Get the free VOLUNTARY SELF-EXCLUSION REQUEST FORM

TENNESSEE VOLUNTARY SPORTS WAGERING SELFEXCLUSION APPLICATION Please print clearly (Illegible or incomplete forms may not be able to be processed): First Name:Middle Name:Last Name:Social Security

How to fill out voluntary self-exclusion request form

How to fill out voluntary self-exclusion request form

1. Obtain a voluntary self-exclusion request form from the organization or establishment where you wish to self-exclude.
2. Fill out the form completely and accurately with your personal information, including your name, address, and contact details.
3. Specify the length of time you wish to self-exclude for, whether it be 6 months, 1 year, or longer.
4. Sign and date the form to acknowledge your understanding and agreement to the terms of self-exclusion.
5. Return the completed form to the organization or establishment, keeping a copy for your records if desired.

Who needs voluntary self-exclusion request form?

1. Individuals who struggle with problem gambling and wish to take proactive steps to restrict their access to gambling activities.
2. People who recognize the need to temporarily or permanently exclude themselves from gambling venues or online platforms.

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What is voluntary self-exclusion request form?

The voluntary self-exclusion request form is a document that allows individuals to voluntarily exclude themselves from gambling activities for a specified period of time.

Who is required to file voluntary self-exclusion request form?

Any individual who wishes to take a break from gambling and restrict themselves from participating in gambling activities may be required to file a voluntary self-exclusion request form.

How to fill out voluntary self-exclusion request form?

To fill out the voluntary self-exclusion request form, individuals typically need to provide their personal information, specify the duration of the self-exclusion period, and sign the form to acknowledge their voluntary exclusion.

What is the purpose of voluntary self-exclusion request form?

The purpose of the voluntary self-exclusion request form is to help individuals who may be struggling with a gambling addiction to take a break from gambling activities and seek help for their addiction.

What information must be reported on voluntary self-exclusion request form?

The information that must be reported on the voluntary self-exclusion request form may include the individual's full name, address, contact information, and the duration of the self-exclusion period.