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SelfExclusion File # ___ Date ___ Name ___ PC Card # ___ Street ___ City/Town ___ State ___ Zip ___ DOB ___ Soc. Sec. # ___ ___ ___ Please initial lines below:I hereby SelfExclude and request: (i)

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How to fill out oapgg-statewide-self-exclusion-formpdf

01

Download the oapgg-statewide-self-exclusion-formpdf from the official website of the Oregon Association on Problem Gambling (OAPGG).

02

Fill out all the required personal information accurately, including your name, address, contact information, and date of birth.

03

Indicate the length of time you wish to self-exclude yourself from gambling establishments in Oregon.

04

Sign and date the form to acknowledge your understanding of the self-exclusion agreement.

05

Submit the completed form to the OAPGG or the appropriate gaming facility for processing.

Who needs oapgg-statewide-self-exclusion-formpdf?

01

Individuals who struggle with problem gambling and wish to voluntarily exclude themselves from gambling establishments in Oregon.

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What is oapgg-statewide-self-exclusion-formpdf?

The oapgg-statewide-self-exclusion-formpdf is a document used by individuals to voluntarily exclude themselves from participating in gaming activities regulated by the state.

Who is required to file oapgg-statewide-self-exclusion-formpdf?

Individuals who wish to voluntarily exclude themselves from gambling activities are required to file the oapgg-statewide-self-exclusion-formpdf.

How to fill out oapgg-statewide-self-exclusion-formpdf?

To fill out the oapgg-statewide-self-exclusion-formpdf, individuals must provide personal information such as their name, address, date of birth, and reasons for requesting self-exclusion, and then sign the document.

What is the purpose of oapgg-statewide-self-exclusion-formpdf?

The purpose of the oapgg-statewide-self-exclusion-formpdf is to allow individuals to take proactive steps to manage their gambling behavior by officially excluding themselves from gaming activities.

What information must be reported on oapgg-statewide-self-exclusion-formpdf?

The form must report personal details including the individual's name, contact information, date of birth, and a signature affirming their request for self-exclusion.

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