest to a felony or any gambling offense within the last 10 years, regardless of adjudication. They must also declare any arrests and unresolved criminal charges, any suspension or termination as a Florida Lottery retailer, or any adverse actions or findings as a lottery retailer in any other state. Detailed explanations and dates for these disclosures are required.

How does the Florida Lottery use the Social Security number of an applicant?

The Social Security number of an applicant is primarily used for tax reporting purposes, as required by federal law. Additionally, it serves as a critical identifier in conducting background investigations which are essential for implementing Section 24.112 of the Florida Statutes. The background checks are vital for ensuring that only eligible and reliable individuals and entities are granted the privilege of becoming Florida Lottery retailers. Furthermore, this information may be shared with law enforcement agencies to aid in enforcing criminal laws.

What is the process and consequence of providing inaccurate information on the Florida Lottery Retailer Application?

Applicants must certify that all information provided in their application and any accompanying documentation is true and correct. Providing inaccurate, false, or misleading information can result in the rejection of the application or the cancellation of the Retailer Contract if the inaccuracies are discovered after approval. The emphasis on accurate and truthful disclosures is critical to maintain the integrity of the Florida Lottery and its operations.

Common mistakes

When applying to become a retailer for the Florida Lottery using the DOL-129 form, people often make mistakes that can delay or affect their application negatively. Recognizing and avoiding these mistakes is crucial for a smooth application process. Here are some common errors:

  1. Not including the non-refordable application fee: The application requires a specific fee depending on the action (e.g., initial application, additional location) payable to the Florida Lottery. Neglecting to include this fee can result in an immediate rejection of the application.
  2. Incomplete business information: Section 1 demands thorough information about the business, including legal names, dba (doing business as), contact numbers, and addresses. Leaving any field incomplete can result in processing delays.
  3. Failing to check applicable boxes: Throughout the form, there are various checkboxes (e.g., type of application, minority business status, business type). Missing any of these can make the application ambiguous and potentially incorrect.
  4. Incorrect identification numbers: Applicants must provide accurate Taxpayer Identification Numbers and Florida Sales Tax Numbers. Mistakes here can lead to substantial delays due to verification issues.
  5. Omitting owner and officer information: Section 2 requires detailed information about owners, officers, or directors. Failing to list all pertinent individuals or providing incomplete information can be problematic.
  6. Incorrect or incomplete background information: The form asks about past convictions, pending charges, and previous lottery retailer status. Providing inaccurate or incomplete information in this area can result in a denial of the application.
  7. Not providing sufficient details for background investigation: For non-U.S. citizens listed in Section 2, failing to fully provide personal details, including immigration-related information, can hinder the background check process.
  8. Forgetting to sign and date the form: The application must be signed by an authorized person, and failing to do so renders the application incomplete and cannot be processed.

Each of these mistakes can lead to complications or delays in processing the application. Therefore, it's important to review the application thoroughly before submission to ensure all requirements are met and that the information provided is accurate and complete.

Documents used along the form

Filling out the Florida Lottery Retailer Application (DOL-129) is the initial step for businesses aiming to sell lottery tickets in Florida. However, to successfully navigate the application process and comply with all regulatory requirements, applicants often need to prepare and gather additional forms and documents. Below is a list of documents typically used in conjunction with the DOL-129 form:

  • Proof of Business Registration: This document verifies the legal existence of the business in the state of Florida. It ensures that the applicant business is officially registered with the Florida Department of State.
  • Sales Tax Permit: Important for demonstrating that the business is registered to collect and remit sales tax in Florida, this permit is crucial for businesses engaging in retail sales.
  • Social> Security Number or Federal Employer Identification Number (FEIN) Documentation: This serves to verify the taxpayer identification number provided in the application, essential for tax reporting purposes.
  • Lease Agreement or Proof of Property Ownership: For businesses that do not own the property from which they operate, a lease agreement shows the authorization to use the premises for lottery sales. Property owners would need a document proving ownership.
  • Background Check Authorization Form: Before submitting the lottery retailer application, each person listed in the officer/owner information section may need to give consent for a background check, a step necessary for ensuring compliance with state requirements.

  • Similar forms

    The Florida Lottery DOL-129 form is similar to other forms utilized in the application processes across different state and federal programs, where businesses or individuals intend to establish a particular operational status or seek permission for specific activities. One such example is the Business Tax Application forms employed by state departments of revenue. Both types of forms gather comprehensive data about the applicant's business, including legal names, doing business as (DBA) names, contact information, and tax identification numbers. Another similarity lies in the level of detail regarding ownership and management, psychological assessment akin to how the DOL-129 form requires information on all significant owners and officers. These forms are crucial for ensuring compliance with tax laws and for background checks, resembling the intent behind the Florida Lottery's need for such data to maintain integrity and legality within its operations.

    Another related document is the Alcoholic Beverage License Application used by various states' Alcoholic Beverage Control (ABC) agencies. This similarity extends to the requirement for an applicant's business information, including the physical and mailing addresses, contact details, and detailed owner/officer information. Additionally, just like the Florida Lottery DOL-129 form, many Alcohol Beverage License applications necessitate information about criminal backgrounds and the business's compliance with local and federal laws, such as accessibility requirements and zoning laws for the sale of alcohol. The critical function of both application types is to safeguard public interest and ensure that the operation aligns with specific regulatory standards and requirements.

    Lastly, the comprehensive background checks and the need for personal identifiers, such as Social Security Numbers (SSNs) or Employer Identification Numbers (EINs), align the DOL-129 form closely with Liquor and Gaming License Applications. These applications also delve into the potential legal and ethical backgrounds of the applicants. Like the Florida Lottery retailer application, they require disclosures regarding past criminal activities, including those specifically related to the nature of the license being applied for (e.g., gambling offenses for lottery retailers or alcohol-related offenses for liquor licenses). Such parallels underscore the rigorous scrutiny applied in these sectors to mitigate risks and promote responsible management and ownership.

Dos and Don'ts

When filling out the Florida Lottery DOL-129 form, it’s important to be clear, accurate, and mindful of the guidelines set forth by the Florida Lottery. To help you navigate the application process smoothly, here’s a list of do’s and don’ts:

  • Do ensure you have all the required information before starting to fill out the form. This includes your business details, tax identification numbers, and any relevant license numbers.
  • Do use a blue or black ink pen if you are filling out the form by hand. Make sure your handwriting is clear and legible.
  • Do double-check that the fee you are paying matches the application type you are submitting. Remember, the fees vary depending on the nature of your application.
  • Do provide accurate and up-to-date information about your business and any individuals listed in the officer/owner information section. Inaccuracies can lead to delays or rejection of your application.
  • Do sign and date the form where required. An unsigned form is incomplete and will not be processed.
  • Do use the opportunity to clarify any "Yes" responses to questions about criminal history or past issues with lottery retailing by attaching additional sheets if necessary.
  • Do make a copy of the completed form for your records before submitting it to the Florida Lottery.
  • Don’t use correction fluid or tape on the form. If you make a mistake, it’s better to start over with a new form to ensure that all information is clearly legible.
  • Don’t leave any required sections blank. If a section doesn’t apply to you, indicate this with an “N/A” (Not Applicable) rather than leaving it empty.
  • Don’t forget to check the box for the type of application you are submitting at the beginning of the form. This helps the Florida Lottery process your application efficiently.
  • Don’t ignore the background investigation and bonding requirements. Ensure you understand what is required of you and your business to avoid surprises later.
  • Don’t overlook the certification sections at the end of the form. Reading and understanding these sections is crucial to affirming the accuracy and completeness of your application.
  • Don’t hesitate to contact the Florida Lottery directly if you have any questions or need clarification on how to fill out the form correctly. It’s better to ask than to submit an incorrect application.
  • Don’t forget to include your contact information where requested. The Florida Lottery needs a way to reach you if they have any questions or need further information.

Misconceptions

Understanding the Florida Lottery DOL-129 form can sometimes be confusing, leading to widespread misconceptions. Addressing these misinterpretations is crucial to clarify the application process for retail applicants wishing to sell lottery tickets. Here are five common misconceptions about the DOL-129 form and explanations to set the record straight.

  • Misconception 1: The application fee is refundable if the application is not approved.

    Many people mistakenly believe that the non-refordable application fee for the Florida Lottery retailer application - $100 for an initial application and variable fees for additional requests - is refundable if the application is not successful. However, as explicitly stated in the form, the application fee is non-refundable regardless of the application's outcome.

  • Misconception 2: Any business can apply to be a Florida Lottery retailer.

    The application suggests a selection of business types that are eligible to apply, which implies not all business models qualify. Additionally, there is a requirement for a background investigation, and certain conditions must be met, indicating that not every business can qualify to be a retailer.

  • Misconception 3: The background check is a formality and does not impact application approval.

    Some applicants may underestimate the significance of the background investigation stipulated in the form. It's not just a procedural step; the outcome can crucially influence whether an application is approved or denied. This process is in place to secure the integrity of the lottery system and ensure responsible handling of lottery proceeds.

  • Misconception 4: Only new applicants are required to undergo a background check.

    This misunderstanding could stem from a lack of attention to details within the form. Not just new applicants, but also existing retailers seeking changes such as additional locations, change of location, or ownership changes that involve new officers, directors, or shareholders are subject to background investigations. This is crucial for maintaining ongoing security and integrity among lottery retailers.

  • Misconception 5: Filling out the DOL-129 form is the only step in the application process.

    The DOL-129 form indicates a more comprehensive process involving a site survey, compliance with the Florida Americans with Disabilities Accessibility Implementation Act, and a certification that information provided is accurate. The process is thorough, requiring compliance and honesty at every step, indicating that completing the form is merely part of the comprehensive application procedure.

Clarifying these misconceptions is vital for prospective retailers to understand the full scope and responsibility of becoming a Florida Lottery retailer. With accurate information, applicants can better prepare for the application requirements, improving their chances for a successful submission.

Key takeaways

Here are 10 key takeaways about filling out and using the Florida Lottery DOL-129 form:

  • The initial application fee for the Florida Lottery retailer is $100, and there are additional fees for extra locations, changes in location, and changes in officers, directors, or shareholders. These fees are not refundable.
  • Applicants are subject to a background investigation which may include fingerprinting. This could lead to the requirement for a bond or other security to ensure payment of lottery proceeds.
  • It’s important to check the correct application type at the beginning of the form, such as whether it’s an initial application, a change of ownership, or adding a new officer.
  • The form requires detailed business information, including the corporate or legal name, store name (DBA - Doing Business As), contact information, and taxpayer identification numbers.
  • Section 2 requires listing all owners, partners, and any individuals with significant control or ownership stakes, as well as disclosing any potential conflicts of interest related to lottery employees.
  • Disclosure of criminal history, including felonies, gambling offenses, or pending criminal charges, is required for all individuals listed in the Officer/Owner Information section.
  • Non-U.S. citizens listed on the application must provide additional identification details, including passport and immigration status information.
  • The application process includes certifying that the business location complies with Florida’s accessibility requirements and acknowledging the responsibilities of becoming a lottery retailer.
  • Information provided on the application is open to public inspection, as stated in the Statement of Public Disclosure. Privacy considerations regarding the collection and use of Social Security numbers are outlined, noting the legal basis for their collection.
  • The form also includes sections for a marketing evaluation/site survey to be completed with a Lottery Sales Representative, focusing on business operation details and installation of lottery equipment at the retailer’s location.

Understanding these points can help ensure a smooth application process for becoming an authorized Florida Lottery retailer, as well as compliance with state regulations and requirements.

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Florida Medical License - Learn the practical steps for acquiring the necessary health documentation for school, ensuring a smooth transition for your child’s educational journey.