Fill - Free fillable Louisiana Department Of Public Safety Public License Tag Agent New Appli PDF form

Louisiana Department of Public

Safety and Corrections

Office of Motor Vehicles

Public License Tag Agent New Applicant

Packet

Louisiana Department of Public Safety and Corrections

Office of Motor Vehicles

Dear Applicant:

This document is inclusive of all information necessary to Apply for a First time Public License Tag

Agency. Please submit the following items listed on the Public License Tag Agent Checklist. There are 2

Stages needing approval before a letter is sent informing you that you have been approved to open a

Public License Tag Agency. Once Stage 1 is approved, you will receive notification to submit Stage 2

documents. You are required to submit Stage 2 documents within 30 days of receiving Stage 1 Approval.

Violation of any part will result in your application being DENIED.

Your company name cannot have the words EXPRESS, XPRESS, MOTOR VEHICLE(S) OR THE

LETTERS OMV, DMV.

The packet must contain original documents and be mailed to:

Louisiana Office of Motor Vehicles

Attn: PTA Admin Regionals

P.O. Box 64886

Baton Rouge, La 70896

If using a mail service that only delivers to a physical location, the address listed below should be utilized

Louisiana Office of Motor Vehicles

Attn: PTA Admin Regionals

7979 Independence Blvd Ste#207C

Baton Rouge, La 70806

If further assistance is required, please email: PTAadmin@la.gov

PUBLIC LICENSE TAG AGENT NEW APPLICANT CHECK LIST

All items listed below must be completed. Failure to submit a completed packet may adversely impact your ability to contract with the

Office of Motor Vehicles.

Stage 1 Forms to be completed by each owner/co-owner

- Auto Title Company Application

- Economic And Financial Interest

- Auto Title Company Acknowledgement

- Request To Release Information And Release Of Claims By Applicant

- Release Of Claims By Applicant

- Questionnaire for Auto Title Company

- Typed letters from three (3) references with Phone Numbers

- Guidelines For Issuing Temporary Markers

- Employee Roster

- Public License Tag Agent application (Owner)

- Public License Tag Agent Acknowledgment

Forms to be completed by owners and employees

- Public License Tag Agent application (Employee) (include employee's email address)

- Rapsheet Disclosure R1018

(Owners & Employees) - attach 2 completed Fingerprint cards

- Background Authorization Form R1018 (Owners & Employees)

Fees to be submitted - Only company check, money order of cashier’s check will be accepted

- A non-refundable application fee of $400.00. An additional $100.00 application fee will be due

for all other locations under the same ownership management and control.

- A non-refundable public license tag agent application fee of $200.00

Separate fees: (on a separate cer

tified chec

Bac

kground chec

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of $39.25 for each new owner & employee hired if applicable).

Stage 2 Forms - Documents to be submitted once Stage 1 has been approved (not included in packet)

- If your company is listed as INCORPORATED or LLC, Articles of Organization must be

submitted.

- Bond Form

o Power of attorney, and/or any other form necessary to be submitted in combination with the

required bond.

Auto Title Company Surety Bond & Public Tag Agent Surety Bond must be in the amount

$100,000.00 or $125,000.00 for multiple locations. The bond must list the Department of

Public Safety and Corrections as the obligee. The company name and location must be listed

on the bond. Bond Expiration date shall be May 31, 2022.

- Bond for an Auto Title Company (Form 1620)

- Bond for a Public License Tag Agent (Form 1622)

- Auto Title Company Contract

- Public License Tag Agent Contract

- DPS&C Network Connectivity Questionaire

- EFT Authorization Agreement

- LAN to LAN VPN Policy

State of Louisiana

Department of Public Safety and Corrections

Office of Motor Vehicles

P. O. Box 64886

Baton Rouge, Louisiana 70896-4886

Auto Title Company Application □NEW □RENEWAL

A SEPARATE APPLICATION MUST BE SUBMITTED FOR EACH LOCATION AND EACH CO-OWNER

PLEASE TYPE OR PRINT

Business Name (must read exactly the same on both the bond and on the contract)

Physical Address of Business

Parish

City

State

Zip Code

Mailing Address

City

State

Zip Code

Phone No.

( )

Fax No.

( )

Email Address: (Mandatory)

Previous License No. /Authorization No. (if applicable)

Bond No.

Name of Surety Company

Surety’s Phone No.

Address

City

State

Zip Code

1. Has any license ever been denied, revoked or suspended by this Department to you or any of the principals of the

partnership or corporation? Yes _____ No _____ if yes, give details below.

2. Have you ever been on probation or sentenced to jail/prison as a result of a felony conviction or guilty plea to a felony

charge? Yes ____ No ____ If yes, give the law enforcement authority (city police, sheriff, FBI, etc.) the offense, date

of the offense, place and disposition of case. Use back of this document if additional space is needed.

3. You are required to complete the enclosed Background Check Form.

4. NEW APPLICANTS - You are required to submit three (3) references, at least one of which must be from a

current/former customer.

5. PLEASE READ THIS APPLICATION, ALL ATTACHMENTS AND THIS CERTIFICATION PRIOR TO SIGNING

THIS APPLICATION BEFORE A NOTARY PUBLIC

I HEREBY CERTIFY THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND THAT I

AM FAMILIAR AND WILL ABIDE WITH THE PROVISIONS OF ALL THE LAWS, RULES AND REGULATIONS UNDER WHICH THIS REQUEST IS MADE.

OWNER’S SIGNATURE ________________________________________________________________DRIVER’S LICENSE #____________________

OWNER’S PRINTED NAME _____________________________________________________________

SWORN TO AND SUBSCRIBED BEFORE ME THIS ________________________________ DAY OF _____________________________, 20 _______

NOTARY PUBLIC SIGNATURE __________________________________________________________________________________________________

NOTARY PUBLIC PRINTED NAME & NUMBER _________________________________________________________ /____________________________

FEE: A check/money order in the amount of $400.00 must accompany request. If auto title company has more than one location,

a separate request and a fee of $100.00 must be submitted for each additional location.

----------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ----------------------------------------------------------------------

MVCA Officer Dollar Amount Received Date Processed

DPSMV 1968 (R 07/2016)

Louisiana Department of Public Safety and Corrections

Office of Motor Vehicles

ECONOMIC/FINANCIAL INTERESTS

This section must be completed by each auto title company owner/co-owner

It is mandatory that you list all businesses that you currently own or have a financial

interest in.

List the names of all persons, besides owners, who will have an economic or financial

interest in the auto title company and describe the economic or financial interest of each

person listed below.

“Economic interest” means any interest in an auto title company or other types of business

whereby a person receives or is entitled to receive, by agreement or otherwise, a profit, gain,

thing of value, loss, credit, security interest, ownership interest, or other benefit.

List the name and nature of any business, regardless of whether or not you have an

economic interest in the business that will be conducted or operated in the physical

location of the auto title company.

Please be advised that your application may be denied if you also engage in any business which the Department

determines is a conflict of interest, illegal, or reflects discredit upon the Department, or allow any such business to

operate in the auto title company location.

AUTO TITLE COMPANY ACKNOWLEDGEMENT

I hereby swear under penalty of perjury, that all statements and information provided in

connection with this application to contract with the Department of Public Safety and Corrections,

Public Safety Services, Office of Motor Vehicles, as an auto title company are true and correct.

I acknowledge and agree that it is my responsibility as an auto title company to do the

following:

(1) Read and understand all applicable laws, administrative rules, and Office of Motor

Vehicles’ policies and procedures that establish the laws, rules, regulations, and policies

that relate to the powers and duties of auto title companies, and to transactions that auto

title companies complete.

(2) Keep abreast of all applicable laws, administrative rules, and Office of Motor Vehicles’

policies that relate to the powers and duties of auto title companies and the transactions

that auto title companies complete.

(3) Ensure all employees of the auto title company are made aware of all applicable laws,

administrative rules, and Office of Motor Vehicles’ policies and procedures that

establish the laws, rules, regulations, policies and procedures that relate to the powers

and duties of auto title companies and to transactions that auto title companies complete.

I further acknowledge the following:

(1) I have read and agree to abide by all applicable laws, administrative rules, and Office of

Motor Vehicles’ policies and procedures that establish the laws, rules, regulations, and

policies that relate to the powers and duties of auto title companies, as well as all applicable

laws, administrative rules, and Office of Motor Vehicles’ policies and procedures that relate

to transactions that auto title companies complete.

(2) I am aware of the consequences that may result from non-compliance with these laws, rules,

regulations and policies, including but not limited to the suspension, revocation,

cancellation, or non-renewal of an auto title company contract.

I acknowledge that I have read the entire auto title company application, that I understand

the application and requests for information, and that I have answered each question or request for

information completely and truthfully, and that I have not failed to disclose any information

requested or sought in this application.

I agree to cooperate in the background investigation and to provide such additional

information that may be requested by the Department of Public Safety and Corrections, Public

Safety Services, Office of Motor Vehicles. I understand that if I fail to cooperate with the

background investigation or if I fail to provide accurate and complete information to the department

that my application may be denied.

I agree to execute a contract with the Department of Public Safety and Corrections, Public

Safety Services, through the Commissioner of the Office of Motor Vehicles, to serve as an auto title

company. I understand the terms of this contract and the consequences of violating any of these

terms and further agree to abide by these terms.

I understand that I must cease operation as an auto title company at the expiration of auto

title company contract unless the Department of Public Safety and Corrections, Public Safety

Services, Office of Motor Vehicles grants me authorization to remain open in writing pending

renewal or notice of nonrenewal.

I agree to ensure all employees of the auto title company are made aware of all applicable

laws, administrative rules, and Office of Motor Vehicles’ policies and procedures that establish the

laws, rules, regulations, policies and procedures that relate to the powers and duties of auto title

companies and to transactions that auto title companies complete. I agree that as an owner or co-

owner of the auto title company that I am responsible for the actions of these employees, including

any violations of any applicable laws, administrative rules, or Office of Motor Vehicles’ policies or

procedures.

NOTICE:

THE VIOLATION OF ANY APPLICABLE STATUTE, RULE, POLICY OR PROCEDURE, OR

ANY PROVISION OF THE CONTRACT BETWEEN THE DEPARTMENT OF PUBLIC

SAFETY AND CORRECTIONS, PUBLIC SAFETY SERVICES, AND THE APPLICANT MAY

RESULT IN THE IMPOSITION OF A FINE OR THE SUSPENSION OR REVOCATION OF

ANY LICENSE, PERMIT, APPROVAL OR AUTHORIZATION.

Signature of Applicant Date

Sworn to and subscribed before me, the undersigned

Notary Public, this day of, 20

/ /

Notary Public (printed name) Signature Notary ID No

REQUEST TO RELEASE INFORMATION AND RELEASE OF CLAIMS BY APPLICANT

I, _________________________________________, hereby authorize and request all persons

( Ap p li c an t’ s pr i nt e d n am e )

or entities to whom this request is presented, having information or documentation relating to or concerning myself, to

furnish such information and to allow the reviewing and copying of documents to a duly authorized agent or representative

of the Department of Public Safety and Corrections, Public Safety Services, Office of Motor Vehicles, whether or not such

information or documentation would otherwise be protected from disclosure by a constitutional, statutory or other legal

privilege, including but not limited to criminal records and bank records.

This release expires twenty four (24) months from the date of execution indicated below. This release shall not be cancelled,

revoked, withdrawn, modified or amended without the prior written consent of the Department of Public Safety and

Corrections, Public Safety Services, Office of Motor Vehicles during the twelve month term of this release.

I, the applicant, further release, remise, agree to indemnify and hold harmless, and forever discharge the person or entity to

whom this request is presented, and his or its agents and employees from any and all manners of actions, causes of actions,

suits, debts, judgments, executions, claims, damages, losses, expenses including attorney fees, punitive damages, exemplary

damages, and demands whatsoever, known or unknown, in law or equity, which I ever had, now have, may have, or claim to have

against the person or entity to whom this request is presented, and his or its agents and employees, arising out of or by reason

of complying with this request.

I voluntarily agree to execute this document as part of the application I am submitting to the Department of Public Safety and

Corrections, Public Safety Services, Office of Motor Vehicles seeking a license, permit, approval or authorization from the

Department of Public Safety and Corrections, Public Safety Services, Office of Motor Vehicles to be an auto title company. A

reproduction of this request by photocopy shall be for all intents and purposes as valid as the original.

Signature of Applicant Date

Sworn to and subscribed before me, the undersigned;

Notary Public, this day of , 20 .

/ /

Notary Public printed name Signature Notary ID No

RELEASE OF CLAIMS BY APPLICANT

I, ____________________________________________, the applicant, release, remise, agree to indemnify and

Applicant Printed Name

hold harmless, and forever discharge the Department of Public Safety and Corrections, Public Safety Services, Office

of Motor Vehicles, or any employee, agent, representative, or other authorized person acting on behalf of the

Department of Public Safety and Corrections, Public Safety Services, Office of Motor Vehicles from any and all

manners of actions, causes of actions, suits, debts, judgments, executions, claims, damages, losses, expenses

including attorney fees, punitive damages, exemplary damages, and demands whatsoever, known or unknown, in

law or equity, which I ever had, now have, may have, or claim to have against the Department of Public Safety

and Corrections, Public Safety Services, Office of Motor Vehicles, or any employee, agent, representative, or

other authorized person acting on behalf of the Department of Public Safety and Corrections, Public Safety

Services, Office of Motor Vehicles, arising out of or by reason of: (1) the receipt or processing of my application, (2)

the investigation of my background to determine my suitability and/or qualifications to be an auto title company or

an employee or agent of an auto title company, and (3) the decision of the Department of Public Safety and

Corrections, Public Safety Services to grant or deny my application for a contract approval or authorization under the

auto title company law and the rule promulgated pursuant to such law.

I voluntarily agree to execute this release as part of the application I am submitting to the Department of

Public Safety and Corrections, Public Safety Services, Office of Motor Vehicles contract approval or authorization

from the Department of Public Safety and Corrections, Public Safety Services, Office of Motor Vehicles to be a auto

title company.

Signature of Applicant Date

Sworn to and subscribed before me, the undersigned

Notary Public, this day of , .

/ /

Notary Public printed name S

ignature

Notary ID No.

QUESTIONNAIRE FOR

AUTO TITLE COMPANY

Auto Title Company Name:

Owner’s Printed Name:

Owner’s Signature:

Date:

1) How would you becoming an Auto Title Company benefit the state?

2) Have you ever worked for an ATC, PTA or OMV? Yes_________ No__________

If yes, when and where? This does not include your current employer.

3) What experience/knowledge do you have with motor vehicle laws, rules and documentation requirement?

4) How many full time employees will be on your staff?

5) Have you ever been arrested? Yes_______ No________ If yes, please give details.

6) Do you or your company sell used motor vehicles? Yes________ No_________

7) Is the address of this business located in your home? Yes_________ No___________

If yes, please submit a zoning permit letter from city government on letterhead indicating the address is zoned

for retail business and complies with local zoning and occupational laws.

LOUISIANA OFFICE OF MOTOR VEHICLES

GUIDELINES FOR ISSUING TEMPORARY MARKERS

Your signature below acknowledges that you have read and understand all requirements. An

original must be returned to the Department and will be made a part of your files.

1. Temporary Markers must be maintained in a secure location.

2. Temporary Markers can only be issued when a transfer of ownership occurs and the purchaser is a

Louisiana resident or entity.

a. Temporary Markers cannot be issued to renew a plate

b. Temporary Markers cannot be issued to replace a lost plate.

c. Temporary Markers cannot be issued to someone who lives out of state.

d. Temporary Markers cannot be issued, if a duplicate title needs to be ordered.

e. Temporary Markers cannot be issued, if the seller has not received the title from the

lienholder.

3. An auto title company and its employees shall not lend a Temporary Marker to anyone or use it on

any vehicle they own, nor shall they issue it to any vehicle for which it is not handling the title and

registration.

4. Must have all documents and fees necessary to transfer ownership when Temporary Marker is

issued.

5. Temporary Markers cannot be issued if a duplicate title must be ordered.

6. Temporary Markers cannot be issued if the seller has not received the title from the lienholder.

7. Monies collected from customer to register his vehicle cannot be co-mingled with the auto title

company's money. Co-mingling the monies may cause a delay in registering the customer's

vehicle.

8. Vehicles must be registered in a timely manner. (Within 40 days from the date of purchase or

your company pays the penalty and interest.)

9. Only one (1) Temporary Marker may be issued to any one vehicle. No extension may be issued by

the auto title company.

Please make sure all employees have a copy of the Temporary Marker Guidelines.

Printed Name of Auto Title Company

Owner’s Printed Name

Owner’s Signature

Employee Roster

PTA/ATC Name: ________________________________ Office Number: ________________

An updated sheet must be completed and submitted to OMV each time a personnel change is made.

Employee Name

Date of Hire

Operator Code (if already issued,

or applicable)

Additional sheets may be utilized if necessary.

________________________________________ __________________

Owner Signature Date

Public License Tag Agent Application

APPLICATION FOR PUBLIC LICENSE TAG AGENT

APPLICATION FOR EMPLOYEE OF A PUBLIC LICENSE TAG AGENT

*This form must be completed by the Public License Tag Agent and each employee and submitted with the packet

This application must be fully completed prior to submission to the Office of Motor Vehicles. Any answer requiring more

space than is provided on the application must be completed on a separate sheet and attached. Any additional sheets

utilized must be signed and dated by the applicant.

Failure to provide any requested information in this application may be considered grounds to deny this application. Any

misstatement of fact contained in the response to any question in this application shall be grounds to deny this

application. The applicant or agent should only complete the bottom portion of the Louisiana State Police Form for

criminal history information (items with an *).

All words used in this application shall have the normal meaning attached to them unless the application expressly

provides otherwise.

1. Business name for this public tag agency:

2. Business address (physical location):

Employee Work Email Address:

Your full name (no initials):

First Name Middle of Maiden Last Name

Driver’s License No.

Social Security No.

Date of Birth:

Race/ Sex /

Month

Day

Year

3. Daytime phone No.:

( )

Nighttime Phone No.

( )

4. Please provide any other name, nickname, alias or other name that you have used in the past or by which you have

been known:

5. A.

Your complete mailing address:

Your complete physical address:

How many years at this address?

6. A.

Father’s full name:

First Name Middle Name Last Name

Is he living?

Yes

7. A.

Mother’s full

name:

First Name Middle or Maiden Name Last Name

Is she living?

Yes

Your Marital Status:

Married:

Single:

Divorced:

Widowed:

Your spouse's (or ex-spouse's) name: (If you have been married more than once, please provide

the full name of each spouse, starting with the most recent spouse on the application, and the

other spouses on a separate sheet of paper.)

First Name

Middle or Maiden Name

Last Name

10.

List all your children, whether majors or minors:

First Name

Middle or Maiden

Last Name

Date of Birth

First Name

Middle or Maiden

Last Name

Date of Birth

First Name

Middle or Maiden

Last Name

Date of Birth

First Name

Middle or Maiden

Last Name

Date of Birth

11 11.

Have you ever been on probation or sentenced to jail/prison as a result of a felony conviction

or guilty plea to a felony charge? Yes ____ No ____ If yes, give the law enforcement

authority (city police, sheriff, FBI, etc.) the offense, date of the offense, place and disposition

of case. Use back of this document if additional space is needed.

12.

Have you ever had a license, permit, or other approval or authorization denied, revoked or

suspended? (Do not include any actions taken against your driver's license or regarding your

driving privileges.) Yes ____ No _____ If your answer is yes, please explain.

13 13.

Please provide complete information for your employment history for the last ten years,

including the name and address of your employer, the type of work you did, and the length of

time you were employed for each employer. If necessary, attach a page for additional work

history.

14.

Are you currently or have you been employed by the Office of Motor Vehicles in the last two

(2) years? yes [ ] no [ ]

Comments

15.

Applicants coming to the Motor Vehicle Training Class must have skill and dexterity in the

manipulation of an alphabetic and numeric keyboard.

PUBLIC LICENSE TAG AGENT ACKNOWLEDGEMENT

I hereby swear under penalty of perjury, that all statements and information provided in

connection with this application to contract with the Department of Public Safety and Corrections,

Public Safety Services, Office of Motor Vehicles, as a public license tag agent are true and correct.

I acknowledge and agree that it is my responsibility as a public license tag agent to do the

following:

(1) Read and understand all applicable laws, administrative rules, and Office of Motor

Vehicles’ policies and procedures that establish the laws, rules, regulations, and policies

that relate to the powers and duties of public license tag agents, and to transactions that

public license tag agents complete.

(2) Keep abreast of all applicable laws, administrative rules, and Office of Motor Vehicles’

policies that relate to the powers and duties of public license tag agents and the

transactions that public license agents complete.

(3) Ensure all employees of the public license tag agent understand all applicable laws,

administrative rules, and Office of Motor Vehicles’ policies and procedures that

establish the laws, rules, regulations, policies and procedures that relate to the powers

and duties of public license tag agents and transactions that public license tag agents

complete.

I further acknowledge the following:

(1) I have read and agree to abide by all applicable laws, administrative rules, and Office of

Motor Vehicles’ policies and procedures that establish the laws, rules, regulations, and

policies that relate to the powers and duties of public license tag agents, as well as all

applicable laws, administrative rules, and Office of Motor Vehicles’ policies and

procedures that relate to transactions that public license tag agents complete.

(2) I am aware of the consequences that may result from non-compliance with these laws,

rules, regulations and policies, including but not limited to the suspension, revocation,

cancellation, or non-renewal of a public license contract or both contracts.

I acknowledge that I have read the entire public license tag application, that I understand the

application and requests for information, and that I have answered each question or request for

information completely and truthfully, and that I have not failed to disclose any information

requested or sought in this application.

I agree to cooperate in the background investigation and to provide such additional

information that may be requested by the Department of Public Safety and Corrections, Public

Safety Services, Office of Motor Vehicles. I understand that if I fail to cooperate with the

background investigation or if I fail to provide accurate and complete information to the department

that my application may be denied.

I agree to execute a contract with the Department of Public Safety and Corrections, Public

Safety Services, through the Commissioner of the Office of Motor Vehicles, to serve as a public

license tag agent. I understand the terms of these contracts and the consequences of violating any

of these terms and further agree to abide by these terms.

I understand that I must cease operation as a public license tag agent at the expiration of

public license tag agent contract unless the Department of Public Safety and Corrections, Public

Safety Services, Office of Motor Vehicles grants me authorization to remain open in writing

pending renewal or notice of nonrenewal.

I agree to ensure all employees of the public license tag agent are made aware of all

applicable laws, administrative rules, and Office of Motor Vehicles’ policies and procedures that

establish the laws, rules, regulations, policies and procedures that relate to the powers and duties of

public license tag agents and to transactions that public license tag agents, or complete. I agree that

as an owner or co-owner of the public license tag agent that I am responsible for the actions of

these employees, including any violations of any applicable laws, administrative rules, or Office of

Motor Vehicles’ policies or procedures.

NOTICE:

THE VIOLATION OF ANY APPLICABLE STATUTE, RULE, POLICY OR PROCEDURE,

OR ANY PROVISION OF THE CONTRACT BETWEEN THE DEPARTMENT OF PUBLIC

SAFETY AND CORRECTIONS, PUBLIC SAFETY SERVICES, AND THE APPLICANT MAY

RESULT IN THE IMPOSITION OF A FINE OR THE SUSPENSION OR REVOCATION OF

ANY LI

CENSE, PERMIT, APPROVAL OR AUTHORIZATION.

Signature of Applicant Date

orn to and subscribed before me, the undersigned

Notary Public, this day of, 20

/ /

Notary Public (printed name) Signature Notary ID No

Appendix A

SUBMIT TO: Louisiana State Police

Bureau of Criminal Identification and Information

P.O. Box 66614 (Mail Slip A-6)

Baton Rouge, LA 70896

THE FEE FOR PROCESSING A STATE BACKGROUND CHECK IS $26. FOR FBI PROCESSING, WHERE AUTHORIZED OR REQUIRED, THERE

IS AN ADDITIONAL $13.25 FEE.

cceptable forms of payment include: Cashier Check, Business Check with pre-printed business name or Money Order

Credit Card payments are accepted when paying in person at Louisiana State Police Headquarters

**FORMS MUST BE FILLED OUT IN INK AND BE REVIEWED BY SUBMITTING AGENCY/INDIVIDUAL FOR ACCURACY**

****FINGERPRINTS ARE NECESSARY FOR A POSITIVE IDENTIFICATION****

_____________________________________________________________________________________________________________________________________________________________________________________

****PLEASE PRINT****

________________________________________ _____________________________________

AGENCY, FACILITY OR INDIVIDUAL AGENCY, FACILITY AUTHORIZED REPRESENTATIVE OR INDIVIDUAL

________________________________________ _____________________________________

MAILING ADDRESS SIGNATURE OF AUTHORIZED REPRESENTATIVE/INDIVIDUAL

_________________________________________ (_______)___________________________

CITY STATE ZIP CODE AGENCY, FACILITY OR INDIVIDUAL PHONE NUMBER

AGENCY OR FACILITY E-MAIL ADDRESS

Request For: (pick one only)

□ ALCOHOL BEVERAGE OUTLET

□ BEHAVIOR ANALYST BOARD

□ BOARD OF EXAMINERS (

PSYCHOLOGIST)

□ BOARD OF EXAMINERS (

SPEECH/LANGUAGE PATH. & AUDIO.)

□ BOARD OF NURSING HOME ADMINISTRATORS

□ CASA

□ COURT ORDER ADOPTION

□ CRIMINAL JUSTICE EMPLOYEE

□ DAYCARE / WORKING WITH CHILDREN

□ DENTISTRY BOARD

□ DEPT. OF AGRICULTURE AND FORESTRY

□ DEPT. HEALTH AND

HOSPITALS

□ DEPT. OF INSURANCE – FRAUD DIV

ISION

□ DEPT. OF REVENUE

(Public Registry of Motion Picture Investor Tax Credit)

□ DCFS ABUSE/NEGLECT INVESTIGATION

□ DCFS CARETAKER

□ DCFS FOSTER/ADOPTIVE

□ DCFS PERSONNEL

□ DRUG AND DEVICE DISTRIBUTORS

□ EMPLOYERS

□ FIREFIGHTERS

□ FIRE MARSHAL

□ GESTATIONAL CONTRACTS

□ HEALTH CARE PROVIDER (Non Licensed)

□ JUVENILE DETENTION CENTER

□ LA BOARD CHIROPRACTIC EXAMINERS

□ LA PHYSICAL THERAPY BOARD

□ LA STATE BOARD SOCIAL WORK EXAMINERS

□ LICENSED PROFESSIONAL COUNSELORS

□ MEDICAL EXAMINERS

□ OFFICE OF FINANCIAL INSTITUTIONS

□ OMVC – COMMERCIAL DRIVING EXAM ADMINISTER

□ OMVE – EMPLOYEE ISSUING COMMERCIAL DL

□ OMVI – CONTRACT PROCESS INQUIRY/TRANSACTION

□ OMVT – AUTO TITLE COMPANY / PUBLIC TAG AGENT

□ PHARMACY BOARD

□ POST SECONDARY EDUCATION

□ PRACTICAL NURSING

□ PRIVATE ADOPTION

□ PRIVATE INVESTIGATORS

□ PRIVATE SECURITY

□ PUBLIC HOUSING

□ REGISTERED NURSING

□ RELIGIOUS ACTIVISTS

□ SCHOOL

□ SUPREME COURT COMMITTEE BAR ADMISSION

□ TAXI DRIVERS

□ TESS WINDOW TINT

□ VOLUNTEER LOUISIANA COMMISSION

□ WORKING WITH CHILDREN

APPLICANTS FULL NAME: _______________________________________________________________________________

****PRINT – USE INK**** LAST FIRST MIDDLE

{INCLUDE MAIDEN NAME & PREVIOUS MARRIED NAMES IF APPLICABLE}

APPLICANTS SIGNATURE: ______________________________________________________

APPLICANTS SOCIAL SECURITY # _ _ _ - _ _ - _ _ _ _ DATE OF BIRTH: _ _ / _ _ / _ _

ID or DRIVERS LICENSE #___________________& STATE ______ RACE ____ SEX ____

POSITION OR LICENSE APPLIED FOR ________________________________

AUTHORIZATION TO DISCLOSE CRIMINAL HISTORY RECORDS INFORMATION

By my signature above, I hereby authorize the Louisiana State Police to release all pertinent criminal record information maintained in their files, other

states files, or the FBI files (if applicable) which may confirm or deny my eligibility with the facility or agency named above. Pursuant to Title 28, C.F.R.,

Section 16.34, officials making the determination of suitability for licensing or employment shall provide the opportunity to complete, or challenge the

accuracy of, the information contained in the FBI identification record.

DPSSP 6696 Revised 12/26/2018

Gerald J JohnsonDPS/OMV/ Planning Unit

P.O. Box 64886

Baton Rouge La 70896

225

931-7157

Gerald.johnson@la.gov

■

DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS

OFFICE OF MOTOR VEHICLES

BOND FOR AN AUTO TITLE COMPANY

BOND NO. _____________________ Type of Business

[ x ] Auto Title Company

_______________________________________________________________________________________________________

PRINCIPAL OWNER (Name of Individual, Partners, or Corporation)

_______________________________________________________________________________________________________

TRADE NAME OF BUSINESS (MUST READ THE SAME AS ON APPLICATION)

_______________________________________________________________________________________________________

PHYSICAL LOCATION(S) OF BUSINESS (STREET, CITY, STATE, ZIP CODE)

AMOUNT OF BOND [ ] $100,000 - single location [ ] $125,000 – (Required for 2 or more locations)

OWNERSHIP [ ] Individual [ ] Partnership [ ] Corporate IF CORPORATE, List state of Domicile __________________________

Parish (County) of ______________________, State of Louisiana, as principal (hereinafter called principal), and Surety,

_______________________________________________________________________________________________________

NAME OF SURETY

_______________________________________________________________________________________________________

HOME ADDRESS OF SURETY

(hereinafter called Surety), are held and firmly bound unto the Department of Public Safety and Corrections, Office of Motor Vehicles, for the State of

Louisiana (hereinafter called the Department), in the sum of , for the payment of which, well

and truly to be made, we bind ourselves, our heirs, executors, administrators and assign, jointly and severally, firmly by these presents.

The condition of the above obligation is such that:

WHEREAS, the above named principal has made to the obligee hereunder application for a contract, under Chapter 4 of Title 32 of the Louisiana

Revised Statues of 1950 to engage in business as an auto title company, as defined by Section 702 (12) of said title, and

WHEREAS, the above named principal is required as a condition precedent to his appointment as such auto title company to deliver annually to the obligee

hereto a good and sufficient surety bond for the contract period for the payment of all loss, damages and expenses that may be occasioned by reason

of the failure of title or by reason of any fraudulent misrepresentation and/or breaches of warranty as to freedom from liens, and for the proper disposition

of any sales tax collected by the auto title company at the time of a transaction.

NOW, THEREFORE, if the above named principal shall pay or cause to be paid all losses, damages and expenses that may be occasioned by reason of

the failure of title or by reason of any fraudulent misrepresentation and/or breaches of warranty as to freedom from liens, and has properly disposed of

any sales tax collected by the principal at the time of the transaction, then this obligation shall be void, otherwise to remain in full force and effect.

The bond becomes effective as of , 20 in support of a contract issued for the term

ending ______________ and may be continued by certificate each year in support of any contract issued for any subsequent year, provided, however, that

the aggregate liability of the surety hereunder shall in no event exceed the sum of such bond regardless of the number it is continued in force.

Provided further, the surety shall have the right to terminate its liability hereunder by serving written notice of its election to do so, by United States

registered mail, upon the Department and upon the principal, and thereupon the surety shall be discharged from any future liability hereunder for any

default of the principal, after the expiration of thirty (30) days from and after service of such notice.

IN FAITH WHEREOF, we have signed these presents at the place and on the date hereinafter indicated.

WITNESS

PRINCIPAL (Name of Auto Title Company)

SIGNED AT (City/State)

SIGNED BY

TITLE

WITNESS

DATE

SIGNED AT (City/State)

SURETY (Name of Surety)

COUNTERSIGNATURE (La. Res. Agent, if necessary)

SIGNED BY

DATE

DPSMV 1620 ® 06/2017

DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS

OFFICE OF MOTOR VEHICLES

BOND FOR A PUBLIC LICENSE TAG AGENT

BOND NO. _____________________ Type of Business

[ x ] Public License Tag Agency

_______________________________________________________________________________________________________

PRINCIPAL OWNER (Name of Individual, Partners, or Corporation)

_______________________________________________________________________________________________________

TRADE NAME OF BUSINESS

_______________________________________________________________________________________________________

PHYSICAL LOCATION(S) OF BUSINESS (STREET, CITY, STATE, ZIP CODE)

AMOUNT OF BOND [ ] $100,000 - single location [ ] $125,000 – (Required for 2 or more locations)

OWNERSHIP [ ] Individual [ ] Partnership [ ] Corporate IF CORPORATE, List state of Domicile __________________________

Parish (County) of ______________________, State of Louisiana, as principal (hereinafter called principal), and Surety,

_______________________________________________________________________________________________________

NAME OF SURETY

_______________________________________________________________________________________________________

HOME ADDRESS OF SURETY

(hereinafter called Surety), are held and firmly bound unto the Department of Public Safety and Corrections, Office of Motor Vehicles, for the State of

Louisiana (hereinafter called the Department), in the sum of ____________________ , for the payment of which, well and truly to be made, we bind

ourselves, our heirs, executors, administrators and assigns, jointly and severally, firmly by these presents.

The condition of the above obligation is such that:

WHEREAS, the above named principal has made to the obligee hereunder application for appointment as public license tag agent, under Chapter 4 of Title

47 of the Louisiana Revised Statues to engage in business as a public license tag agent as defined by Section 532.1 of said title, and

WHEREAS, the above named principal is required as a condition precedent to his appointment as such public license tag agent to deliver annually to the

obligee hereto a good and sufficient surety bond for the contract period for the payment of all loss, damages and expenses that may be occasioned by

reason of the failure of title or by reason of any fraudulent misrepresentation and/or breaches of warranty as to freedom from liens, and for the proper

disposition of any sales tax collected by the public license tag agent at the time of a transaction.

NOW, THEREFORE, if the above name principal shall pay or cause to be paid all loss, damages and expenses that may be occasioned by reason of the failure

of title or by reason of any fraudulent misrepresentation and/or breaches of warranty as to freedom from liens, and has properly disposed of any sales tax

collected by the principal at the time of the transaction, then this obligation shall be void, otherwise to remain in full force and effect.

The bond becomes effective as of _____________, 20_________ in support of appointment issued for the term ending ____________ and may be

continued by certificate each year in support of any contract issued for any subsequent year.

Provided, however, that the aggregate liability of the surety hereunder shall in no event exceed the sum of such bond or bonds, as the case may be, and

regardless of the number of locations covered under the bond or bonds.

Provided further, the surety shall have the right to terminate its liability hereunder by serving written notice of its election to do so, by United States

registered mail, upon the Department and upon the principal, and thereupon the surety shall be discharged from any future liability hereunder for any

default of the principal, after the expiration of thirty (30) days from and after service of such notice.

IN FAITH WHEREOF, we have signed these presents at the place and on the date hereinafter indicated.

WITNESS

PRINCIPAL (Name of Public License Tag Agent)

SIGNED AT (City/State)

SIGNED BY

TITLE

WITNESS

DATE

SIGNED AT (City/State)

SURETY (Name of Surety)

COUNTERSIGNATURE (La. Res. Agent, if necessary)

SIGNED BY

DATE

DPSMV 1622 ® 04/17

STATE OF LOUISIANA

DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS

PUBLIC SAFETY SERVICES

OFFICE OF MOTOR VEHICLES

AUTO TITLE COMPANY CONTRACT

This Contract is made and entered into on this ________day of ____________, 20 _____, by and between

the Department of Public Safety & Corrections, Public Safety Services, through the Commissioner of the

Office of Motor Vehicles, (hereinafter referred to as “THE DEPARTMENT”), pursuant to La. R.S. 32:735, et.

seq. wherein it is provided that the Department may establish a system of auto title companies, and,

hereinafter referred to as “Auto Title Company” or “ATC”.

WHEREAS, it is the intent of THE DEPARTMENT to contract with auto title companies to provide

alternative methods for citizens to apply to title and register motor vehicles without requiring them to visit a

full-service branch office of the Office of Motor Vehicles (hereinafter referred to as OMV), and

WHEREAS, it is the desire of THE DEPARTMENT that auto title companies be established and

maintained at various locations within Louisiana for the purposes of receiving applications for the titling and

registering of motor vehicles, the collection of fees, taxes, penalties and other monies in connection therewith,

for the issuance of temporary license plates in accordance with R.S. 47:519.2, and for the purposes incident to

the duties of such auto title companies, THE DEPARTMENT hereby contracts with AUTO TITLE COMPANY

as follows:

1. The term of this contract shall be two years from the date this Contract was made and entered into (as

stated above), or May 31, 2022, whichever occurs first.

2. AUTO TITLE COMPANY agrees to obtain and maintain, at AUTO TITLE COMPANY’S own

expense, all records, credentials, and equipment used or maintained as part of the process for the

application and issuance of motor vehicle titles, registrations, and temporary license plates.

3. AUTO TITLE COMPANY shall develop and implement a system of internal controls to ensure the

safety, security, and integrity of all records and temporary license plates in its possession, which shall be

maintained at AUTO TITLE COMPANY’S physical business location. Such system of internal controls

shall include, but is not limited to:

a. A system by which secure entries and related correspondence are made into the temporary tag

database when a temporary license plate is issued;

b. The secure storage of all unissued temporary license plates at AUTO TITLE COMPANY’S

physical business location;

b. The ability to secure and reproduce all information entered into the temporary tag database for

issued temporary license plates for a period of not less than FIVE (5) years from the date of the

issuance of the last temporary license plate issued by the AUTO TITLE COMPANY;

c. The neat and organized storage of all documents received in connection with all applications for

the issuance of a motor vehicle title, registration, and/or temporary license plate at AUTO TITLE

COMPANY’S physical business location;

d. The segregation of AUTO TITLE COMPANY’S other business records from the records and

documents received in connection with the application for the issuance of a motor vehicle title,

registration, or temporary license plate;

e. Procedures for the secure, safe, and proper handling of state, parish, or municipal funds received

by AUTO TITLE COMPANY in connection with the application for the issuance of a motor

vehicle title, registration, and/or temporary license plate.

4. AUTO TITLE COMPANY shall designate at least one full-time employee as the person authorized to

receive documentation and funds from persons regarding the application for the issuance of motor

vehicle titles and/or registrations and the issuance of temporary license plates.

5. THE DEPARTMENT will make available to AUTO TITLE COMPANY for the fee specified in R.S.

47:519.2, TEMPORARY LICENSE PLATES WHICH MAY BE ISSUED TO THE CUSTOMER

ONLY AFTER:

a. Receipt of all fees and taxes due, including any penalties and interest for late filings; and

b. Receipt of all documents required to complete transfer of ownership, and only after all

documents have been duly completed, including signatures, and notarization where

required; and

c. The customer shows valid proof of current liability insurance for the vehicle(s) which is

(are) the subject of the transaction(s).

6. THE DEPARTMENT may establish operating standards, internal policies and procedures, and

administrative rules, and AUTO TITLE COMPANY agrees that it and its employees are bound by and

shall abide by those standards, policies, procedures and rules, which are considered to be a part of this

contract, as they exist at this time and as may be amended, and such amendments will become a part of

this contract upon receipt by AUTO TITLE COMPANY. AUTO TITLE COMPANY agrees to make all

of its employees aware of and bound by these operating standards.

AUTO TITLE COMPANY specifically agrees:

a. To have all employees of AUTO TITLE COMPANY attend any mandatory training provided to auto

title companies by THE DEPARTMENT, or have all employees trained by AUTO TITLE

COMPANY if pre-approved by the Department;

b. To promptly deliver all monies and documents collected by AUTO TITLE COMPANY in

connection with the titling and registering of motor vehicles to THE DEPARTMENT, through the

Office of Motor Vehicles, but in no case later than 14 days after receipt of the monies and

documents by AUTO TITLE COMPANY; however, if an AUTO TITLE COMPANY is a public

license tag agent, all monies and documents shall be remitted as required in the contract between the

public license tag agent and The Department;

c. To issue temporary license plates or any other department related documents to customers only in

accordance with law, operating standards, internal policies, procedures, and administrative rules

created by THE DEPARTMENT;

d. To submit reports in the form required by THE DEPARTMENT, including a weekly funds received

report, a weekly temporary license plate issuance report, and such other reports as may be required

by THE DEPARTMENT;

e. To comply with all laws of the United States and the State of Louisiana;

f. To receive, securely store, issue, account for, and be fully responsible for temporary license plates,

license plates, decals, or other items of value as may be entrusted to AUTO TITLE COMPANY by

THE DEPARTMENT or customers in carrying out the terms of this contract.

7. AUTO TITLE COMPANY shall receive no compensation from THE DEPARTMENT in connection

with this contract.

8. No funds collected by AUTO TITLE COMPANY on behalf of THE DEPARTMENT shall be

commingled with other funds collected or received by AUTO TITLE COMPANY.

9. THE DEPARMENT, through its designated representatives, during normal working hours of THE

DEPARTMENT, and at other times while AUTO TITLE COMPANY is open and conducting business,

shall have the right to inspect, copy, and audit any and all records and reports that AUTO TITLE

COMPANY maintains in connection with acting as an auto title company, in whatever form it is created

or stored, including but not limited to electronic, digital, computerized, paper, or otherwise. AUTO

TITLE COMPANY shall maintain records it receives and creates during the term of this contract for

FIVE (5) years after expiration or termination of this contract. Likewise, the Legislative Auditor or his

designees, and the Secretary of the Department of Revenue & Taxation or his designees, shall have the

right to inspect, copy and audit the records of AUTO TITLE COMPANY created and/or maintained in

connection with this contract.

10. THE DEPARTMENT may suspend, revoke, cancel, or place any other restrictions or sanctions on this

contract for cause for the reasons stated in La. R.S. 32:737, for violation of any administrative rules

related to auto title companies provided for in LAC 55:III.1501, et seq., or upon the breach or failure of

AUTO TITLE COMPANY or its agents or employees to fulfill any responsibility established pursuant

to this contract or law. In accordance with La. R.S. 32:737, AUTO TITLE COMPANY may request an

administrative hearing to review THE DEPARTMENT’S suspension, cancellation, or revocation of this

contact for cause, which request shall stay any action of THE DEPARTMENT. Any such request for a

hearing must follow the requirements set forth in LAC 55:III.1523.

11. AUTO TITLE COMPANY, as well as its owners, agents, and employees, shall comply with all laws

relating to privacy, including but not limited to the Federal Driver Privacy Protection Act, 18 U.S.C.

§2721 et seq., and 42 U.S.C. §405(c) (2)(C). Furthermore, AUTO TITLE COMPANY shall only

disclose personal information acquired in connection with its business as an auto title company to

businesses with which it has a contractual relationship in its official capacity as an auto title company

and to the extent allowed by law. All other requests for personal information shall be forwarded to THE

DEPARTMENT to be addressed by the custodian of the records in accordance with the public records

laws contained in La. R.S. 44.1, et seq., and other applicable laws. For purposes of this paragraph,

personal information shall include an individual’s name, address, driver’s license number, social

security number, and telephone number, as well as any other information that would tend to identify an

individual. The restrictions in this paragraph apply to personal information which may be obtained from

the application for title or registration, any previously issued certificate of title, any act of sale, donation,

transfer or assignment which is submitted as part of the transaction, as well as any other document

which is required to be submitted in order to process the transaction.

12. THE DEPARTMENT is the owner of any and all original documents submitted in connection with any

application to title or register a motor vehicle including the application, any previously issued title or

certificate of registration, any act of sale, donation, transfer or assignment which is submitted as part of

the transaction, as well as any other document which is required to be submitted in order to process the

transaction. As such, AUTO TITLE COMPANY, its owners, agents, and employees, shall promptly

surrender such documents when requested to do so by a representative of THE DEPARTMENT or by a

representative of the Department of Revenue.

13. AUTO TITLE COMPANY shall be liable for and shall indemnify and hold harmless Deputy Secretary,

THE DEPARTMENT, and any employee or agent of THE DEPARTMENT for any misuse or

misappropriation of any funds or documents AUTO TITLE COMPANY receives in connection with any

transaction subject to this contract. AUTO TITLE COMPANY likewise shall be liable and will hold the

Deputy Secretary, THE DEPARTMENT, and any employee or agent of THE DEPARTMENT harmless

for any damages resulting from any acts or omissions of AUTO TITLE COMPANY or its owners,

agents or employees relating to AUTO TITLE COMPANY’S duties hereunder in processing the

registering or titling of motor vehicles, issuing temporary license plates, the collection and handling of

taxes, fees and other monies collected in connection therewith, safeguarding THE DEPARTMENT

materials such as temporary license plates, or other activity undertaken by AUTO TITLE COMPANY

under this contract. Such liability to the Deputy Secretary, THE DEPARTMENT, its employees or

agents, and/or customer may include, without limitation, reasonable attorney’s fees and tax penalties and

interest as provided by law.

14. AUTO TITLE COMPANY shall be responsible for collected funds forwarded to it by a dealer for the

purpose of filing with THE DEPARTMENT or an authorized business partner. AUTO TITLE

COMPANY may elect, at its discretion, to attach "Dealer’s Bond" in lieu of recouping funds forwarded

to THE DEPARTMENT in cases of dealers issuing a "bad check" or “NSF check.”

15. In the event that more than one payment (whether in the form of an electronic ACH debit or paper draft)

is dishonored or returned to the Department as unpaid by the bank or financial institution of the AUTO

TITLE COMPANY, the Department may immediately suspend, revoke, or cancel this contract upon

written notice to the AUTO TITLE COMPANY.

16. AUTO TITLE COMPANY shall execute a good and sufficient surety bond with a surety company

qualified to do business in Louisiana as surety, in the sum of $100,000, for a single location, and in the

amount of $125,000 for multiple locations. The bond shall name the DEPARTMENT OF PUBLIC

SAFETY AND CORRECTIONS, OFFICE OF MOTOR VEHICLES as obligee and shall be subject to

the condition that, if AUTO TITLE COMPANY shall, throughout the entire term of the bond, timely file

with THE DEPARTMENT or its authorized business partner, through the Office of Motor Vehicles all

applications delivered to AUTO TITLE COMPANY for filing, and timely remit all fees and taxes

collected, the obligation shall be void. If AUTO TITLE COMPANY fails to meet the conditions of the

bond, the obligation of the surety shall remain in full force and effect.

17. AUTO TITLE COMPANY shall not display any sign, logo, business name, or trade name, or cause to

be advertised any sign, logo, business name, or trade name which includes the words “office of motor

vehicles,” “motor vehicle office” or “motor vehicles office,” or any similar phrases, unless the sign,

logo, business name, trade name, or advertisement clearly and prominently includes a statement

indicating the business’ status as an auto title company in the same size print. If the Commissioner of

the Office of Motor Vehicles determines that any such sign or logo violates this term of the contract,

ATC shall, within 30 calendar days of notification from the Commissioner, permanently remove or

revise the offending sign or logo to the Commissioner’s satisfaction.

18. AUTO TITLE COMPANY may advertise his services as such, but restraint and good taste shall be used

when making reference or remarks about THE DEPARTMENT, the Office of Motor Vehicles, and/or its

employees or services. Should clarification of subject matter be desired prior to publication or

broadcast, advertisement content may be submitted to THE DEPARTMENT through the Office of

Motor Vehicles for review and comment.

19. AUTO TITLE COMPANY agrees that it and its employees and agents shall not engage in or operate

any other business from any physical location where it transacts business as an auto title company,

which business could reflect negatively on THE DEPARTMENT or AUTO TITLE COMPANY, or

create a conflict of interest in acting as an auto title company. AUTO TITLE COMPANY agrees to

notify THE DEPARTMENT of any other business AUTO TITLE COMPANY or its agents or

employees may transact from any physical location where it transacts business as an AUTO TITLE

COMPANY and will not conduct or allow any business to be conducted at AUTO TITLE

COMPANY’S location that is deemed by THE DEPARTMENT to be a conflict of interest or reflect

negatively on THE DEPARTMENT or AUTO TITLE COMPANY.

20. The release of an individual’s social security number to persons or entities other than the Deputy

Secretary, the Deputy Secretary’s authorized representatives, the Commissioner of the Office or Motor

Vehicles, the Commissioner’s authorized representatives, or a representative of the Department of

Revenue is prohibited.

21. PREVENTION OF IDENTITY THEFT. AUTO TITLE COMPANY shall use current and updated

security and internal controls to protect the personal information of individuals from a breach of

security. Breach of the security of the system means the compromise of the security, confidentiality, or

integrity of documents or computerized data that results in, or there is a reasonable basis to conclude has

resulted in, the unauthorized acquisition of and access to personal information maintained by AUTO

TITLE COMPANY.

22. ELECTRONIC TRANSMISSION. The electronic transmission of any personal information received

by AUTO TITLE COMPANY from individuals applying for a motor vehicle title or registration via e-

mail or unencrypted via the Internet is strictly prohibited.

23. UNAUTHORIZED ACCESS. AUTO TITLE COMPANY shall promptly notify all individuals whose

personal information has been accessed through any means that defeats AUTO TITLE COMPANY’S

security or internal controls, unless directed to do otherwise by a law enforcement officer investigating

the unauthorized access described in this paragraph.

24. NOTICE TO INDIVIDUALS. Notification required in the Paragraph 21 may be provided by one of

the following methods:

(1) Written notification.

(2) Electronic notification, if the notification provided is consistent with the provisions regarding

electronic records and signatures set forth in 15 USC 7001.

(3) Substitute notification, if AUTO TITLE COMPANY demonstrates that the cost of providing

notification would exceed two hundred fifty dollars, or that the affected class of persons to be

notified exceeds five hundred, or the agency or person does not have sufficient contact

information. Substitute notification shall consist of all of the following:

(a) E-mail notification when the agency or person has an e-mail address for the subject

persons.

(b) Conspicuous posting of the notification on the Internet site of the agency or person, if an

Internet site is maintained.

(4) If AUTO TITLE COMPANY maintains a notification procedure that complies with La. R.S.

51:3071 et seq. as part of its information security policy for the treatment of personal information

it shall be deemed to be in compliance with the notification requirements of this contract if the

contractor notifies subject individuals in accordance with the policy and procedure in the event

of a breach of security of the system.

25. NOTIFICATION TO THE DEPARTMENT. In addition to the notification required in this contract,

AUTO TITLE COMPANY shall notify THE DEPARTMENT if any individual’s personal information

has been accessed through any means that defeats AUTO TITLE COMPANY’S security or internal

controls or which access is contrary to federal or state privacy laws.

26. Upon the termination, suspension, revocation, or expiration of THE DEPARTMENT’S contractual

relationship with AUTO TITLE COMPANY, AUTO TITLE COMPANY shall surrender to THE

DEPARTMENT all unissued temporary license plates, any unprocessed files and associated fees and

taxes, and any log books regarding the issuance of temporary license plates.

27. THIS CONTRACT SHALL NOT BE ASSIGNED.

28. THE DEPARTMENT may terminate this contract at any time by giving thirty (30) days written notice

to AUTO TITLE COMPANY.

29. In the event AUTO TITLE COMPANY fails to maintain a good and sufficient surety bond at any time

during the term of this contract, this contract shall be considered automatically null and void.

30. Upon the expiration of the term of this contract, if the Department has not entered into a new contract

with the AUTO TITLE COMPANY, or issued a nonrenewal notice to the AUTO TITLE COMPANY,

the AUTO TITLE COMPANY may continue to conduct transactions as authorized in this contract, as

well as any transactions authorized in any amendments or supplemental agreements to this contract. The

temporary authorization provided by this paragraph terminates upon the execution of a new or renewed

contract by the AUTO TITLE COMPANY and the Department, or upon the issuance of the nonrenewal

notice from the Department to the AUTO TITLE COMPANY. All other provisions of this contract shall

remain in effect during the period of authorization issued pursuant to this paragraph.

This temporary authorization shall be considered an extension of the existing contract subject to being

terminated upon execution of the new or renewed contract by the AUTO TITLE COMPANY and the

Department, or upon the issuance of a nonrenewal notice by the Department to the AUTO TITLE

COMPANY. This temporary authorization shall not be considered a new or separate contract, and shall

not extend the term of this contract except as expressly provided in this paragraph. The Department

expressly reserves the right to nonrenewal of this contract during the period of temporary authorization

established in this paragraph.

31. AUTO TITLE COMPANY agrees to abide by the requirements of the following as applicable: Title VI

of the Civil Rights Act of 1964 and Title VII of the Civil Rights Act of 1964, as amended by the Equal

Employment Opportunity Act of 1972, Federal Executive Order 11246 as amended, the Rehabilitation

Act of 1973, as amended, the Vietnam Era Veteran's Readjustment Assistance Act of 1974, Title IX of

the Education Amendments of 1972, the Age Discrimination Act of 1975, the Fair Housing Act of 1968

as amended, and contractor agrees to abide by the requirements of the Americans with Disabilities Act

of 1990. AUTO TITLE COMPANY agrees not to discriminate in its employment practices, and will

render services under this contract without regard to race, color, religion, sex, sexual orientation,

national origin, veteran status, political affiliation, or disabilities. Any act of discrimination committed

by AUTO TITLE COMPANY, or failure to comply with these statutory obligations when applicable

shall be grounds for termination of this contract.

32. This contract is subject to any change in applicable law and shall be deemed to conform to such law on

the effective date of the enactment, amendment, or repeal, except that no change in law will affect any

transaction submitted to and received by THE DEPARTMENT prior to the effective date of the

enactment, amendment, or repeal.

IN WITNESS THEREOF, this contract is signed and entered into on the date indicated below:

Department of Public Safety and Corrections

Public Safety Services

Office of Motor Vehicles

State of Louisiana

Business or Company Name:

Karen G. St. Germain, Commissioner

Owner

Printed Name

Date

Physical Address

Mailing Address

STATE OF LOUISIANA

DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS

PUBLIC SAFETY SERVICES

OFFICE OF MOTOR VEHICLES

PUBLIC LICENSE TAG AGENT CONTRACT

This Contract is made and entered into on this ________day of ____________, 20 _____, by and between the Department of

Public Safety & Corrections, Public Safety Services, through the Commissioner of the Office of Motor Vehicles, (hereinafter

referred to as “The Department”), pursuant to La. R.S. 47:532.1, wherein it is provided that The Department may establish a

system of public license tag agents, and,

Public License Tag Agent Name / Number

hereinafter referred to as “PTA.”

WHEREAS, it is the intent of The Department to establish public license tag agents to make vehicle registration and

titling, services available directly to new motor vehicle dealers, auto title companies, and the public, without requiring such

dealers, auto title company representatives, and members of the public to visit a full-service branch office of the Office of Motor

Vehicles (hereinafter referred to as “OMV”), and,

WHEREAS, it is the desire of The Department that public license tag agents be established and maintained at various

locations within Louisiana for the purposes of receiving applications for the titling and registration of motor vehicles, issuing

motor vehicle temporary license plates, license plates and/or decals and the collection of fees, taxes, penalties and other monies

in connection therewith, and for the purposes incident to the duties of such public tag agents, The Department hereby contracts

with PTA subject to the following terms, conditions and limitations:

1. The term of this contract shall be two years from the date this Contract was made and entered into (as stated above), or May

31, 2022, whichever occurs first.

2. PTA agrees to act as a contracted public license tag agent and to maintain, at PTA’s own expense, a primary public license

tag office at the following physical location:

STREET

CITY

STATE

ZIP

and other such locations as PTA may be authorized to establish by The Department in accordance with its guidelines and

compliance by PTA. PTA further agrees and acknowledges that if PTA is qualified to act as such by virtue of being an

AUTO TITLE COMPANY contracted with The Department, all of the terms and conditions of its contract with The

Department as an AUTO TITLE COMPANY are hereby incorporated into this contract, and in the event PTA’s contract as

an AUTO TITLE COMPANY is suspended, revoked, or terminated, this contract shall be automatically suspended,

revoked, or terminated.

3. PTA shall, at its own expense, cooperate with The Department to establish electronic interface capability which will enable

PTA to receive and transmit electronic information concerning the registration and titling of motor vehicles to enable PTA

to process files at its office(s), and to enable PTA to efficiently input and issue temporary license plates in accordance with

La. R.S. 47:519.2, and license plates in accordance with La. R.S. 47:461, et seq. , and other applicable laws, at no cost to

The Department. The equipment and procedures used by PTA shall meet the standards of compatibility established by The

Department, through the Division of Administration, Office of Technology Services, and shall be upgraded, modified, or

7. PTA will receive no compensation from The Department in connection with this contract. PTA will bear all costs

associated with operating as a PTA, and of all physical equipment necessary or required, including but not limited to

telephone lines, computers, computer programming, vehicles, printers, and other costs not covered by The Department.

PTA shall ensure that any printer utilized to print vehicle registrations and license plate decals be maintained in such a

manner as to ensure that it prints barcodes and information on the registrations in a clear and legible manner to produce

documents of good quality for the purpose of microfilming and imaging. The Department may provide printers to PTA for

printing vehicle registrations and decals, if adequate funds are available to do so.

8. The Department, through its designated representatives, during normal working hours of The Department, and at other

times while PTA is actually open and conducting business, shall have the right to inspect, copy, and audit any and all

records and reports that PTA maintains in connection with acting as a PTA, in whatever form it is created or stored,

including but not limited to electronic, digital, computerized, paper, or otherwise. PTA shall maintain records it receives

and creates during the term of this contract for one (1) year after expiration or termination of this contract. Likewise, the

Legislative Auditor or his designees, and the Secretary of the Department of Revenue or his designees, shall have the right

to inspect, copy and audit the records of PTA created and/or maintained in connection with this contract. Upon completion

of an Audit by the Office of Management and Finance – Compliance Review Division PTA will receive a copy of the

results. PTA will then have 90 days to correct the issues and notify Planning upon completion. If you fail to correct all

errors (that can be corrected) and submit any monies due in this time period, the Department shall have the option to limit

the transactions processed by the PTA, or to suspend the PTA’s contract until the Department is satisfied the errors have

been remedied.

9. PTA shall safeguard the electronic equipment which provides access to The Department approved electronic network and

limit access to said equipment and to the data and information from OMV files which are available through said equipment

to only those persons who have been properly trained and instructed in the duties and responsibilities of an authorized user,

and have been approved by The Department as an authorized user.

10. PTA shall implement procedures to ensure that any other printed copy of a vehicle record or of a driver’s license record

obtained from The Department shall be destroyed when its legitimate use is complete.

11. The Department may suspend or terminate the network access privileges of PTA or its employees upon the breach of or

failure to fulfill any responsibility established pursuant to this contract, laws, policies and procedures, and administrative

rules.

12. PTA may only access The Department network for computer files during the normal departmental office hours which

excludes evenings, weekends, and holidays, unless express prior permission is granted by The Department.

13. PTA shall comply with all laws relating to privacy, including but not limited to the Federal Driver Privacy Protection Act,

18 U.S.C. §2721 et seq., and 42 U.S.C. §405(c) (2) (C). Furthermore, PTA shall only disclose personal information it

acquires pursuant to this contract to businesses with which it has a contractual relationship in its official capacity as PTA

and, as is required by the Federal Driver Privacy Protection Act, those businesses seeking the information shall have

obtained the express consent of the individual whose information is sought. All other requests for personal information

from The Department’s records, including but not limited to title, registration, driver’s license, and identification card

records, shall be forwarded to The Department to be addressed by the custodian of the records as required in the public

records law, R.S. 44.1 et seq., and other applicable laws.

14. PTA shall be liable for and shall indemnify and hold harmless The Department, its agents and employees, for any misuse or

misappropriation of any vehicle record, driver’s license record, or related information obtained from The Department by

PTA or its agents or employees in connection with this contract. PTA likewise shall be liable and will hold The

Department, its agents and employees harmless for any damages or other fines or fees resulting from the acts or omissions

of PTA, its agents or employees relating to PTA’s duties hereunder in registering or titling vehicles, recording liens or

security agreements, issuing motor vehicle temporary license plates, license plates, and/or decals, the collection and

handling of taxes, fees and other monies collected in connection therewith, safeguarding Department materials and

equipment such as temporary license plates, license plates, decals, laminators and printers or supplies that may be provided

by The Department, or for any other conduct or activity of PTA under this contract, which damages may include, but are

not limited to, reasonable attorney’s fees, tax penalties and interest provided by law, and any other costs of defending any

such action or claim. The PTA shall promptly notify the Department in writing of any claim, potential claim, demand letter,

or lawsuit naming or alleging either the PTA, the State, or the Department, or any respective employees, agents or

representatives of the PTA, the State or the Department are liable to the claimant. The PTA shall fully cooperate in the

defense of such claim, potential claim, demand letter, or lawsuit.

15. PTA shall be responsible for collected funds forwarded to it by dealers, or received from members of the public, related to

transactions processed by PTA or its employees. PTA may elect, at its discretion, to attach "Dealer’s Bond" in lieu of

recouping funds forwarded to The Department in cases of dealers issuing a "bad check" or “NSF check.”

16. In the event that more than one payment (whether in the form of an electronic ACH debit or paper draft) is dishonored or

returned to the Department as unpaid by the bank or financial institution of the PTA, the Department may immediately

suspend, revoke, or cancel this contract upon written notice to the PTA.

17. PTA shall execute a good and sufficient surety bond with a surety company qualified to do business in Louisiana as surety,

in the sum of $100,000, for a single location, and in the amount of $125,000 for multiple locations. The bond shall

name THE DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS, OFFICE OF MOTOR VEHICLES, as obligee

and shall be subject to the condition that, if PTA shall, throughout the entire term of the bond, timely file with The

Department, through the Office of Motor Vehicles, all applications delivered to PTA for filing, and timely remit all fees and

taxes collected, the obligation shall be void. If PTA fails to meet the conditions of the bond, the obligation of the surety

shall remain in full force and effect. This contract shall not become effective until PTA has complied with the requirements

of this paragraph. In the event PTA fails to maintain compliance with this paragraph during the term of this contract, The

Department may immediately suspend or terminate this contract upon written notice to PTA.

18. La. R.S. 47:532.1 authorizes PTA to collect a convenience fee in addition to the registration license tax and other fees. The

convenience fee shall not exceed eighteen dollars ($18.00) and may be retained by PTA. PTA shall disclose to the customer

the charge or assessment of the convenience fee prior to initiating any transaction. Additionally, the PTA shall post in a

conspicuous manner in his office a disclosure of the convenience fee.

19. PTA shall not display any sign, logo, business name, or trade name, or cause to be advertised any sign, logo, business name,

or trade name which includes the words “office of motor vehicles,” “motor vehicle office” or “motor vehicles office,” or

any similar phrases, unless the sign, logo, business name, trade name, or advertisement clearly and prominently includes a

statement indicating the business’ status as a PTA or in the same size print. If the Commissioner of the Office of Motor

Vehicles determines that any such sign or logo violates this term of the contract, PTA shall, within 30 calendar days of

notification from the Commissioner, permanently remove or revise the offending sign or logo to the Commissioner’s

satisfaction.

20. PTA may advertise his services as such, but restraint and good taste (as determined by the Commissioner) shall be used

when making reference or remarks about The Department, the Office of Motor Vehicles, and/or its employees or services.

Should clarification of subject matter be desired prior to publication or broadcast, advertisement content may be submitted

to The Department through the Office of Motor Vehicles for review and comment.

21. PTA agrees that it and its employees and agents shall not engage in or operate any other business from any physical

location where it transacts business as an auto title company or PTA, which business could reflect negatively on The

Department, or create a conflict of interest in acting as an auto title company or PTA. PTA agrees to notify OMV of any

other business PTA or its agents or employees may transact from any physical location where it transacts business as a PTA

and will not conduct or allow any business to be conducted at PTA’s location that is deemed by The Department to be a

conflict of interest or reflect negatively on The Department or PTA.

22. PTA agrees to abide by the requirements of the following as applicable: Title VI of the Civil Rights Act of 1964 and Title

VII of the Civil Rights Act of 1964, as amended by the Equal Employment Opportunity Act of 1972, Federal Executive

Order 11246 as amended, the Rehabilitation Act of 1973, as amended, the Vietnam Era Veteran's Readjustment Assistance

Act of 1974, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, the Fair Housing Act of

1968 as amended, and contractor agrees to abide by the requirements of the Americans with Disabilities Act of 1990. PTA

agrees not to discriminate in its employment practices, and will render services under this contract without regard to race,

color, religion, sex, sexual orientation, national origin, veteran status, political affiliation, or disabilities. Any act of

discrimination committed by PTA, or failure to comply with these statutory obligations when applicable shall be grounds

for termination of this contract.

23. PTA shall not assign this contract, or any right or privilege established in this contract, without prior written consent of the

Department. Any request for approval of an assignment shall include proof acceptable to the Department that the PTA has

provided a copy of this contract, together with all addendums, to the assignee, and that the assignee agrees to be bound by

the terms of this contract and all addendums. The failure of the either, the PTA or the assignee, or both, to comply with the

requirements of this paragraph shall be grounds for immediate termination of the contract.

24. Upon the expiration of the term of this contract, if the Department has not entered into a new contract with the PTA, or

issued a nonrenewal notice to the PTA, the Department may authorize the PTA to temporarily continue to conduct

transactions as authorized in this contract, as well as any transactions authorized in any amendments or supplemental

agreements to this contract. Any temporary authorization granted pursuant to this paragraph shall be in writing. Any

temporary authorization granted pursuant to this paragraph terminates upon the execution of a new or renewed contract by

the PTA and the Department, or upon the issuance of the nonrenewal notice from the Department to the PTA. All other

provisions of this contract shall remain in effect during any period of authorization issued pursuant to this paragraph. Any

temporary authorization granted pursuant to this paragraph shall be considered an extension of the existing contract subject

to being terminated upon execution of the new or renewed contract by the PTA and the Department, or upon the issuance of

a nonrenewal notice by the Department to the PTA. Any temporary authorization shall not be considered a new or separate

contract, and shall not extend the term of this contract except as expressly provided in this paragraph. The Department

expressly reserves the right to not renew this contract during any period of temporary authorization established and granted

pursuant to this paragraph.

25. Either party may terminate this contract at any time by giving thirty (30) days written notice to the other party through the

persons who have signed this contract on behalf of the parties.

26. The Department may terminate this contract for PTA’s or its agents’ or employees’ failure to abide by all of the terms and

conditions of this contract. If PTA is also an Auto Title Company contracted with The Department, termination,

cancellation or suspension of that contract shall result in the termination, cancellation, or suspension of this contract.

27. THIS CONTRACT is subject to revision and amendment if necessary to implement new law.

IN WITNESS WHEREOF, the said parties have hereunto set their hands the day and year first written above.

Department of Public Safety and Corrections

Public Safety Services

Office of Motor Vehicles

State of Louisiana

Karen G. St. Germain, Commissioner

Agent

Printed Name

Name of Business or Company

Date

Physical Address

Mailing Address

Date

Contract year ending May 2022

OTS Network Connectivity Questionnaire

May 29, 2019

Important: All questions must be answered completely. Incomplete questionnaires will be

returned to the submitting agency or company. Return completed questionnaire to the

email address you received it from.

Date Submitted / /

Company Name

Company Street Address

(Address where equipment will be installed)

City State Zip

Company Mailing Address

City State Zip

Primary Contact’s Name

Primary Contact’s Title

Primary Contact’s Phone Number ( ) -

Fax Number ( ) -

E-Mail Address (Required)

Secondary Contact’s Name

Secondary Contact’s Title

Secondary Contact’s Phone Number ( ) -

Fax Number ( ) -

E-Mail Address

Date Received ____/_____/_____

At OTS

OTS Network Connectivity Questionnaire

May 29, 2019

1. Explain what type of new service is being requested. (i.e. relocation or new installation)

New Installation

Relocation of an existing Installation.

Additional Services for an existing Installation

Other: Specify

2. Which agency are you requesting access to?

DNR

DCFS

DPS (LSP, OMV)

LDR

DOE

Other: Specify

3. If this is a VPN request, please provide the public static IP address (Peer

IP):____.____.____.

4. What resources i.e. databases/applications will be accessed via this connection?

5. How many workstations and/or network printers are you requesting for new or existing

connectivity?

6. Please attach a detailed and accurate schematic of your network. See example that is

included in this document.

OTS Network Connectivity Questionnaire

May 29, 2019

Page 3 of 5

This is a mandatory requirement.

Identify the component(s) within your network, which will be used for the physical

connection to the OTS network. If your network contains multiple LAN segments,

show how they will be isolated from the OTS LAN segment. Include all interfaces to

wireless networks. Label all components.

Important: Your application will not be processed without a network diagram.

I certify that the above information is complete and correct and that all equipment

connected from this agency/company to the OTS network shall conform to the OTS

Network Connectivity Policy. I also agree to provide to OTS all proposed network changes

and will not install these changes until I have received written approval from OTS that the

proposed changes meet with OTS’s current network connectivity policy.

Submitted By:_________________________________________Date:___________________

Signature

Type or Print Name: ___________________________________________________________

Title:___________________________________________________________

OTS Network Connectivity Questionnaire

May 29, 2019

Page 4 of 5

NETWORK DIAGRAM EXAMPLE

OTS Network Connectivity Questionnaire

May 29, 2019

Page 5 of 5

Appendix 

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

(Revised 05/14/2014)

PLEASE VERIFY THE FOLLOWING BEFORE PROCEEDING ANY FURTHER:

 You’re able to successfully ping IP address 170.145.0.36 from a DOS-prompt on the computer

the software will be installed on. Your results should look similar to the example below.

C:\>ping 170.145.0.36

Pinging 170.145.0.36 with 32 bytes of data:

Reply from 170.145.0.36: bytes=32 time=1ms TTL=63

Ping statistics for 170.145.0.36:

Packets: Sent = 4, Received = 4, Lost = 0 (0% loss),

Approximate round trip times in milli-seconds:

Minimum = 1ms, Maximum = 1ms, Average = 1ms



You’re able to successfully ping FQDN address UNIFAST.DPS.STATE.LA.US from a DOS-prompt

on the computer the software will be installed on. Your results should look similar to the

example below.

C:\>ping UNIFAST.DPS.STATE.LA.US

Pinging UNIFAST.DPS.STATE.LA.US [170.145.0.36] with 32 bytes of data:

Reply from 170.145.0.36: bytes=32 time=1ms TTL=63

Ping statistics for 170.145.0.36:

Packets: Sent = 4, Received = 4, Lost = 0 (0% loss),

Approximate round trip times in milli-seconds:

Minimum = 1ms, Maximum = 1ms, Average = 1ms

If you are unable to ping either of the above addresses, please verify the

network configurations in the VPN Parameters document you received

from Network Support.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

PLEASE FOLLOW THESE INSTRUCTIONS EXPLICITLY.

o install UTS eXpress…

1. Click [Next >].

2. Click [Next >].

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

3. Click [Next >].

4. Check the box and click [Next >].

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

5. Click [Finish].

6. A

fter UTS eXpress has been installed…

7. D

ouble-click on the “UTS eXpress Enterprise” icon on your desktop.

8. C

lick [Actions] => [Configure Screens…] on the UTS eXpress Enterprise Control Panel.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

9. In the upper left-hand corner of the window, click [New Screen].

10. On the “Screen Connection” tab, make all of the settings look like the screen below, except for

the “Name” and “Station Name” fields. The “Station Name” field will be EXACTLY seven (7)

characters long, containing the “work” PID that you were issued (NOT THE ITI PRINTER PID).

Fill in the “Station Name” field using the following format:

• The letters “LN”, followed by…

• Padded zeros (0’s) (if necessary), followed by…

• The PID number you were issued

The necessary number of padded zeros is determined by how many zeros it takes to complete

seven characters. For example, if you were assigned PID 268, you’ll enter LN00268 into the

“Station Name” field. Notice that two zeros were added to make it seven characters long.

11. MAKE SURE WHAT YOU TYPE IN THE “STATION NAME” FIELD IS EXACTLY SEVEN (7)

CHARACTERS LONG, AND TYPE THE EXACT SAME INFORMATION INTO THE “NAME” FIELD.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

12. Click [Host Connections…]. Click [Yes].

(

The “eXpress Connections Configurations” screen will appear.)

13. D

ouble-click [MYHOST] and make the settings look like the screen below. The “Destination IP

Address” must contain the FQDM (Fully Qualified Domain Name) of:

UNIFAST.DPS.STATE.LA.US

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

** You’ll have to click on [Edit IP Address…] in order to enter the settings below. **

14. C

lick [OK].

15. D

ouble-click [TIP] or [TIPCSU] on the “Connections Points (Open Ids.)” side and make the

settings look like the screen below.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

16. Click [OK].

17. Click [Save and Close]. This will take you back to the “UTS Configuration” screen.

18. S

elect “TIP” in the pull-down menu under “Selected Connection Point (OpenId)”.

19. Y

our “UTS Configuration” screen should look like the one below with your assigned PID entered

for the “Name” and “Station Name” fields.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

20. If this will be the only PID configured on this workstation, click [OK] and proceed to step 14 on

page 13. If you were assigned an auxiliary (MVR), Driver’s License (DL), or Reinstatement

(DMB) printer PID that will also be configured on this workstation, proceed to the next step.

21. C

lick the “Duplicate Screen” button and enter the printer PID you were assigned in the “Name”

and “Station Name” fields. Use the same format explained in step 10. Make sure the fields

match and are exactly seven (7) characters long. (see below)

22. To

configure the printer settings, proceed to the next page.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

Software Configurations for the Printer PID (Auxiliary, DL, or DMB)

n order for your transactions to print correctly, a physical printer must be associated with the

auxiliary (MVR), Driver’s License (DL), or Reinstatement (DMB) printer PID, and special configurations

must be entered in the UTS eXpress software.

** Before proceeding, please ensure the following:

 UTS eXpress is successfully installed on the workstation

 An actual assigned “PRINTER PID” is configured in UTS eXpress on the workstation

 The printer you want to print to is installed on the workstation, and you can successfully print to

it from another application

1. Under “Screen Selector” (left-hand side), click on the printer PID.

2. C

lick on the “Screen Settings” tab.

3. U

ncheck the box beside “Always show print dialog on Print Screen”.

4. C

lick “Select Printer(s)”.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

5. Click “Manage Printers…”.

6. C

lick “Add a Printer…”.

7. Type-in a descriptive name for the printer you want to print to, and click [OK].

.g., Lexmark MS811, Lexmark T654, DL Printer, DMB Printer , etc.)

8. S

elect the printer you’ll be printing to from the “Selected Printer” pull-down menu.

9. C

hange the font size to “11” and check the “Use Pass-through Printing” box.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

10. Make the settings in the “Pass-through Print Settings” section look like those in the screen

below and click [OK].

11. C

lick [OK] on the “UTS Printer Manager” window.

12. O

n the “Select Configured Printers” window, under “Primary Printer (DID1)”, select the printer

you just added from the pull-down menu. Click [OK].

13. C

lick [OK] on the “UTS Configuration” screen.

LADPS – UNISYS Software Support | Installing and Configuring UTS eXpress Enterprise (Stand-alone Version) for PTA’s

14. You should now see the button(s) for the PID(s) you just configured on the “UTS eXpress Control

Panel”.

15. If you configured a printer PID on this workstation, click the button on the “UTS eXpress Control

Panel” that corresponds with it. The screen should open and display “Session Path Opened”.

16. N

ext, click on the button corresponding with the PID you will be processing work on. The screen

should open and display “Session Path Opened”.

17. O

n your “work” PID, type-in “ID” at the blinking cursor, and press [Enter] on the keyboard to

transmit.

Congratulations! You have completed installing and configuring UTS eXpress!

If you experience problems installing/configuring your UTS eXpress software,

please contact KMSYS Technical Support at (770) 635-6363.

Page | 91

INSTRUCTIONS - TO ENTER MAPPER ON THE COMPUTER

Must Download BISPROD (http://www.dps.louisiana.gov/bisprod.html)

x User-id: Example: MR0111SH

x Department: 92

x Password: Enter password and click OK

x If password needs to be changed, click change password

On the next screen that appears type new password twice and click OK

A. Type in MENU and transmit. Tab to generate a receipt and transmit.

B. Enter information requested and transmit (do this for each separate type of revenue)

When you have finished entering receipts;

C. Go back to the menu screen, tab to daily totals and transmit.

Leave the date blank, but put the letter D in type wanted.

D. Type in COP, and your printer number and transmit

Ex. COP, 1234 transmit

E. In order to print, go to print screen/second screen. On the print screen, enter

^ (located above the #6) and transmit. This makes your report print.

F. After the report prints, clear your screen, type in ID and transmit

G. Go back to your other screen, type in menu, tab to exit mapper and transmit.

Page | 92

REVENUE TYPES-(Can also be found on BISPROD REPORT Form)

Temporary Markers

Revenue type – 01

Receipt type – 01 (check or cash)

Receipt type – 02 (handling fee - $8.00)

Note: 1 set of 25 tags = 1 item number,

etc.

Secure Power of Attorney

Revenue type

– 26

Receipt type

– 01 (check or cash)

Receipt type

– 02 (handling fee -

$8.00)

1 set of 10 forms = 1 item number, etc.

Inspection Stickers

Revenue type

– See codes below

– Regular 1 yr. Insp. Stickers

– 2 yr. Inspection Stickers

– Commercial Insp. Stickers

49 – Rejection Stickers and Free Items

*to get a receipt # to VOID – go to daily totals; type wanted “D”, X-MIT – should bring up receipt number.

Mapper 92

Type in MENU and transmit.

Tab to generate a receipt and transmit.

Page | 93

Enter information requested and transmit (do this for each separate type of revenue)

REVENUE TYPES-(Can also be found on BISPROD REPORT form)

Temporary Markers

Revenue type – 01

Receipt type – 01 (check or cash)

Receipt type – 02 (handling fee - $8.00)

Note: 1 set of 25 tags = 1 item number, etc.

Secure Power of Attorney

Revenue type – 26

Receipt type – 01 (check or cash)

Receipt type – 02 (handling fee -

$8.00)

1 set of 10 forms = 1 item number, etc.

Inspection Stickers

Revenue type – See codes below

16 – Regular 1 yr. Insp. Stickers

54 – 2 yr. Inspection Stickers

48 – Commercial Insp. Stickers

49 –

Rejection Stickers and Free Items

Page | 94

When you have finished entering receipts: Go back to the menu screen, tab to daily totals and

transmit.

Leave the date blank, put “D” in type wanted.

Page | 95

Print this screen for your reports

To void a receipt: Go back to daily totals, type wanted “D” transmit. This will bring up the list of receipts

entered for today.

Page | 96

Enter the receipt number and amount that you wish to void and transmit.

Page | 97

APPER FOR T-MARKERS SOLD MUST BE ENTERED

INTO THE SYSTEM, no later than the following working day.

Mapper Reports for Audits are to include:

1) Completed BISPROD Report (including all required signatures)

alidated Deposit Slips – Bank One/Chase account holders

FT transmittal is mailed in with the m

onies

4) C

opy of Dealer’s License, Auto Title Company Authorization Ce

rtificate or

inancial Institutions Charter

Application for Temporary Registration Markers (form 1642)

rintout of daily mapper computer entry

Find BISPROD Report on:

x DPS Intranet Homepage

x Click Office of Motor Vehicles

x Click Forms

x Click arrow next to Drivers Management Bureau

x Click BISPROD Report (formerly Mapper Report)

Mail the

following three items to Danny James (address listed below):

1) Form 1707 (BISPROD Report)

2) Mapper Printout

3) Check made payable to DPS

ATTN: Danny James

Office of Management & Finance

Financial Services

PO BOX 66909

BATON ROUGE, LA. 70896

LOUISIANA DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS

PUBLIC SAFETY SERVICES

FINANCIAL SERVICES

P. O. BOX 66909

BATON ROUGE, LA 70896

Tel : (225) 925-6400

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS

I hereby authorize the Office of Motor Vehicle, through Public Safety Services, Financial Services Office,

to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in

error to my designated account, indicated below and the financial institution named below, to debit and/or

credit the same to such account. Fax the complete document to (225) 925-4990.

Company or Business Name _____________________________________________________________

Business Address ______________________________________________________________________

City _________________________________ State _________________ Zip ________________

Telephone #___________________________

Bank Name ___________________________________________ Account No. ____________________

Federal Tax ID # _______________________________________

E-Mail Address ________________________________________ PTA Office#____

This agreement may be terminated by either party. The Department of Public Safety, Public Safety

Services, Financial Services Office, may also suspend this agreement in accordance with the rules.

Authorized Signatures on this account: _____________________________________________________

Financial Services Officer’s Signature __________________________________Date _______________

--------------------------------------------------------------------------------------------------------------------------------

THE BOTTOM PORTION OF THIS FORM MUST BE FILLED OUT BY THE PARTICIPATING

FINANCIAL INSTITUTION

Will these funds be drawn from a Checking Account _____ or Savings Account _____

Is the above account number, correct? ___ Yes ___ if no, correct number _______________________

Do you participate in Automated Clearing House (ACH) ____ Yes ____ No

Financial Institution’s Transit/ABA No. ____________________________________________________

Authorized Officer ________________________________________ Title ________________________

FUNDS WILL BE DRAFTED FROM THE ABOVE ACCOUNT WITHIN (2) BUSINESS DAYS

Virtual Private Network Policy

February 7, 2019

Purpose

The purpose of this policy is to provide guidelines for Virtual Private Network (VPN)

connections to the Office of Technology Services (OTS) data network.

Scope

This Policy applies to all OTS employees, contractors, consultants, temporaries, and

other workers including all personnel affiliated with third parties utilizing VPNs to access

the OTS data network. This policy applies to all LAN-to-LAN VPN connections that are

directed through and controlled by, the OTS VPN Head-end Palo Alto Appliance and/or,

other OTS VPN peer devices such as a Cisco PIX or ASA (Adaptive Security Appliance)

device. Those third parties entering into this agreement will be referred to from here on,

as Business Partners or BP.

Policy

1. The BP may utilize the benefits of the OTS LAN-to-LAN VPN connection

facilities. The BP and/or their vendors shall be responsible for selecting an

Internet Service Provider (ISP), coordinating installation, installing any

required software and/or hardware, paying associated fees and troubleshooting

any issues related to their ISP connection and VPN configuration.

2. Employees and/or vendors of the BP are required to submit a signed VPN

Connection Agreement to OTS prior to being granted access to the OTS

network.

3. Employees and/or vendors of the BP are required to abide by all rules and

regulations set forth within this policy and the VPN Connection Agreement.

4. It is the sole responsibility of the BP to ensure that unauthorized access is not

allowed to the OTS data network.

5. Each user with authorized access to the OTS network shall maintain a unique

identification and shall only be used by the individual to which it has been

assigned. Assignment of group sign-on user-ids is prohibited.

6. All computers with access to the OTS internal networks via LAN-to-LAN

VPN or any other technology must use the most up-to-date anti-virus software

that has been approved by OTS’ IT section.

7. Remote access control software (i.e. PC Anywhere, Remote Control, Remote

Administrator, NetOp Remote Control, iSpyNOW, etc.) shall not be installed

on any computer with VPN access to the OTS network.

8. The BP must configure their equipment to comply with OTS’ VPN and

network polices.

9. No data shall be loaded and stored on any computer from any other device on

the OTS network.

10. OTS can recommend VPN hardware devices for LAN-to-LAN VPN

connections, but can not verify that a user purchased device will be

compatible with the OTS network.

11. By using LAN-to-LAN VPN technology, the BP must understand that their

machines are a de facto extension of OTS’ network, and as such are subject to

the same rules and regulations that apply to OTS owned equipment.

12. The BP is responsible for deleting all VPN related software and

configurations from their personal equipment prior to transferring ownership

or disposing of the equipment.

13. Lost or stolen equipment with VPN access shall be reported immediately and

the associated security record(s) removed from all VPN access files.

14. LAN-to-LAN VPN connections are suggested to have a minimum connection

speed of 256 kilobits-per-second. This means that the connection provided by

the ISP, must have at least a 256k up and down speed. Consult your ISP for

details.

15. OTS Network Support will assist in verifying OTS configuration and

connectivity at the OTS VPN peer, but are not responsible for troubleshooting

past that device. OTS will maintain a standard configuration for all VPN Peers

to minimize configuration complications.

16. Maintenance performed on the OTS peer device will not be announced to

VPN partners unless the down time will be excessive. OTS will insure all

Security Agreements (SA) are reestablished after maintenance periods.

OFFICE OF TECHNOLOGY SERVICES

VPN CONNECTION A G R E EM E N T

February 7, 2019

This Memorandum of Understanding (MOU) is written between the Office of

Technology Services (OTS) and _______________________. This MOU is to provide

the commitment from ________________ that only personnel authorized by OTS will be

permitted to utilize the Virtual Private Network (VPN) connection to the OTS private

network. This access will be for the express purpose of fulfilling the contractual

agreements between OTS and __________________. All access requirements to OTS

private network resources must be specified in writing and no other access rights are

implied or conveyed. If additional access rights are needed, notification will be given in

writing to OTS, and the concurrence of OTS authorities shall be obtained in advance.

1. BP has been furnished, read, understands, and agrees to abide by OTS’ Virtual

Private Network (VPN) Policy.

2. BP grants OTS permission to perform on site audits of their VPN remote

equipment and/or all PCs connecting thru the VPN to ensure compliance of this

agreement and VPN policy. These audits shall be performed solely at the

discretion of OTS.

3. BP shall maintain current antivirus software on all computers connecting to OTS

via the VPN.

4. BP users shall not obtain information from any OTS computer for purposes other

than official business.

5. BP users shall not manipulate data on any OTS computer to effect fraud.

6. Unauthorized browsing and unauthorized disclosure of any information, records

or files residing on the OTS private network is strictly forbidden. Any violation

will be subject to criminal prosecution.

7. An unauthorized attempt to gain entry to a system, or use of unauthorized

software, such as network port scanners, by the BP is strictly forbidden.

8. BP users shall not share any information that is obtained from any OTS

computer, except in the official performance of their duties, with any other

person without official authorization.

9. BP users are responsible for the confidentiality of his/her computer password.

10. BP users are prohibited from loading and storing any data from the OTS network

on their VPN client computer.

11. BP users are responsible for all computer activity logged against his/her user id,

regardless of who inputs the transaction.

12. If a BP user has any reason to believe his password has been compromised, a

new password shall be input immediately.

13. All VPN access and accounts will be removed at termination of the contract or

service.

U S E R S T A T E M E N T

I certify that I have read and understand the OTS VPN network policy and this VPN

Connection Agreement. I agree to abide by the rules and regulations set forth in these

documents and understand that non-compliance with any part may constitute grounds for

cessation of OTS business with the offending party and possible criminal prosecution

User Name (print) _____________________ _____________________

Company or Department/Section _________ _____________

Physical Address Where VPN Client Equipment is Located

________________________________________________________________________

User’s Phone Number _______ _________________________________

User’s E-Mail Address _____ ________________________

Access Being Requested _ _

User’s Signature ____ ____________ Date _______________

Supervisor’s Signature ______________________________ Date _______________

FOR OTS IT SECTION USE ONLY

Final Approved By: ____________________________________________________

Access Approved: _____________________________________________________

_____________________________________________________

Date: ___________________________________________

Appendix 

Subchapter B. Public Tag Agents

§1551. Definitions

As used in Chapter 15, Subchapter B, the following

terms have the meanings described below.

Commissioner―Deputy Secretary of the Department of

Public Safety and Corrections, Public Safety Services.

Department―Department of Public Safety and

Corrections, Office of Motor Vehicles.

Driver Privacy Protection Act―the federal Driver

Privacy Protection Act of 1994 (DPPA) (Title XXX of P.L.

103-322), 18 U.S.C. §2721 et seq., as implemented by the

department in the Louisiana Administrative Code, Title 55,

Part III, Chapter 5, Subchapter B.

Personal Information―information which includes the

full name, complete physical address, and date of birth,

driver's license number, and Social Security number.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2415 (December 1999).

§1553. Authority; Businesses and Governmental

Entities

A. R.S. 47:532.1 authorizes the commissioner to

establish a system of public tag agents authorized to collect

the registration license taxes, as well as applicable sales and

use taxes, and issue registration certificates and license

plates to motor vehicles. An agent may be either a municipal

or parish governing authority, a new motor vehicle dealer or

his agent, or an auto title company. Public tag agents shall

also be authorized to receive and process applications filed

for certificates of title, duplicate certificates of titles,

corrected certificates of title, recordation of liens, mortgages,

or security interests against motor vehicles, conversions of

plates, transfers of plates, replacements of lost or stolen

plates and/or stickers, renewals of registration, duplicate

registrations, and additional applications or transactions

authorized by the commissioner.

B. The commissioner and a public tag agent, other than

municipal and parish governing authority, shall enter into a

contract which shall state the required procedures for the

implementation of authorized activities. See §1569 for a

copy of the contract.

C. With the exception of the requirements for a surety

bond, all rules and regulations as well as all contractual

provisions shall apply to municipal and parish governing

authorities acting as public tag agents.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2415 (December 1999).

§1555. Convenience Fee

Public tag agents may collect a convenience in

addition to any other fee or tax collected when processing a

transaction for the department. The convenience fee shall not

exceed $10, and shall be retained by the public tag agent.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2415 (December 1999), amended LR 27:1927 (November

2001).

§1557. Administrative Actions

A.1.

The assistant secretary or his designee may suspend,

revoke, cancel, or terminate the public tag agent's contract

upon a violation by the agent or any agent's officers,

directors, employees, owners, or other representatives of any

responsibility or requirement established pursuant to the

contractual agreement. LAC 55:III.Chapter 15.Subchapter B,

or R.S. 47:532.1. In lieu of any of the previously listed

actions, the deputy secretary may take other administrative

action for such a violation including but not limited to the

imposition of a fine or other sanction.

Add

itionally, the assistant secretary or his designee

may suspend, revoke, cancel, or terminate the status of any

person who is an employee, officer, director, or other

representative of the public tag agent upon a violation of any

responsibility or requirement established pursuant to the

contractual agreement. LAC 55:III.Chapter 15. Subchapter

B, or R.S. 47:532.1. It shall be the responsibility of the

public tag agent to insure that all employees, officers,

directors, or other representatives of the public tag agent are

familiar with these responsibilities and requirements.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2415 (December 1999), amended LR 27:1927 (November

2001).

§1559. Applications

Those persons interested in becoming a public tag

agent may inquire at the following address:

Attention: Planning and Coordination

Office of Motor Vehicles

Post Office Box 64886

Baton Rouge, LA 70896

B. No person shall act as a public tag agent until after

submitting an application to the department on the approved

form, and after the application has been approved by the

department.

C. No person shall act as an employee, officer, director,

or other representative of a public tag agent until after the

person submits an application to the department on the

approved form, and after the application has been approved

by the department.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2416 (December 1999).

§1561. Eligibility, Suspension, Revocation, or

Cancellation of Public Tag Agent's Authority

A. The following actions by a public tag agent, or by any

of the public tag agent's employees, officer's, directors,

managers, representatives, or owners, may subject the public

tag agent to suspension, revocation, or cancellation of the

public tag agent's authority by the department. In the

alternative, the department may impose restriction on the

public tag agent's authority as a result of any of the

following actions by the public tag agent or applicant, or by

any of the public tag agent's employees, officer's, directors,

managers, representatives, or owners. The department may

also deny an application and refuse to grant the applicant

authority to act as a public tag agent as a result of any of the

following actions by the applicant, or by any of the

applicant's employees, officer's, directors, managers,

representatives, or owners:

1. failure to remit taxes and fees collected from

applicants for title transfers;

2. repeated late filings;

3. operating as an auto title company or pub

lic tag

agent without a

license or authorization for each location,

with an expired license or authorization, or without a valid

surety bond on file with the Office of Motor Vehicles;

4.a. the issuance of more than one temporary

registration (T-marker) to a title applicant; or

b. the issuance of a T-marker without first collectin

all tax

es and fees and requiring the title applicant to show

proof of compliance with the compulsory insurance law;

5. operating from an unlicensed or unauthorized

location;

6. changing the ownership of the public tag agent and

not reporting in writing to the Office of Motor Vehicles

within 30 days from the date of such change;

7. changing the officers or directors of the public tag

ent and not reporting in writing to the Office of Motor

Vehicles within 30 days from the date of such change;

being a principal or accessory to the alteration

ocuments relevant to a registration or titling transaction that

results in material injury to the public records or a short fall

in the collection of taxes owed;

9. the forwarding to the Office of Motor Vehicles by a

public tag agent of a document relevant to a registration or

titling transaction that results in a material injury to the

public records, or a short fall in the collection of taxes owed

when the public tag agent had knowledge of facts causing

such injury or shortfall, and failed to disclose the same to the

Office of Motor Vehicles;

conviction of, or an entry plea of guilty or nol

cont

endere to, any felony or conviction of, or an entry plea

of guilty or nolo contendere to, any criminal charge, an

element of which is fraud;

11. fraud, deceit, or perjury in obtaining any license

issued under this Chapter;

failure to maintain at all times during the existen

f the authorization, all qualifications required for issuance

or renewal of the authorization;

13. any material misstatement of fact or omission of

fact in any application for the issuance or renewal of an

authorization for a public tag agent;

14. the repeated submission of checks which have been

dishonored by the bank on which the check was drawn.

B. The department may revoke, suspend, or cancel any

approval, license or permit of any employee, officer,

director, manager, representative, or owner of a public tag

agent who violates any provision of Subsection A of §1561.

Any person subject to an order as provided in this Paragraph

shall not work for, or be associated with, the public tag agent

in any manner unless approved by the department in writing.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2416 (December 1999).

§1563. Name, Trade Name, Advertisements, and Other

Signage of Public Tag Agents

A. No public tag agent shall display any sign, logo,

business name, or trade name, or cause to be advertised any

sign, logo, business name, or trade name which includes the

words "office of motor vehicles," "motor vehicle office," or

"motor vehicles office," or any similar phrases, unless the

sign, logo, business name, trade name, or advertisement

clearly and prominently includes a statement indicating the

business's status as a public tag agent.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2416 (December 1999).

§1565. Driver Privacy Protection Act

A. Every applicant for a driver's license, certificate of

title, or for a new or renewed vehicle registration at a public

tag agent's place of business shall be given the opportunity

to prohibit the disclosure of personal information as defined

in LAC 55, Part III, Chapter 5, §553, Subchapter B, by

completing the department's approved form, and submitting

the form to the public tag agent. The public tag agent shall

forward the properly completed form to the department. The

public tag agent shall advise the person submitting the form

that any form which is incomplete or which is illegible shall

not be processed and shall not be returned.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2416 (December 1999).

§1567. Bond Requirement

All public tag agents other than municipal and parish

governing authorities shall furnish security for the faithful

performance of their duties as follows.

1. Each public tag agent other than a municipal

governing authority shall execute a good and sufficient

surety bond with a surety company qualified to do business

in Louisiana as surety, in a sum of not less than $10,000 nor

more than $100,000, if surety bond is available for purchase,

which bond shall name the Department of Public Safety and

Corrections, Office of Motor Vehicles as obligee and shall be

subject to the condition that, if such public tag agent shall,

throughout the entire term of the bond, timely file with the

office of motor vehicles all applications delivered to such

public tag agent for filing, and all fees and taxes collected by

such public tag agent, the obligation shall be void. If the

company does not do so, the obligation of the surety shall

remain in full force and effect. A public tag agent having

multiple locations need furnish only a single $10,000 surety

bond in addition to any other bonds required by law.

2. The surety bond furnished pursuant to §1567 shall

be delivered to and filed with the Department of Public

Safety and Corrections, Office of Motor Vehicles.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2417 (December 1999).

§1569. Contracts

. The commissioner and public tag agents other than

municipal and parish governing authorities may enter into

contracts which shall state the required procedures for the

implementation of LAC 55, Part III, Chapter 15, Subchapter

B. Such contracts may terminate upon violation of R.S.

47:532.1, LAC 55, Part III, Chapter 15, Subchapter B, or the

provisions of the contract between the department and the

public tag agent foregoing provisions.

B. The contract between the department and the public

tag agent shall be on the form approved by the assistant

secretary. The department may require that a public tag agent

sign separate contracts to perform the following functions:

1. processing title work and issuing of registratio

certificates and pe

rmanent license plates;

2. conducting testing for, and in the issuance of, class

"D" and "E" driver's licenses;

3. processing the filing of electronic liens;

ocessing the reinstatement of driver's licen

ses and

roviding status information.

C. The contract between the department and the public

tag agent shall have a term of one year. The department may

provide for automatic renewals.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2417 (December 1999), amended LR 27:1927 (November

2001).

§1571. Declaratory Orders and Rulings

A. Any person desiring a ruling on the applicability of

any statute, or the applicability or validity of any rule in

LAC 55, Part III, Chapter 15, Subchapter B, regarding

public tag agents, shall submit a written petition to the

deputy secretary. The written petition shall cite all

constitutional provisions, statutes, ordinances, cases, and

rules which are relevant to the issue presented or which the

person wishes the deputy secretary to consider prior to

rendering an order or ruling in connection with the petition.

The petition shall be typed, printed or written legibly, and

signed by the person seeking the ruling or order. The petition

shall also contain the person's full printed name, the

complete physical and mailing address of the person, and a

daytime telephone number.

B. If the petition includes reference to a specific

transaction handled by the department or a public tag agent,

or if the petition relates to the issuance, revocation,

cancellation, or denial of any license, permit or

authorization, then the person submitting the petition shall

also submit proof that he has notified all of the persons

involved in the transaction or issuance, revocation,

cancellation, or denial of the license, permit or authorization

by certified mail, return receipt requested. If the person is

unable to notify the involved person or persons after

otherwise complying with the notice requirement, he shall so

state in his petition.

C. The deputy secretary may request the submission of

legal memoranda to be considered in rendering any order or

ruling. The deputy secretary or his designee shall base the

order or ruling on the documents submitted including the

petition and legal memoranda. If the deputy secretary or his

designee determines that the submission of evidence is

necessary for a ruling, the matter may be referred to a

hearing officer prior to the rendering of the order or ruling

for the taking of such evidence.

D. Notice of the order or ruling shall be sent to the

person submitting the petition as well as the security

provider receiving notice of the petition at the mailing

addresses provided in connection with the petition.

E. The deputy secretary may decline to render an order

or ruling if the person submitting the petition has failed to

comply with any requirement in this Section.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1 and R.S. 49:962.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

25:2418 (December 1999).

§1573. Confidentiality

The public tag agent, its employees, representatives,

and agents shall maintain the confidentiality of all records

and information received or processed in connection with

any function performed pursuant to a contract with the

department.

B. The public tag agent shall forward all request for

information commonly referred to as public records request

to the department for a response.

C. The public tag agent shall be responsible for the

disclosure of any information in connection with the

processing of any transaction on behalf of the department.

The public tag agent shall comply with all applicable federal

and state laws regarding the disclosure of information,

including but not limited to 18 U.S.C. §2721 et seq., and 42

U.S.C. §405(c)(2)(C).

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE; Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

27:1927 (November 2001).

§1575. Driver's License Issuance

A. A public tag agent may contract with the department

to administer the necessary tests and issue or renew

identification cards, handicap hang tag identification cards,

and driver's licenses. The written knowledge test and the

driving or skills test shall be administered in accordance

with the provisions of LAC 55:III.Chapter 1.Subchapter C.

B. The public tag agent's third party examiner shall

utilize only department approved visual screening

equipment. In lieu thereof, each examiner may opt to utilize

the standard Snellen wall-chart for visual acuity. The visual

acuity testing shall be administered in a manner approved by

the department.

C. A public tag agent shall develop controls to secure the

materials and equipment necessary to issue driver's licenses.

Such controls shall be submitted in writing to the

department. A public tag agent shall not issue any driver's

licenses until the controls required by this Section have been

approved by the department in writing. Once approved, the

controls shall be implemented as written. Any changes to the

control approved by the department shall be approved in

writing prior to implementation.

D. The department shall designate the types of driver's

license and identification card transactions a public tag agent

may perform, such as renewals and duplicates. Such

designation shall be at the sole discretion of the department.

Identification cards include the photographic identification

issued with a handicap hangtag.

E. Qualifications for Issuance of Driver's Licenses and

Identification Cards. In addition to the qualification

requirements contained in statute and this Chapter, a public

tag agent shall meet these additional requirements in order to

be approved to perform driver's license and identification

card transaction designated by the department.

1. Insurance. The insurance policy shall provid

cove

rage and a defense for the state of Louisiana and the

Department of Public Safety and Corrections, as well as the

employees of the state and the department.

A policy for professional liability/errors and

omissions with minimum coverage of $1,000,000.

b. A policy for general liability with minimu

verage of $1,000,000.

A security system installed by a comp

any licensed

and approve

d by the Office of State Fire Marshal. This

system shall be monitored 24 hours a day by a monitoring

company.

3. A video surveillance system which at a minimum

monitors all entrances, the driver's license camera station,

and the secure supply room. Such system shall be installed

by a company licensed and approved by the Office of State

Fire Marshal. The video images shall be retained by the

system for a minimum of 30 days with the ability to save the

video indefinitely if so requested by the department.

F. Camera Station

The public stag agent shall purchase the camera

station from the current vendor providing the credential

issuance solution for the department. The public stag agent

shall receive prior approval from the department before

purchasing the camera station.

2. A public tag agent may only dispose of a camera

ation in a manner approved by the department.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE; Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

27:1927 (November 2001), amended LR 40:370 (February 2014).

§1577. Other Transactions

The department may contract with public tag agents

to perform other transactions authorized in R.S. 47:532.1. In

such case, the public tag agent shall use the equipment and

procedures required by the department to process these

transactions. The public tag agent shall use an approved

written control plan to secure any materials or equipment as

directed by the department.

AUTHORITY NOTE: Promulgated in accordance with R.S.

47:532.1.

HISTORICAL NOTE: Promulgated by the Department of

Public Safety and Corrections, Office of Motor Vehicles, LR

27:1928 (November 2001).

RS 47:532.1

§532.1. Public license tag agents; auto title companies; rules and regulations; surety bonds; fees

A.(1) The commissioner may establish a system of public license tag agents to collect the

registration license taxes authorized by this Chapter. The system shall consist of municipal and parish

governing authorities or new motor vehicle dealers or their agents licensed pursuant to the provisions of

R.S. 32:1254 and authorized auto title companies pursuant to the provisions of R.S. 32:735 et seq. No

persons, natural or juridical, except public license tag agents, auto title companies, financial institutions,

licensed new or used car dealers, recreational product dealers, state departments, offices, or entities and

those included in the system established pursuant to this Section shall collect registration license taxes

authorized by this Chapter.

(2)(a) The commissioner shall make and publish rules and regulations for the issuance of the

registration licenses, for the collection of the registration license taxes, and for the implementation and

governing of a system of public license tag agents.

(b) The rules and regulations to be adopted by the commissioner shall not be drafted in such a

manner as to require more than two thousand transactions in any twelve-month period by an auto title

company in order for such auto title company to qualify as a public license tag agent.

(3) The commissioner shall promulgate rules and regulations to require all public license tag agents

other than municipal and parish governing authorities to furnish security for the faithful performance of

their duties as follows:

(a) Each public license tag agent other than a municipal governing authority shall execute a good

and sufficient surety bond with a surety company qualified to do business in Louisiana as surety, in a sum

of one hundred thousand dollars should the public tag agent have only one office in this state and in a sum

of one hundred twenty-five thousand dollars should the public tag agent have more than one office in this

state, if surety bond is available for purchase, which bond shall name the Department of Public Safety and

Corrections, office of motor vehicles as obligee and shall be subject to the condition that, if such public

license tag agent shall, throughout the entire term of the bond, timely file with the office of motor vehicles

all applications delivered to such public tag agent for filing, and all fees and taxes collected by such public

license tag agent, the obligation shall be void. If the company does not do so, the obligation of the surety

shall remain in full force and effect.

(b) The surety bond furnished pursuant to this Paragraph shall be delivered to and filed with the

Department of Public Safety and Corrections, office of motor vehicles.

(4) The commissioner and public license tag agents other than municipal and parish governing

authorities may enter into contracts which shall state the required procedures for the implementation of this

Section. Such contracts may terminate upon violation of the foregoing provisions.

(5) A biennial fee may be collected from a person seeking to contract with the Department of Public

Safety and Correction, office of motor vehicles, prior to a person commencing to act as a public license tag

agent, provided that such fee does not exceed two hundred dollars.

(6)(a) No elected state official or employee of the state shall be allowed to become a public license

tag agent.

(b) The office of motor vehicles may deny a contract to any person, natural or juridical, seeking to

be a public tag agent if that person has been found to be in violation of any rule or regulation promulgated

by the office of motor vehicles pertaining to the issuance of a motor vehicle title, registration, or driver's

license within the two-year period prior to the date of application.

(7)(a) Public license tag agents may collect the registration license taxes authorized by this Chapter,

as well as applicable sales and use taxes, and issue registration certificates and license plates to vehicles

and motor vehicles.

Page 1 of 3LA Law Print

http://www.legis.la.gov/Legis/LawPrint.aspx?d=10233

(b) Public license tag agents shall also be authorized to receive and process applications filed for

certificates of title, duplicate certificates of title, corrected certificates of title, recordation of liens,

mortgages, or security interests against motor vehicles, conversion of plate, transfer of plate, replacement

of lost or stolen plates, replacement of lost or stolen stickers, renewals of registration, duplicate

registration; to contract with the Department of Public Safety and Corrections, office of motor vehicles, for

the administration of an electronic media system which will permit the voluntary recording of vehicle title

information and security interest notification; and to contract with the Department of Public Safety and

Corrections, office of motor vehicles, to administer knowledge and skills tests to applicants for the issuance

of Class "D" or "E" drivers' licenses, to administer knowledge and skills tests to applicants for the issuance

of the "M" endorsement on such drivers' licenses to operate motorcycles, motor driven cycles, and

motorized bicycles, and to issue drivers' licenses as provided by law.

registration privileges and to process reinstatements of driving and motor vehicle registration privileges

when these privileges were revoked due to the failure to maintain the compulsory motor vehicle liability

security or the failure to provide proof of such security. Public license tag agents shall be authorized to

charge a convenience fee not to exceed eighteen dollars, to provide information on the status of registration

privileges and a fee not to exceed eighteen dollars per reinstatement, provided that the fees are disclosed

immediately to the consumer prior to the initiation of the transaction, and the fees are posted in a

conspicuous manner in the business office of the public license tag agent.

(d) The commissioner may authorize public license tag agents to process additional applications or

transactions.

(e) License plates shall be made available to each public license tag agent in increments of no less

than ten. Public license tag agents shall advance the costs of production for the license plates prior to the

receipt of the license plates. The Department of Public Safety and Corrections, office of motor vehicles,

shall fully reimburse the public license tag agent for the cost of the production of the plate when the plate is

issued pursuant to any registration transaction performed by the public license tag agent. The Department

of Public Safety and Corrections, office of motor vehicles, shall determine the method by which the public

license tag agent receives the reimbursement.

(f) Public license tag agents shall submit images of documents required to be retained by the

Department of Public Safety and Corrections, office of motor vehicles, in connection with transactions or

activities listed in this Paragraph or authorized by the commissioner pursuant to Subparagraph (d) of this

Paragraph in the official document image repository of the Department of Public Safety and Corrections,

office of motor vehicles. The Department of Public Safety and Corrections, office of motor vehicles, shall

determine the manner in which public license tag agents shall be required to submit these images.

(g) Notwithstanding any requirements of R.S. 47:505(B) to the contrary, all public license tag

agents shall submit electronic notification to the Department of Public Safety and Corrections, office of

motor vehicles, of the removal and destruction of license plates when such submission is undertaken on

behalf of a dealer licensed pursuant to Chapter 4-C or Chapter 6 of Title 32 of the Louisiana Revised

Statutes of 1950. The Department of Public Safety and Corrections, office of motor vehicles, shall

determine the manner in which the public license tag agent shall be required to electronically submit this

information.

B. The system of public license tag agents shall be in addition to the offices of the commissioner

delegated to collect the registration license taxes.

C. Public license tag agents shall be authorized to collect a convenience fee in addition to the

registration license tax. The convenience fee shall not exceed eighteen dollars per license. However, the

public license tag agents shall collect and retain the full amount of the convenience fee. The seller is

authorized to charge the convenience fee authorized by this Subsection in connection with any retail sale,

in addition to the fees authorized in Chapter 10-B of Title 6 of the Louisiana Revised Statutes of 1950.

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D.(1) Each public license tag agent approved by the office of motor vehicles shall disclose

information to the consumer that a license tag may be purchased at the office of motor vehicles without

payment of the convenience fee.

(2) Itemization of this convenience fee in compliance with federal laws regarding truth and lending

shall be considered compliance with this Section.

E. The contract between the Department of Public Safety and Corrections, office of motor vehicles

and a person who contracts to perform services pursuant to this Section shall be for a term of two years and

may be automatically renewed by the Department of Public Safety and Corrections, office of motor

vehicles.

Added by Acts 1977, No. 405, §1; Acts 1989, No. 152, §1; Acts 1993, No. 469, §1; Acts 1993, No.

737, §2; Acts 1995, No. 150, §1; Acts 1997, No. 952, §1; Acts 1997, No. 1026, §1; Acts 1999, No. 458, §2;

Acts 1999, No. 586, §1; Acts 1999, No. 1276, §2; Acts 2001, No. 590, §1; Acts 2006, No. 409, §2; Acts

2008, No. 290, §1; Acts 2014, No. 448, §1; Acts 2015, No. 110, §2, eff. July 1, 2015; Acts 2016, No. 556,

§1, eff. June 17, 2016.

NOTE: See Acts 2015, No. 110, §3, re: applicability of R.S. 47:532.1(A)(3)(a).

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RS 47:532.2

§532.2. Public tag agents; causes for suspension, revocation, cancellation, or restrictions; reinstatement

A. The office of motor vehicles may suspend, revoke, cancel, or impose other restrictions on any

contract confected pursuant to R.S. 47:532.1 for the following causes:

(1) Failure to remit taxes and fees collected from applicants for title transfers.

(2) Operating as a public tag agent without a contract for each location, with an expired contract, or

without a valid surety bond on file with the office of motor vehicles.

(3) Issuance of more than one temporary registration, T-Marker, to a title applicant, or issuing a

T-Marker without first collecting all taxes and fees.

(4) Operating from an unapproved location.

(5) Changing the ownership of the public tag agent and not reporting in writing to the office of

motor vehicles within thirty days from the date of such change.

(6) Changing the officers or directors of the public tag agent and not reporting in writing to the

office of motor vehicles within thirty days from the date of such change.

(7) Being a principal or accessory to the alteration of documents relevant to a registration or titling

transaction that results in a material injury to the public records or a shortfall in the collection of taxes

owed.

(8) The forwarding to the office of motor vehicles by a public tag agent of a document relevant to a

registration or titling transaction that results in a material injury to the public records, or a shortfall in the

collection of taxes owed when the public tag agent had knowledge of facts causing such injury or shortfall,

and failed to disclose same to the office of motor vehicles.

(9) Conviction of, or entry of a plea of guilty or nolo contendere to, any felony or conviction of, or

entry of a plea of guilty or nolo contendere to, any criminal charge an element of which is fraud.

(10) Fraud, deceit, or perjury in obtaining any contract perfected pursuant to R.S. 47:532.1.

(11) Failure to maintain at all times during the term of the contract all qualifications required by

R.S. 47:532.1 or by rule adopted by the office of motor vehicles.

(12) Any other cause the office of motor vehicles may establish through the adoption of a rule.

B. Any person whose contract has been suspended, canceled, or revoked during the effective term

of the contract may request an administrative hearing to review the office of motor vehicles' action. A

request for administrative review shall stay the action of the office of motor vehicles.

Acts 2015, No. 110, §2, eff. July 1, 2015.

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RS 47:532.3

§532.3. Public tag agents; cease and desist order; injunctive relief

A. In addition to or in lieu of the administrative sanctions provided in R.S. 47:532.1, 532.2, or any

rules or regulations adopted pursuant to either, and any criminal sanctions otherwise provided by law, the

office of motor vehicles is empowered to issue an order to any person engaged in any activity, conduct, or

practice constituting a violation of R.S. 47:532.1, 532.2, or any rules or regulations adopted pursuant to

either, directing such person to cease and desist from such activity, conduct, or practice. Such order shall be

issued in the name of the state of Louisiana under the official seal of the Department of Public Safety and

Corrections, office of motor vehicles.

B. If the person to whom the office of motor vehicles directs a cease and desist order does not cease

and desist the proscribed activity, conduct, or practice within ten days from service of such cease and desist

order by certified mail, the office of motor vehicles may cause to issue a writ of injunction enjoining such

person from engaging in any activity, conduct, or practice proscribed by R.S. 47:532.1, 532.2, or any rules

or regulations adopted pursuant to either. Such proceeding shall be brought in the district court having civil

jurisdiction in any parish in which such person resides, or is domiciled or has his principal place of

business. If the person whose contract is to be suspended, revoked, canceled, or otherwise restricted is a

nonresident and is not domiciled within the state, such proceeding may be brought in the Nineteenth

Judicial District Court for the parish of East Baton Rouge.

C. Upon a proper showing by the office of motor vehicles that such person has engaged or is

engaged in any activity, conduct, or practice proscribed by R.S. 47:532.1, 532.2, or any rules or regulations

adopted pursuant to either, the court shall issue a temporary restraining order restraining the person from

engaging in unlawful activity, conduct, or practices pending the hearing on a preliminary injunction, and in

due course a permanent injunction shall issue after a hearing, commanding the cessation of the unlawful

activity, conduct, or practice complained of, all without the necessity of the office of motor vehicles having

to give bond as usually required in such cases.

D. The trial of the proceeding by injunction shall be a summary proceeding, and shall be tried by

the judge alone without a jury.

Acts 2015, No. 110, §2, eff. July 1, 2015.

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