Application for Removal Voluntary Exclusion Program (Initial File) - codes ohio 2025

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  1. Click ‘Get Form’ to open the Application for Removal Voluntary Exclusion Program in the editor.
  2. Begin by filling out Section 1: Personal Information. Enter your full legal name, any aliases, and your residential address clearly.
  3. In Section 2: Certification of Witness, ensure a Commission employee or designated agent witnesses your signature. They will verify your identity and confirm you are not under the influence.
  4. Complete Section 3: Request Acknowledgement by signing and dating the form. This section confirms that you understand the removal process and its implications.
  5. If applicable, fill out Section 4: Interpreter Information, providing details about the interpreter who assisted you in completing the form.
  6. Review all sections for accuracy before submitting. Ensure all required signatures are present.

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Self-Exclusion is a process that allows a person to request to be banned from all legalized gaming activities and to be prohibited from collecting any winnings, recovering any losses or accepting complimentary gifts or services or any other thing of value from a licensee.
(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.
How to apply Review the application form. Visit the Alcohol, Gaming, Fuel and Tobacco Division or 1 of the s and tell them you want to cancel the voluntary exclusion (banning yourself) so you can be allowed back in the s.
In order to be removed from Time Out Ohio, you must complete and submit a Request for Removal form to either Ohio Commission or at .timeoutohio.com.
Please consider seeking help by calling the Ohio Problem Gambling Helpline at 1-800-589-9966.
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