Get the free Self-Exclusion Program removal form - wsgc wa

WASHINGTON STATE GAMBLING COMMISSIONLOCATION: 4565 7th Avenue SE, Lacey WA 98503 MAILING ADDRESS: P.O. Box 42400, Olympia WA 985042400 TELEPHONE: 3604863440 / FAX NUMBER: 3604863630 TOLL-FREE: 18003452529

How to fill out self-exclusion program removal form

How to fill out self-exclusion program removal form

1. Obtain a self-exclusion program removal form from the organization or website where you initially signed up for self-exclusion.
2. Fill out all the required personal information on the form, such as name, address, contact information, and any other details requested.
3. Provide any additional information or documentation required by the organization, such as a copy of your identification.
4. Sign and date the form to acknowledge that you are requesting to be removed from the self-exclusion program.
5. Submit the completed form either in person, by mail, or electronically as instructed by the organization.

Who needs self-exclusion program removal form?

1. Individuals who have previously signed up for a self-exclusion program and wish to be removed from the program.

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What is self-exclusion program removal form?

The self-exclusion program removal form is a document that individuals can submit to request the removal of their self-exclusion status from gambling activities.

Who is required to file self-exclusion program removal form?

Individuals who have previously enrolled in a self-exclusion program and wish to revoke their self-exclusion status are required to file this form.

How to fill out self-exclusion program removal form?

To fill out the form, individuals must provide personal information, including their name, contact details, and identification information, and should state their request for removal from the self-exclusion program.

What is the purpose of self-exclusion program removal form?

The purpose of the form is to facilitate the process by which individuals can formally request to lift their restrictions on gambling activities after a period of self-exclusion.

What information must be reported on self-exclusion program removal form?

The form typically requires personal identification information, the date of self-exclusion, and a declaration of the individual's intention to lift the self-exclusion status.