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Fillable Printable Registration or Renewal of Travel Agency - Iowa

Fillable Printable Registration or Renewal of Travel Agency - Iowa

Registration or Renewal of Travel Agency - Iowa

Registration or Renewal of Travel Agency - Iowa

As required by Iowa Codechapter9D, the travel agencysubmits the followingregistration/renewalinformation.
Pleasetypeorprintclearly.
1.Name of Travel Agency________________________________________________________________
Address____________________________________________________________________________
Phone Number______________________________________________________________________
Contact Email Address __________________________________________________________________
2.Name of alltravel agents employedby applicant (attach additional pages ifnecessary).
3.Name, address and phone number of persons owning or controlling 10% or more of the travel agency.
NAMEADDRESSPHONE
4.Foreign corporation only: name and address of the resident agent in Iowa for service of process.
ForOfficeUseOnly:
TA#:
Exp.Date:
This application represents:
First Time ApplicationAnnual Renewal
REGISTRATION/RENEWAL
OF
TRAVEL AGENCY
PAUL D. PATE
SecretaryofState
StateofIowa
5.Evidence of type of financial security submitted as required by chapter 9D.3. Check only one box on the left:
Type of Financial SecurityProvide the Following
Letter of credit - $10,000
Bond - $10,000
Cash or Securities deposited
with Secretary of State
Professional Liability and
Errors & Omissions Ins. - $1,000,000
Airlines Reporting Corporation
membership #:________________________
Passenger Services Network Corporation
membership #:________________________
Similar organization approved by secretary
name_____________________________
membership #:________________________
Under penalty of perjury and pursuant to the laws of the State of Iowa, I, the authorized representative of the travel agency,
hereby certify the preceding is true and correct.
Signature_________________________________________Title________________________________
Print name______________________________________________Date_________________________
NOTES:
1. The fee for registration and renewal is $15.00. Make checks payable to SECRETARY OF STATE.
2. The information you provide wll be open to public inspection under Iowa Code chapter 22.11
If a registrant fails to pay the annual registration fee, the registration lapses and becomes ineffective. See instructions for more information on the
penalties for failure to register, failure to make corrections to a registration statement and failure to pay the annual registration fee. Registration must
include a completed consent to service of process.
For a new registration, attach letter of credit to application.
For a renewal, submit evidence that letter of credit still in effect.
For a new registration, complete bond form & attach to application.
For a renewal, bond is continous in nature, no evidence required.
For a new registration, attach cash or securities to application.
For a renewal, no evidence is required.
For a new registration, attach policy to application.
For a renewal, submit evidence that policy remains in effect.
For a new registration, attach copy of official approval and
appointment to application.
For a renewal, provide your membership #.
For a new registration, attach copy of official approval and
appointment to application.
For a renewal, provide your membership #.
For a new registration, attach copy of official approval and
appointment to application.
For a renewal, provide your membership #.
9D_001
Penalties
ITISIMPORTANTthatyoureadandunderstandtheseinstructionsbeforeyoubegintocompletetheapplicationform.Failure
tocompletetheapplicationcorrectlyorprovidealltherequestedinformationwillresultintheapplicationbeingreturnedand
adelayinfiling.Ifthereisinsufficientspaceontheformtoprovideallrequestedinformation,attachadditionalpagesas
required.Ifyouhaveanyquestions,call(515)281-5204.
INSTRUCTIONS
forRegistration/Renewal
ofTravelAgency
Theapplication mustbe signedand datedby an authorizedrepresentativeof the travelagency.
Thefee for registration and renewalis $15.00. Makechecks payable to the SECRETARY OFSTATE.
All applications, whether anew registration orrenewal,must beaccompaniedby the completedConsent to Serviceof Process
form.Through the Consentto Serviceof Process,thetravel agency,inreturn for being granted the right to conductbusiness asa
travel agencyinthestateof Iowa, agrees:
(a)to designate the secretaryof state asagent for thetravel agencyforthe purpose ofaccepting serviceof legaldocuments, and
(b) tosubmit to the jurisdiction of theIowa courtsfor resolutionof any legal proceedings arising from operationofthe travel agency
Pursuantto IowaCodesection 9D.4 , a person required toregister as a travel agency,or anowner of ten percentor moreof a travelagency,requiredto
register underIowa Codechapter9D,whichfailsto register,failstomakerequiredcorrectionsto its registrationstatement,or fails
to paytherequiredfee
onor before 30daysafterthe fee becomesdue,commitsa seriousmisdemeanor.
If a personrequired to beregistered or listedupon aregistration statement byIowa Codechapter 9Dreceives money, as a fee,commission, compensation,
orprofitinconnectionwithdoingbusinessas atravel agency or travelagentinIowainviolationof IowaCodesection9D.2 , the person, in additionto the
criminalpenalty setforth above,shallbe liablefor acivil penaltyofnot lessthanthreetimesthesum so received. IowaCode section 9D.4(2
).
A violation ofIowaCodechapter 9D isalso a violation of Iowa Code Section714.16 , commonlyknown as the Iowa Consumer Fraud Act.IowaCode section
9D.4(3). Penalties for violatingIowa Code section714.16mayincludeinjunctiverelief, restitution, attorneys fees,investigative expensesand a civilpenalty
not toexceed$40,000perviolation.
ITEM 1Thecomplete name ofthetravelagencyshouldappearherewith the address of the travelagency.
A telephonenumbermust also be provided.
ITEM 2List the names of all thetravelagents employedbythe applicant.Attach additionalpagesifneeded.
ITEM 3List the name, address andphone of persons owning/controlling10%or moreof the travel agency.
ITEM 4Foreigncorporationonly:provide the name & address of the residentagent inIowafor service of process.
ITEM 5Iowa Codechapter 9D.3 requires a travelagency to submitevidence of financialsecurity. Checkonly one
box on the left by thetypeoffinancialsecuritythe travel agencyis submittingto theSecretary of State.
After checking the typeof financialsecurity, followtheinstructionsin theright column:
If the application representsa new registration,theapplicantmust follow the instructions in the right
column"
fora newregistration". The applicantmustattach evidence of the typeoffinancial security
submittedor thatthe travel agency is amemberin goodstandingwiththe ARC or other similar agency.
If the application represents an annual renewal, the applicant must follow the instructions in the right
column,"
for a renewal".Before arenewalregistration can be issued, the secretary of state musthave
proof thatthetravelagency'sfinancialsecurity hasbeen renewedor the travelagency's membership #
in the ARC or other similar agency.
9D_001
PAUL D. PATE
SecretaryofState
StateofIowa
The Travel Agency,______________________________________, hereby grants irrevocable consent to the
Secretaryof State pursuantto Iowa Codechapter 9Dto act asan agentuponwhom any process,noticeor demand
in connectionwith anybusinessthis travel agency may conductin or fromthestate ofIowamaybe served. I further
acknowledge that actions in connection with doing business in the state of Iowa may be commenced against the travel
agency in the properjurisdictioninIowa in which the cause of action may arise,orinwhich the plaintiff may reside,
by service of process onthe secretary as the travel agency's agent and stipulateand agree that such service of process
shallbetaken and held by all courts to beasvalidand bindingasifserviceof processhad been made upon the travel
agency accordingtothe laws of Iowaor any otherstate.
______________________________________________________________
Nameofauthorizedrepresentativeof travelagency(print)
______________________________________________________________
Title
______________________________________________________________
Streetaddress oftravelagency
______________________________________________________________
CityStateZip
______________________________________________________________
Emailaddress
______________________________________________________________
Signature of authorizedrepresentativeDate
SECRETARYOFSTATE
Travel AgencyRegistration
DesMoines,IA 50319
Phone: (515) 281-5204
FAX: (515)242-5953
Website: sos.iowa.gov
TravelAgency
Consentto
ServiceofProcess
IowaCodechapter9D requires a travelagencyapplicationtobe accompaniedbya writtenirrevocableconsent to serviceof
process.Alltravelagencies, domesticor foreign, mustcomplete thisConsentto ServiceofProcessand returnitwith the
application,whethera new registrationor a renewalregistration.
Through the Consent to Service of Processthe travel agency, in return for being granted the right to conduct business as a travel
agencyinthe state ofIowa, agrees to:
(a)designatethe Secretaryof State,asagentfor the travelagency, forthepurposeofacceptingserviceofany
legaldocuments,and
(b)submitto thejurisdiction ofthe courts of Iowa for resolution of any legalproceedingsarisingfromoperation
of thetravel agency.
9D_001
PAUL D. PATE
SecretaryofState
StateofIowa
Lucas Building, 1st Floor
TRAVEL AGENCY
BONDFORM
1/97
This is thebondformprescribedby theSecretaryof State under IowaCodechapter9D.Anapplicantwhochoosesto
complywithIowaCodechapter9D,section3 byexecutinga suretybond,mustusethisform.
A suretybondiscontinuousinnature,thereforeanapplicantdoesnotneedtocompletethisformiftheapplication
representsa renewalanda bondisalreadyonfilewiththeSecretaryofState.Donotreturnthebondformseparate
fromtheapplicationorit willbereturnedandresult ina delayinfiling.
PAUL D. PATE
SecretaryofState
StateofIowa
PRINCIPAL:
SURETY:
ADMINISTRATOR: Secretary of State
BONDNO.:
TERM:niniamerdna02,noevitceffeemocebllahsdnobsihT
forceuntilterminatedinaccordancewith theprovisionsof paragraph4below.
, asprincipal,and
, assurety qualifiedto dobusinessinIowa, areboundin
penalsumof $10,000forpayment underthefollowingtermsandconditions.
TERMSANDCONDITIONS:
1.Theabove-namedprincipalhasappliedto theSecretaryof State forregistrationas a travelagencyunder Iowa
Codechapter9D.
2.IftheprincipalcomplieswiththeprovisionsofIowaCodechapter9Dandallrulesandregulationspromulgated
thereunder,andsatisfiesanylossor damages sufferedby theState of Iowaoranyperson[s]dealingwiththeprincipal
resulting
fromtheprincipal’sviolationofanyprovisionof IowaCodechapter9D, orrulesandregulationspromulgated
thereunder,thenthisobligationshallbevoid.Otherwisethisbondshallremaininfullforceandeffect.Thisbondispayable
totheStateofIowaforuseandbenefitofeither:(a)[any]person[s]whois[are]injuredbythefraud,misrepresentation,
or financialfailureoftheprincipaloratravelagent employedbytheprincipal;or(b) theState onbehalf of anyperson[s]
soinjured.
3.Thisbondshallbeonecontinuingobligationandinnoeventshalltheliabilityexceedthepenalsumof
$10,000fortheaggregateofanyclaimsoccurringduringthetermofthisbond.
4.Thesuretyshallhavetheright to terminate its obligationunderthisbondby filingwrittennoticeofits intent to
cancel the bond with the Secretary of State and the principalat least 60 days prior to the effective date of such termination.
Obligationsofthesuretyarisingpriortotheeffectivedateshallnotbeaffectedbythetermination.
02,foyadsihtnoDETUCEXE
, Principal
.yb
NOTE:PersonsexecutingforsuretyotherthancorporateofficersmustattachPowerofAttorney.
, Surety
.yb
CHAPTER 9D
TRAVEL AGENCIES AND AGENTS
9D.1 Definitions
9D.2 Registration required
9D.3 Evidence of financial security.
9D.4 Penalties.
9D.5 Exemptions.
9D.1 Definitions.
1. “Applicant” means a person applying for registration
under this chapter.
2. “Customer” means a person who is offered or who
purchases travel services.
3. “Registrant” means a person registered pursuant to
this chapter.
4. “Secretary” means the secretary of state.
5. “Solicitation” means contact by a travel agency or
travel agent of a customer for the purpose of selling or
offering to sell travel services.
6. “Travel agency” means a person who represents,
directly or indirectly, that the person is offering or undertak-
ing by any means or method, to provide travel services for a
fee, commission, or other valuable consideration, direct or
indirect.
7. “Travel agent” means a person employed by a travel
agency whose principal duties include consulting with and
advising persons concerning travel arrangements or accom-
modations.
8. “Travel services” means arranging or booking vaca-
tion or travel packages, travel reservations or accommoda-
tions, tickets for domestic or foreign travel by air, rail, ship,
bus, or other medium of transportation, or hotel or other
lodging accommodations. Travel services include travel
related prizes or awards for which the customer must pay a
fee or, in connection with the prize or award, expend
moneys for the direct or indirect monetary benefit of the
person making the award, in order for the customer to
collect or enjoy the benefits of the prize or award.
89 Acts, ch 274, §1
CS89, § 120.1
C93, § 9D.1
9D.2 Registration required.
1. a. A travel agency doing business in this state shall
register with the secretary of state as a travel agency if it or
its travel agent conducts the solicitation of an Iowa resident.
b. A travel agency required to register under paragraph
”a shall not permit a travel agent employed by the travel
agency to do business in this state unless the agency has
filed the required registration statement.
2. A travel agent shall not knowingly do business in this
state unless and until the travel agency employing the travel
agent has registered with the secretary of state as a travel
agency if the travel agency or any of the agency’s travel
agents conduct the solicitation of an Iowa resident.
3. This section does not require registration for, or
prohibit, solicitation by mail or telecommunications of a
person with whom the travel agency has a previous travel
services provider-customer relationship, having previously
arranged travel related services for that customer on at least
one prior occasion.
4. “Doing business” in this state, for purposes of this
chapter, means any of the following:
a. Offering to sell or selling travel services, if the offer is
made or received within the state.
b. Offering to arrange, or arranging, travel services for a
fee or commission, direct or indirect, if the offer is made or
received in this state.
c. Offering to, or awarding travel services as a prize or
award, if the offer or award is made in or received in this
state.
5. An applicant shall complete the registration state-
ment form provided by the secretary. The registration
statement must be accompanied by the required bond or
evidence of financial responsibility and the registration fee.
The registration statement shall include all of the following:
a. The name and signature of an officer or partner of a
business entity or the names and signatures of the principal
owner and operator if the agency is a sole proprietorship.
b. The name, address, and telephone number of the
applicant and the name of all travel agents employed by the
applicant travel agency.
c. The name, address, and telephone number of any
person who owns or controls, directly or indirectly, ten
percent or more of the applicant.
d. If the applicant is a foreign corporation or business,
the name and address of the corporation’s agent in this
state for service of process.
e. Any additional information required by rule adopted
by the secretary pursuant to chapter 17A.
The application shall be accompanied by a written irrevo-
cable consent to service of process. The consent must
provide that actions in connection with doing business in
this state may be commenced against the registrant in the
proper jurisdiction in this state in which the cause of action
may arise, or in which the plaintiff may reside, by service of
process on the secretary as the registrant’s agent and
stipulating and agreeing that such service of process shall
betaken and held in all courts to be as valid and binding as
if service of process had been made upon the person
according to the laws of this or any other state. The consent
to service of process shall be in such form and supported by
such additional information as the secretary may by rule
require.
An annual registration fee as established by the secretary
by rule is required at the time the registration statement is
filed with the secretary, and on or before the anniversary
date of the effective date of registration for each subsequent
year. The registration fee shall be established at a rate
deemed reasonably necessary by the secretary to support
the administration of this chapter, but not to exceed fifteen
dollars per year per agency. If a registrant fails to pay the
annual registration fee, the registration lapses and becomes
ineffective.
A registrant shall submit to the secretary corrections to the
information supplied in the registration statement within a
reasonable time after a change in circumstances, which
circumstances would be required to be reported in an initial
9D.3 Evidence of financial security.
1. An application for a travel agency must be accompa-
nied by a surety or cash performance bond in conformity
with rules adopted by the secretary in the principal amount
of ten thousand dollars, with an aggregate limit of ten
thousand dollars. The bond shall be executed by a surety
company authorized to do business in this state, and the
bond shall be continuous in nature until canceled by the
surety with not less than sixty days’ written notice to both
the registrant and to the secretary. The notice shall indicate
the surety’s intent to cancel the bond on a date at least
sixty days after the date of the notice.
2. The bond shall be payable to the state for the use
and benefit of either:
a. A person who is injured by the fraud, misrepresenta-
tion, or financial failure of the travel agency or a travel agent
employed by the travel agency.
b. The state on behalf of a person or persons under
paragraph “a”.
The bond shall be conditioned such that the registrant will
pay any judgment recovered by a person in a court of this
state in a suit for actual damages, including reasonable
attorney’s fees, or for rescission, resulting from a cause of
action involving the sale or offer of sale of travel services.
The bond shall be open to successive claims, but the
aggregate amount of the claims paid shall not exceed the
principal amount of the bond.
3. If a registrant has contracted with the airlines
reporting corporation or the passenger network services
corporation, or similar organizations approved by the
secretary of state with equivalent bonding requirements for
participation, in lieu of the bond required by subsection 1,
the registrant may file with the secretary a certified copy of
the official approval and appointment of the applicant from
the airlines reporting corporation or the passenger network
services corporation.
4. In lieu of any bond or guarantee required to be
provided by this section, a registrant may do any of the
following:
a. File with secretary proof of professional liability and
errors and omissions insurance in an amount of at least
one million dollars annually.
b. Deposit with the secretary cash, securities, or a
statement from a federally insured financial institution
guaranteeing the performance of the registrant up to a
maximum of ten thousand dollars to be held or applied to
the purposes to which the proceeds of the bond would
otherwise be applied.
89 Acts, ch 274, §3
9D.4 Penalties.
1. A person required to register as a travel agency, or
an owner of ten percent or more of a travel agency, required
to register by this chapter, which fails to register, fails to
make required corrections to its registration statement, or
fails to pay the required fee on or before thirty days after the
fee becomes due, commits a serious misdemeanor.
2. If a person required to be registered or listed upon a
registration statement by this chapter receives money, as a
fee, commission, compensation, or profit in connection with
doing business in this state in violation of section 9D.2, the
person, in addition to the criminal penalty in subsection 1,
shall be liable for a civil penalty of not less than threetimes
the sum so received, as may be determined by the
court,which penalty may be recovered in a court of
competentjurisdiction by an aggrieved person, or by the
attorney general for the benefit of an aggrieved person or
class ofpersons.
3. A violation of this chapter is also a violation of
section 714.16.
89 Acts, ch 274, §4
CS89, § 120.4
C93, § 9D.4
9D.5 Exemptions.
1. This chapter does not apply to:
a. A bona fide employee of a travel agency who is
engaged solely in the business of the agency, and whose
principal duties do not include consulting with and advising
persons concerning travel arrangements or accommoda-
tions.
b. A direct common carrier of passengers or property
regulated by an agency of the federal government or em-
ployees of a common carrier when engaged solely in the
transportation business of the carrier as identified in the
carrier’s certificate.
2. A travel agency is subject to this chapter, notwith-
standing that the customer’s name was obtained from the
customer as part of a promotion where the customer signed
up to receive a sales presentation or to enter a drawing for a
prize prior to the solicitation. These activities do not consti-
tute a previous travel services provider-customer relation-
ship.
89 Acts, ch 274, §5
CS89, § 120.5
C93, §9D.5
(Source: Iowa Code 2007)
registration statement, except travel agents’ names as
required in subsection 5, paragraph “b”. The names of travel
agents shall be updated at the time of annual registration.
The secretary may revoke or suspend a registration for
cause subject to the contested case provisions of chapter
17A.
89 Acts, ch 274, §2
CS89, § 120.2
C93, §9D.2
CS89, § 120.3
C93, § 9D.3
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