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Click ‘Get Form’ to open the Application for Removal Voluntary Exclusion Program in the editor.
Begin by filling out Section 1: Personal Information. Enter your full legal name, any aliases, and your residential address clearly.
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.
Complete Section 3: Request Acknowledgement by signing and dating the form. This section confirms that you understand the removal process and its implications.
If applicable, fill out Section 4: Interpreter Information, providing details about the interpreter who assisted you in completing the form.
Review all sections for accuracy before submitting. Once completed, save your document and submit it as instructed by the Commission.
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