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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
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How to fill out self exclusion form

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.
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What is self exclusion form?
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.
Who is required to file self exclusion form?
Any individual who wishes to exclude themselves from certain activities or premises is required to file a self exclusion form.
How to fill out 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.
What is the purpose of self exclusion form?
The purpose of self exclusion form is to help individuals control their behavior by restricting their access to certain activities or premises.
What information must be reported on self exclusion form?
Self exclusion form typically requires individuals to provide their full name, contact information, reason for exclusion, and duration of exclusion.
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