Get the free Request for Voluntary Exclusion - Ohio Casino Control Commission
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STATE OF OHIO D R AF T CASINO CONTROL COMMISSION REQUEST FOR VOLUNTARY EXCLUSION Ohio Adm. Code 37721202 Appendix Page 2 Application Instructions Read the entire form before responding to the questions.
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How to fill out request for voluntary exclusion
How to fill out request for voluntary exclusion
01
To fill out a request for voluntary exclusion, follow these steps:
02
Obtain a request form from the relevant authority or organization that handles voluntary exclusions.
03
Read and understand the instructions provided on the form.
04
Fill in your personal details accurately, including your full name, contact information, and any other required information.
05
Specify the duration of the voluntary exclusion period, if applicable.
06
Provide any necessary supporting documentation or reasons for your request, if required.
07
Sign and date the request form.
08
Submit the completed form to the designated authority or organization either in person or as per their instructions.
09
Keep a copy of the form and any supporting documents for your records.
Who needs request for voluntary exclusion?
01
Request for voluntary exclusion is suitable for individuals who:
02
- Recognize that they have a gambling addiction or problem
03
- Need to take a break from gambling activities
04
- Want to self-exclude themselves from access to gambling facilities, both online and offline
05
- Wish to protect themselves from potential financial and emotional harm caused by excessive gambling
06
- Desire to regain control over their gambling habits
07
- Want to seek assistance and support in overcoming their gambling addiction
08
- Are willing to commit to a period of voluntary exclusion as a step towards responsible gambling.
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What is request for voluntary exclusion?
A request for voluntary exclusion is a formal document submitted by an individual or entity to exclude themselves from a particular activity or program.
Who is required to file request for voluntary exclusion?
Individuals or entities who wish to voluntarily exclude themselves from a certain activity or program are required to file a request for voluntary exclusion.
How to fill out request for voluntary exclusion?
To fill out a request for voluntary exclusion, individuals or entities must provide their personal information, details of the activity or program they wish to be excluded from, and their reasons for seeking exclusion.
What is the purpose of request for voluntary exclusion?
The purpose of a request for voluntary exclusion is to allow individuals or entities to self-exclude from a particular activity or program in order to prevent harm to themselves or others.
What information must be reported on request for voluntary exclusion?
Information such as personal details, the activity or program being excluded from, and reasons for seeking exclusion must be reported on a request for voluntary exclusion.
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