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Massachusetts Gaming & Sports Wagering Voluntary SelfExclusion Enrollment Form Please type or clearly print in ink, all information requested on this form. (*) Denotes required field. For more information
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The self-exclusion enrollment form instructions provide a step-by-step guide for individuals who wish to voluntarily exclude themselves from gambling activities. It outlines the process to officially request self-exclusion from specific gambling venues or online platforms.
Individuals who want to limit or stop their gambling activities are required to file a self-exclusion enrollment form. This includes those who recognize they have a gambling problem or wish to protect their finances.
To fill out the self-exclusion enrollment form, individuals must follow the provided instructions, which typically include providing personal information, specifying the duration of the exclusion, and signing the form to acknowledge their understanding of the consequences.
The purpose of the self-exclusion enrollment form instructions is to guide individuals through the process of self-exclusion, helping them to take proactive steps to manage their gambling behavior and seek assistance.
Individuals must report personal identification information such as name, address, date of birth, and any relevant gambling account numbers. They may also need to indicate the reasons for self-exclusion and the preferred duration.
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