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Click ‘Get Form’ to open the 3772-12-02 Application for Ohio voluntary exclusion in the editor.
Begin by filling out Section 1: Personal Information. Enter your full legal name, any aliases, residential address, and contact numbers. Ensure accuracy as this information is crucial for identity verification.
In Section 2: Certification of Witness, a designated agent must witness your signature. This section also requires the agent's details and confirmation that you are not under the influence of substances.
Proceed to Section 3: Request Acknowledgement. Here, you will affirm that all provided information is true and request removal from the Voluntary Exclusion Program (VEP). Sign and date this section.
If applicable, complete Section 4: Interpreter Information. This is necessary if you required assistance in understanding the form. The interpreter must provide their details and affirm their role.
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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.
What is a self-exclusion program?
Voluntary self-exclusion is a common program that has been adopted by many regions in North America, Australia, Europe, South Africa and Asia. Self-exclusion is a commitment you make to yourself by voluntarily entering into an agreement with online or land-based operators not to gamble for a chosen time.
What is an example of self-exclusion?
Self-exclusion is when you ban yourself from a gambling venue (or part of a venue) or online wagering service for a period. Self-exclusion is an important tool for dealing with gambling harm (in addition to seeking help from a Gambling Help service).
What is a voluntary exclusion?
Individuals can request a voluntarily exclusion order that prevents them from entering the . Third parties, such as family of a patron, can apply for an individual to be excluded on the basis they are experiencing gambling harm.
How do I get off the Ohio exclusion list?
(D) An individual may be removed from the lifetime exclusion, if the individual has: (1) Remained in the Ohio VEP for at least five years; (2) Completed the Ohio VEP education program on problem gambling awareness; and (3) Requested and completed an unaltered application for removal.
(C) As part of the request for voluntary exclusion Ohio VEP application , the individual must select the duration of their participation in the Ohio VEP. An
Rule 3772-12-02 | Application for Ohio voluntary exclusion.
Jun 4, 2024 (B) No application will be accepted if it was not completed in the presence of either commissions staff or through the online Ohio VEP portal.
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