Request for Voluntary Self-exclusion From Gaming Activities - Pennsylvania

Request for Voluntary Self-exclusion From Gaming Activities - Pennsylvania

Request for Voluntary Self-exclusion From Gaming Activities is a legal document that was released by the Pennsylvania Game Commission - a government authority operating within Pennsylvania.

FAQ

Q: What is a voluntary self-exclusion from gaming activities?
A: Voluntary self-exclusion is a program that allows individuals to ban themselves from entering casinos or participating in other gambling activities.

Q: Who can request voluntary self-exclusion in Pennsylvania?
A: Any individual who is 21 years or older can request voluntary self-exclusion in Pennsylvania.

Q: How long does a voluntary self-exclusion last?
A: A voluntary self-exclusion can last for one year, five years, or a lifetime, depending on the individual's choice.

Q: Can a voluntary self-exclusion be terminated or revoked?
A: No, once a voluntary self-exclusion is in effect, it cannot be terminated or revoked.

Q: What happens if someone violates a voluntary self-exclusion?
A: If someone violates a voluntary self-exclusion, they may be subject to arrest for trespassing and forfeit any winnings or prizes.

Q: Is voluntary self-exclusion confidential?
A: Yes, the information provided for voluntary self-exclusion is kept confidential and is not shared with any third parties without consent.

Q: How can someone request voluntary self-exclusion in Pennsylvania?
A: Individuals can request voluntary self-exclusion by completing a form at a Pennsylvania casino or by contacting the Pennsylvania Gaming Control Board.

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Form Details:

  • Released on March 28, 2016;
  • The latest edition currently provided by the Pennsylvania Game Commission;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Pennsylvania Game Commission.

Download Request for Voluntary Self-exclusion From Gaming Activities - Pennsylvania

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