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Self-Exclusion Form (CGCC-037, Rev. 07/17)

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The document is a self-exclusion request form from the California Gambling Control Commission, allowing individuals to voluntarily exclude themselves from all licensed gambling establishments in California. It requires personal information, a declaration of understanding the terms of exclusion, and includes sections for notarization and witness verification. The form emphasizes the individual's responsibility for compliance and outlines the consequences of attempting to enter gambling facilities during the exclusion period.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (193 Votes)
2011	4.3 Satisfied (42 Votes)
2008	4 Satisfied (52 Votes)
2006	4.6 Satisfied (54 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I withdraw from self exclusion?

Yes, after the minimum exclusion time has expired, a person who has already registered for Self-Exclusion Listing may apply for withdrawal. At the time of registration, he may opt between a 1 or 2 year minimum exclusion period for Singapore citizens and permanent residents.

Can you undo a self-exclusion stake?

While self excluded, you are not eligible for any form of benefits, bonuses or reloads. Once a self-exclusion is applied to your account, it will stay in place until the request time has finished, it will not be reversed or decreased for any reason.

Can I cancel my self-exclusion?

Can You Cancel GamStop Before the Self-Exclusion Period Ends? To date, there is no method of how to cancel GamStop before the self-exclusion period is over. Once you have signed up for GamStop, the next thing is to wait until the duration you chose to complete before you can apply to be released from the scheme.

Can you revoke self-exclusion?

You can apply at any time to revoke your self-exclusion by completing an Application to Revoke Self-Exclusion and sending it to the ACT Gambling Racing Commission. You can also ask to revoke your self-exclusion by contacting a venue you are excluded from.

What is a self exclusion form?

Self-Excluded patrons are prohibited from collecting any unredeemed jackpots or prizes won for the term specified on their form, which can be 1 year or lifetime. Please be advised that all Self-Exclusion terms are irrevocable for the duration of their minimum term.

How to get around self-exclusion?

How To Get Around GamStop Self-Exclusion? Change Your Personal Info. You can alter the details you used to register at Gamstop. Ask Friends to Help You Bypass Gamstop. Using VPNs. Join Non-Gamstop Gambling Sites. Bet at Crypto-Only s. Sign Up with Offshore U.S. . Use Non-UK Betting Sites. Land-Based s.

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