Fla. Admin. Code R. 53ER24-22
(1) New Applicants.
(e) Organizations which are publicly traded on a national securities exchange must submit the following:
1. Form DOL-129C, including Section 4 entitled “Information on Publicly Traded Organizations” and
2. Form DOL-374, Publicly Traded Organization Retailer Affidavit.
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.
(2) Renewal Application.
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.
(3) Change of Location.
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.
(7) The following forms are incorporated herein by reference:
Form DOL-129, Retailer Application, revised 5/24,
Form DOL-129-1, Retailer Application – Spanish Version, revised 5/24,
Form DOL-129C, Chain Account Retailer Application, revised 7/17,
Form DOL-129CA, Chain Account Retailer Additional Location Application, 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, and
Form DOL-374, Publicly Traded Organization Retailer Affidavit, revised 7/17.
Forms DOL-129, DOL-129-1, DOL-129C, and DOL-129CA may be obtained from the Florida Lottery’s website at floridalottery.com or from the Florida Lottery’s retailer website at retailerwizard.floridalottery.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@floridalottery.com.
(9) This emergency rule replaces Emergency Rule 53ER19-20, F.A.C.
Rulemaking Authority 24.105(9), 24.109(1), 24.112(1) FS; Law Implemented 24.105(15), 24.112, 24.114 FS. History–New 5-16-24, Replaces 53ER19-20.