Form preview

Get the free Self Exclusion Form - One Wish Lottery

Get Form
Self Exclusion Form We are aware that members, for personal reasons, may wish to exclude themselves from the One Wish Lottery and other Prize Draws which One Wish Lottery may operate. One Wish Lottery
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign self exclusion form

Edit
Edit your self exclusion form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your self exclusion form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing self exclusion form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps:
1
Log in to account. Start Free Trial and sign up a profile if you don't have one.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit self exclusion form. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
It's easier to work with documents with pdfFiller than you could have ever thought. You can sign up for an account to see for yourself.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out self exclusion form

Illustration

How to fill out self exclusion form

01
Obtain a self exclusion form from the gambling establishment or online platform where you wish to exclude yourself.
02
Fill out the personal information section accurately, including your full name, date of birth, and contact details.
03
Select the duration of the self exclusion period. This can range from a few months to several years.
04
Read and understand the terms and conditions of the self exclusion program.
05
Review any additional requirements or documents that may be required for submission.
06
Sign and date the form to acknowledge your agreement and understanding of the self exclusion terms.
07
Submit the completed form to the designated authority or organization responsible for managing self exclusions.
08
Retain a copy of the form for your records.
09
If applicable, follow any further instructions or actions provided by the gambling establishment or online platform for finalizing the self exclusion process.

Who needs self exclusion form?

01
Individuals who believe they have a gambling problem and want to voluntarily exclude themselves from participating in any form of gambling.
02
Those who want to enforce self-control, limit access to gambling activities, and reduce the risk of compulsive or problematic gambling behaviors.
03
Anyone who recognizes the need to take a break from gambling or to address issues related to gambling addiction.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
25 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The premium subscription for pdfFiller provides you with access to an extensive library of fillable forms (over 25M fillable templates) that you can download, fill out, print, and sign. You won’t have any trouble finding state-specific self exclusion form and other forms in the library. Find the template you need and customize it using advanced editing functionalities.
Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your self exclusion form in minutes.
Create your eSignature using pdfFiller and then eSign your self exclusion form immediately from your email with pdfFiller's Gmail add-on. To keep your signatures and signed papers, you must create an account.
Self exclusion form is a legal document that allows individuals to request to be banned from certain activities, such as gambling or entering specific premises.
Any individual who wishes to exclude themselves from certain activities or premises is required to file a self exclusion form.
To fill out a self exclusion form, individuals must provide their personal information, specify the duration of the exclusion, and sign the form.
The purpose of self exclusion form is to help individuals control their behavior by restricting their access to certain activities or premises.
Self exclusion form typically requires individuals to provide their full name, contact information, reason for exclusion, and duration of exclusion.
Fill out your self exclusion form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.