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Gambling self exclusion form
We are aware that supporters, for personal reasons, may wish to exclude themselves from the
Julia's House weekly lottery and raffle.
Please complete the form below and
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How to fill out gambling self-exclusion form

How to fill out gambling self-exclusion form
01
To fill out a gambling self-exclusion form, follow these steps:
02
Obtain the self-exclusion form from the gambling establishment or the relevant gambling authority.
03
Read the instructions and understand the terms and conditions of the self-exclusion program.
04
Provide your personal information, including your name, address, date of birth, and contact details.
05
Indicate the duration of the self-exclusion period, whether it's temporary or permanent.
06
Sign and date the form to acknowledge your agreement to the self-exclusion terms.
07
Submit the completed form to the appropriate authority or designated person at the gambling establishment.
08
Keep a copy of the filled out form for your records.
09
Follow any additional instructions provided by the gambling establishment or authority.
10
Be aware that self-exclusion may have legal consequences, and it is essential to understand the implications before submitting the form.
Who needs gambling self-exclusion form?
01
Gambling self-exclusion forms are necessary for individuals who want to restrict their access to gambling facilities or online gambling platforms.
02
People who have identified a gambling addiction or problem and want to take proactive measures to control their behavior often seek self-exclusion.
03
It is not limited to any specific demographic and can be used by anyone who wishes to prevent themselves from engaging in gambling activities.
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What is gambling self-exclusion form?
Gambling self-exclusion form is a legal document that allows individuals to voluntarily ban themselves from participating in gambling activities for a specified period of time.
Who is required to file gambling self-exclusion form?
Individuals who are struggling with compulsive gambling or wish to limit their gambling activities are required to file a gambling self-exclusion form.
How to fill out gambling self-exclusion form?
To fill out a gambling self-exclusion form, individuals need to provide their personal information, contact details, and specify the duration of the self-exclusion period.
What is the purpose of gambling self-exclusion form?
The purpose of gambling self-exclusion form is to help individuals overcome gambling addiction, regain control over their finances, and prevent future gambling-related problems.
What information must be reported on gambling self-exclusion form?
Information such as full name, date of birth, address, contact number, and the desired self-exclusion period must be reported on a gambling self-exclusion form.
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