Application for Certificate of Association
(Texas Businesses Against Trafficking)
The attached application, including the information provided in the application, is a public record and subject to
public access and disclosure. Do not include information that may be confidential or a trade secret.
Commentary
Texas Businesses Against Trafficking, the human trafficking prevention business partnership program
established under Section 405.023 of the Texas Government Code, recognizes that corporations and
private entities can contribute to the efforts of federal, state, and local officials engaged in combatting
human trafficking and in prosecuting human trafficking crimes. This application process is designed to
identify and recognize those corporations and private entities that have implemented policies aimed at
reducing human trafficking and agree to take steps to promote public awareness of human trafficking.
Any corporation or private entity that engages in a for-profit activity may submit an application for
participation in the partnership as an associate and for a certificate of association. A corporation is defined
by rule as a domestic or foreign for-profit corporation, limited partnership, limited liability company,
professional association, or cooperative association that is governed under the Texas Business
Organizations Code, federal law, or the law of another state or nation. A private entity includes a bank,
trust company, savings and loan association, insurance company, railroad company, or other organization
that engages in a for-profit activity through its employees.
A certificate of association issued to an eligible participating corporation or private entity is valid for three
years and can be renewed for an additional term by the participating entity. There is no processing fee for
making an application.
Instructions for Form
A document on file with the secretary of state is a public record subject to public access and
disclosure. When providing address or telephone information, use a business or post office
box address rather than a residence address if privacy concerns are an issue.
Applicant Information:
Provide the full legal name of the applicant and its principal office address.
The principal office
address does not need to be in Texas. The contact point is the individual to whom
any correspondence may be addressed regarding the application or documentation provided. The
contact point is not required to be the person who signed the application.
Business Information:
Completion of this section is not required, but optional. However, the
information provided may be useful to the secretary of state when developing a database of best
practices for combating and preventing human trafficking within certain industries or businesses.
Attachments: If the space provided is not sufficient, provide additional information or documentation
as a separate
attachment to the form. Do not include digital, video or electronic attachments. If
applicant provides employee training on human trafficking or other information in a digital or
electronic format, a print-out or transcript of the material should be provided.
Execution:
The application must be signed by a person who is authorized to sign on behalf of the
applicant. Generally, a corporate officer is authorized to sign on behalf of a corporate entity.
Delivery Instructions:
The completed form may be mailed to P.O. Box 13193, Austin, Texas
78711-3193; or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas
78701. The secretary of state will issue a certificate of association on filing a completed and approved
application.
Revised 08/2019
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This space reserved for office use
APPLICATION FOR
CERTIFICATE OF
ASSOCIATION
Rev. 08/2019
Submit to:
SECRETARY OF STATE
Registrations Unit
P O Box 13193
Austin, TX 78711-3193
512-475-0775
512-475-2815 - Fax
The undersigned applicant seeks to participate in the Texas Businesses Against Trafficking program
established by §405.023 of the Government Code and requests recognition for its contributions to the
efforts of federal, state, and local officials engaged in combatting human trafficking and in prosecuting
human trafficking crimes. The voluntary steps and measures taken by the applicant to prevent and
combat human trafficking, as demonstrated by the information and documentation provided, qualify
the applicant for participation in the partnership as an associate and for a certificate of association.
Applicant Information
1. Business Name:
Provide the full legal name of corporation or private entity
2. Address:
Street City State Zip Code
3. Contact Point:
First Name Last Name Job Title
Contact Address: Same as above Contact's mailing address is different and shown below:
Street City State Zip Code
Work Phone: Email address:
Business Information (optional)
Type of Business: Retail Service Manufacturing
Average Number of Employees: Number of Locations in Texas:
Markets Served by Applicant: Local National International
Briefly Describe Applicant's Main Products/Services:
Eligibility
4. Has applicant adopted a policy aimed at reducing human trafficking and included information about
this policy in new hire materials or training programs?
No Yes
Provide information about the
policy
and attach
a copy
:
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5. Has applicant made training resources about recognizing and addressing human trafficking available
to its employees and referenced the resources in new hire or employee training programs?
No Yes
Provide information about the
training resources
and attach
copies, if available:
6. Has applicant included language in supplier contracts regarding the corporation or private entity’s
human trafficking policies, and encouraged suppliers to abide by these same policies?
No Yes Not Applicable
Provide information about the policy and attach a copy:
7. Does applicant have a prohibition against the expenditure of any business funds for the purpose of
patronizing a business that is part of the commercial sex industry?
No Yes
8. Does applicant have a prohibition against the use of business resources to engage in sexual conduct
that violates state or federal law or to operate a business that is part of the commercial sex industry?
No Yes
Provide
additional information or documentation, if available, for Questions 7 and 8:
9. By seeking participation as an associate in the Texas Businesses Against Trafficking program,
applicant agrees to share its best practices in combatting human trafficking, if any. Describe below any
best practices that applicant has already implemented. Attach additional supporting documentation as
needed.
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)
)
Agreements for Continued Participation
As a participant in the Texas Businesses Against Trafficking program, applicant agrees to the following
activities upon receipt of the certificate of association. Please check each box to certify the applicant’s
agreement.
Applicant agrees to participate in at least one public awareness or education campaign involving
human trafficking within 36 months of receipt of the certificate of association.
Applicant agrees to assist the secretary of state in enhancing awareness of the partnership.
Applicant agrees to share with the secretary of state best practices that the entity uses in combatting
human trafficking, if any.
Certification of Applicant
I certify that I have reviewed the preceding statements and any attached supporting documentation
provided, and to the best of my knowledge, the information provided is true, accurate, and complete. I
also certify that I have the authority to execute this application on behalf of the applicant.
Execution
Date:
Signature of Authorized Person
Printed or typed name and capacity/title
State of
County of
Sworn to and subscribed before me this day of , 20
(seal)
Notary Public Signature
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