Get the free Voluntary Self-exclusion Program Agreement

This document outlines the terms and process by which individuals can voluntarily exclude themselves from participating in Illinois Lottery games and from receiving prize payments in order to combat

How to fill out voluntary self-exclusion program agreement

How to fill out Voluntary Self-exclusion Program Agreement

1. Obtain the Voluntary Self-exclusion Program Agreement form from the relevant gaming authority or their website.
2. Read the instructions provided with the form carefully to understand the program's implications.
3. Fill out your personal information, including your name, address, date of birth, and contact details.
4. Select the duration for which you wish to self-exclude from gambling activities (e.g., 1 year, 5 years, or lifetime).
5. Acknowledge and sign the agreement, confirming that you understand the consequences of self-exclusion.
6. Submit the completed form to the appropriate gaming authority in person or via the designated submission method.

Who needs Voluntary Self-exclusion Program Agreement?

1. Individuals who recognize that they have a gambling problem and wish to take proactive steps to limit their gambling activities.
2. People who want to avoid the negative consequences of gambling, such as financial issues or relationship problems.
3. Gamblers who seek support in managing their behavior and wish to temporarily or permanently exclude themselves from gambling establishments.

People Also Ask about

Can you come back from self-exclusion?

Will I be able to remove a Self-Exclusion once set? You will be unable to remove your Self-Exclusion until the exclusion period you chose has expired.

Can you remove yourself from self-exclusion?

1 year Self-Exclusion terms are irrevocable. Removal from a lifetime term will require that the Self-Excluded person has currently been on the Self-Exclusion term for a minimum of 1 year prior to requesting removal. Removal will also require submission of a Self-Exclusion Removal Request form CGCC-CH7-06 (Rev. 05/20).

Can you revoke self-exclusion?

Does my Self-Exclusion automatically end? No, you must apply to have your Self-Exclusion ended (revoked) and you can only apply after the completion of the minimum period you selected at the time of your Self-Exclusion.

How do I remove myself from self-exclusion?

Will I be able to remove a Self-Exclusion once set? You will be unable to remove your Self-Exclusion until the exclusion period you chose has expired. Our customer services team cannot remove a Self-Exclusion until it has expired.

Can you cancel your self-exclusion?

Remember, you can only remove yourself from the self-exclusion list once you've reached the end of your selected 1 or 5 year exclusion period. If you select the lifetime option for self-exclusion, you will not be able to remove yourself from the list.

Can I take myself off self-exclusion?

How to Remove Yourself from Self-Exclusion. If you've reached the end of your self-exclusion period, you may want to know how to remove yourself from self-exclusion. This requires submitting a self-exclusion removal request to the gambling operator or program you initially signed up for.

Do online self exclusions ban you from real casinos?

Self-Excluded patrons are banned from all licensed gambling establishments in the State of California. A licensed gambling establishment does not include Tribal 's.

Can I withdraw from self-exclusion?

Individuals may apply to revoke their Self-Exclusion after being on the safeguard for at least one year. The Self-Exclusion will remain in force until it is revoked successfully. How do I apply to revoke? Please log in with your Singpass to proceed with your Self-Exclusion Revocation application.

For pdfFiller’s FAQs

What is Voluntary Self-exclusion Program Agreement?

The Voluntary Self-exclusion Program Agreement is a legal agreement that allows individuals to voluntarily exclude themselves from participating in gambling activities at a specific venue or across a jurisdiction.

Who is required to file Voluntary Self-exclusion Program Agreement?

Individuals who wish to restrict their access to gambling activities due to gambling addiction or related issues are required to file the Voluntary Self-exclusion Program Agreement.

How to fill out Voluntary Self-exclusion Program Agreement?

To fill out the Voluntary Self-exclusion Program Agreement, individuals need to complete a designated form, providing personal identification information, including name, address, date of birth, and signatures acknowledging the self-exclusion.

What is the purpose of Voluntary Self-exclusion Program Agreement?

The purpose of the Voluntary Self-exclusion Program Agreement is to provide individuals with a means to take control of their gambling behavior and to protect themselves from the negative consequences of gambling.

What information must be reported on Voluntary Self-exclusion Program Agreement?

The information that must be reported on the Voluntary Self-exclusion Program Agreement typically includes personal identification details such as full name, address, date of birth, and the duration of the self-exclusion period chosen.