CGCC-CH7-06 Self-Exclusion Removal Request 2026

1. Click ‘Get Form’ to open the CGCC-CH7-06 Self-Exclusion Removal Request in the editor.
2. Begin by filling out Section 1: Personal Information. Enter your full name, including last, first, and middle names. If applicable, include any aliases or former legal names.
3. Provide your current residence address, ensuring to include street, city, state, and ZIP code. If your mailing address differs from your residence, fill that in as well.
4. Next, input your primary and secondary telephone numbers along with your email address for communication purposes.
5. In Section 2: Restriction Request, indicate the effective date of exclusion using the MM/DD/YYYY format.
6. Proceed to Section 3: Declaration. Carefully read each statement and initial where indicated to confirm your understanding and agreement.
7. Finally, print your name, sign the form, and date it before submitting it as instructed at the top of the document.

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