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Self-Exclusion Form - CGCC-037 (Rev 05 11) - California Gambling - cgcc ca

Self-Exclusion Form - CGCC-037 (Rev 05 11) - California Gambling - cgcc ca 2025

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The document is a Self-Exclusion Form from the California Gambling Control Commission, allowing individuals to voluntarily exclude themselves from participating in gambling activities for a specified term. It requires personal information, a declaration of understanding the consequences of self-exclusion, and includes sections for notarization or witness by a key employee. The form emphasizes the irrevocability of the exclusion during the chosen period and outlines the responsibilities and liabilities associated with entering gambling establishments despite the exclusion.

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How do s enforce self-exclusion?

If a self-exclusion/self-restriction participant attempts to enter a licensed gambling establishment, the establishment is required to remove the patron when discovered. Incident reports are then sent to the Bureau of Gambling Control (Bureau.)

What is the self-exclusion policy for s?

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.

What is a gambling exclusion list?

Self-exclusion programs for physical s often require an individual to submit a request, along with a photo that will be used to identify them. When a self-excluded gambler attempts to enter the , they will be denied entry to the establishment, preventing them from participating in gambling activities.

How is self-exclusion enforced?

Licensees and staff can use reasonable force to: prevent a self-exclusion participant from entering a nominated area. remove a participant who refuses to leave a nominated area.

How do s enforce bans?

Once the self-exclusion agreement is in place, the implements measures to prevent the individual from accessing the premises. This can involve removing the person from marketing lists, canceling membership cards, and sharing the exclusion information with security staff.

What happens if you go to a after self-exclusion?

If you are caught gambling at a , racetrack sports wagering facility, or on an Internet gaming site, you will be subject to forfeiture of any winnings, including any chips or s in your possession, electronic credits, and any funds on your internet gaming account that were a result of your gaming activity,

Self-Exclusion Form - CGCC-037 (Rev 05 11) - California Gambling - cgcc ca 2025

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