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THE PROBLEM GAMBLING COALITION OF COLORADO VOLUNTARY CASINO SELFEXCLUSION APPLICATION AND WAIVER Please print clearly (Illegible or incomplete forms will be returned and will require resubmission):
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How to fill out pgcc self-exculsion bformb
How to fill out the PGCC self-exclusion form:
01
Begin by downloading the PGCC self-exclusion form from the official PGCC website or obtain a copy from the PGCC office.
02
Carefully read the instructions and guidelines provided on the form to ensure understanding.
03
Fill in your personal information such as full name, address, phone number, and date of birth in the designated sections.
04
Consult the terms and conditions section to familiarize yourself with the self-exclusion program rules.
05
Select the duration of self-exclusion that best suits your needs, whether it is for a specific period or indefinitely.
06
Provide any additional relevant information in the appropriate fields, such as preferred contact method or any special requests.
07
Review the completed form to ensure all sections have been filled accurately and completely.
08
Sign and date the form at the designated area to authenticate your submission.
09
Submit the completed form to the PGCC office via mail, email, or in person, following the instructions provided on the form.
Who needs the PGCC self-exclusion form?
01
Individuals who feel they may be at risk of developing a gambling problem and want to restrict their access to gambling activities.
02
Individuals who desire to take a temporary or permanent break from gambling activities to regain control over their behaviors and finances.
03
Individuals who have identified potential signs of gambling addiction or concerns about their gambling habits and want to seek assistance in managing their behavior.
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