Get the free Problem Gambler self exclusion form -- 1232 final.doc

IOWA LOTTERY AUTHORITY SELFEXCLUSION FROM PLAY AND PRIZE PAYMENT AGREEMENTAttach Recent Photo Hearth Parties, of, in the State of, hereinafter Player, and the Iowa Lottery Authority, an instrumentality

How to fill out problem gambler self exclusion

How to fill out problem gambler self exclusion

1. Start by obtaining a self-exclusion form from the gambling establishment where you wish to be excluded.
2. Fill out the form with your personal details, including your name, address, and contact information.
3. Provide any additional information required by the form, such as your membership number or player card information.
4. Specify the duration of the self-exclusion period, which can range from a few months to several years.
5. Read and sign the declaration acknowledging that you understand the terms and conditions of self-exclusion.
6. Return the completed form to the gambling establishment, either in person or by mail.
7. Keep a copy of the form for your records, as proof of your self-exclusion request.

Who needs problem gambler self exclusion?

1. Problem gamblers who are struggling to control their gambling habits and want to prevent themselves from participating in any form of gambling.
2. Individuals who want to take a break from gambling and avoid temptation during a specified period of time.
3. Family members or concerned loved ones who are seeking to help their loved ones overcome gambling problems.

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