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Self exclusion form 2026
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- Click ‘Get Form’ to open the self-exclusion form in the editor.
- Begin by filling in your full name and date of birth clearly at the top of the form. This information is essential for identification purposes.
- Next, provide any aliases or nicknames you may have, along with your race and physical address. Ensure that all details are accurate to avoid any issues.
- In the personal description section, fill in your height, weight, hair color, eye color, sex, and any distinguishing scars or tattoos. This helps in verifying your identity.
- Indicate your acknowledgment of being a problem gambler by signing where indicated. Choose the duration for which you wish to be excluded: One Year, Five Years, Ten Years, or Permanent.
- Review the terms and restrictions carefully before signing again at the bottom of the form. This ensures you understand your responsibilities during the exclusion period.
- Finally, attach a copy of your driver’s license as required and submit the completed form to the Choctaw Nation Gaming Commission via mail or delivery.
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