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Customer SelfExclusion Form Please read the terms and conditions printed on the reverse of this form prior to its completion. In completing this form you are requesting that you be refused service
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How to fill out indiana voluntary exclusion program

01
Obtain the Indiana Voluntary Exclusion Program (VEP) application form.
02
Read the instructions carefully before filling out the form.
03
Provide all requested personal information, such as your name, address, contact details, date of birth, and social security number.
04
Answer the questions regarding your gambling history truthfully and accurately.
05
Sign and date the application form to confirm your understanding and agreement to the terms and conditions of the VEP.
06
Submit the completed application form along with any required supporting documentation to the designated address or office.
07
Await the review and decision of your application by the Indiana Gaming Commission.
08
If accepted into the VEP, adhere to the program's guidelines and restrictions to prevent entry into gambling establishments in Indiana.
09
Make sure to renew your voluntary exclusion status as required by the Indiana Gaming Commission.
10
Seek support and assistance if you face challenges or temptation regarding gambling during your participation in the VEP.

Who needs indiana voluntary exclusion program?

01
Any individual who believes they have a gambling problem or wants to prevent themselves from entering gambling establishments in Indiana may consider applying for the Indiana Voluntary Exclusion Program (VEP). This program is suitable for individuals who want to take proactive measures to control or eliminate their gambling habit, protect themselves from financial harm, and promote responsible gambling.
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The Indiana Voluntary Exclusion Program is a program that allows individuals to voluntarily exclude themselves from all Indiana casinos.
Any individual who wants to exclude themselves from Indiana casinos is required to file the Indiana Voluntary Exclusion Program.
To fill out the Indiana Voluntary Exclusion Program, individuals must complete the necessary forms provided by the Indiana Gaming Commission and submit them accordingly.
The purpose of the Indiana Voluntary Exclusion Program is to help individuals who struggle with gambling addiction by providing them with a self-exclusion option.
The Indiana Voluntary Exclusion Program requires individuals to provide personal information such as their name, address, and social security number.
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