(Please allow a minimum of 8 – 10 business days for application processing.)
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 Security number is required by rule 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.
PLEASE DO NOT MAIL THESE FORMS. Request a visit from a Florida Lottery Sales Representative by contacting the Lottery District Office nearest you. The Lottery Sales Representative will pick-up the application, as well as the other required forms, which can also be downloaded from the bottom of the page.
Retailer Application Package Checklist
A guide for applicants to use in completing the retailer application package.
Chain Account Retailer Application
Used by business entities applying for more than one location at a time.
Chain Account Additional Location Application
Used by established Lottery retailers to add locations.
Electronic Fund Transfer Form
Authorizing the Lottery to make automatic withdrawals or deposits from or into retailer's business checking account.
Official rules of the Lottery outlining retailer responsibilities.
Landlord Approval Form
Retailers with a lease agreement must have their landlord's approval for GTECH® to install outside communications equipment. The form requires the landlord's signature.
GTECH® Online Terminal System Flyer
Includes a description of communications equipment that will be installed inside and outside the retailer location. Also includes frequently asked questions and answers concerning the installation process.
Wednesday, September 28, 2016
Saturday, October 1, 2016