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Connecticut Gaming SelfExclusion Registration Form * required Personal and Contact Information First Name*: ___ Middle Name: ___ Last Name*: ___ Address*: ___ City, State, Zip*: ___ Phone: ___ Email*:

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How to fill out connecticut gaming self-exclusion registration

01

Visit the Connecticut Department of Consumer Protection website

02

Download the self-exclusion form

03

Fill out the form completely and accurately

04

Submit the form either in-person or by mail to the address provided

Who needs connecticut gaming self-exclusion registration?

01

Individuals who believe they have a gambling problem and want to exclude themselves from Connecticut gaming establishments to prevent further gambling harm

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What is connecticut gaming self-exclusion registration?

Connecticut gaming self-exclusion registration is a voluntary program that allows individuals to ban themselves from entering casinos in the state.

Who is required to file connecticut gaming self-exclusion registration?

Individuals who want to self-exclude themselves from casinos in Connecticut are required to file the gaming self-exclusion registration.

How to fill out connecticut gaming self-exclusion registration?

To fill out the connecticut gaming self-exclusion registration, individuals need to complete a form provided by the Connecticut Department of Consumer Protection and submit it either online or in person.

What is the purpose of connecticut gaming self-exclusion registration?

The purpose of connecticut gaming self-exclusion registration is to help individuals who struggle with gambling addiction to avoid temptation and protect themselves from financial harm.

What information must be reported on connecticut gaming self-exclusion registration?

Connecticut gaming self-exclusion registration requires individuals to provide personal information such as name, address, contact details, and reasons for wanting to self-exclude.

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