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Get the free Self-Barring Request Form - playresponsibly.org - playresponsibly org

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Lotteries and Gaming Authority Suite 1, Level 3, TG Complex, Brewery Street, Michel, BKR 3000. Malta Tel +356 25469000, Fax +356 21446950, Email: info LGA.org.CT www.lga.org.mt Be Smart Play Responsibly
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How to fill out self-barring request form

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How to Fill Out Self-Barring Request Form:

01
Begin by obtaining the self-barring request form from the appropriate organization or gambling establishment. This form is typically available online or can be requested in-person.
02
Carefully read and understand the instructions provided on the form. Familiarize yourself with the purpose and details of the self-barring program.
03
Fill out your personal information accurately and completely. This may include your full name, contact details, date of birth, and identification numbers if required.
04
Indicate the desired duration of the self-barring period. This could range from a few months to several years, depending on individual preference and circumstances.
05
Include any additional information or specific instructions you may have for the self-barring program administrators. This could involve details about any specific gambling facilities or online platforms you wish to exclude yourself from.
06
Make sure to sign and date the form to validate your request. Some forms may require witnesses, so ensure that the required signature fields are properly filled out.
07
Submit the completed form through the designated channels. This could involve mailing it to the provided address, submitting it in-person at the establishment, or submitting it electronically through an online portal.
08
Keep a copy of the filled-out form for your records. This may be useful for future reference or if any issues arise regarding the self-barring request.

Who Needs a Self-Barring Request Form?

01
Individuals who struggle with gambling addiction and wish to take proactive measures to control their behavior.
02
Those who have recognized the need to limit their access to gambling facilities or online platforms to prevent financial and personal harm.
03
People who aim to practice responsible gambling and want to take advantage of self-exclusion programs offered by gambling establishments as a means of support and protection.
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The self-barring request form is a document that allows individuals to voluntarily exclude themselves from certain activities, such as gambling or purchasing alcohol, for a specified period of time.
Any individual who wishes to restrict or control their own behavior related to certain activities can file a self-barring request form.
To fill out the self-barring request form, individuals must provide their personal information, specify the activities they wish to be excluded from, and indicate the duration of the self-barring period.
The purpose of the self-barring request form is to help individuals exercise self-control and prevent themselves from engaging in activities that may be harmful or detrimental to them.
The information required on the self-barring request form typically includes the individual's name, contact details, identification number, the activities to be excluded from, and the requested self-barring period.
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