Request for Voluntary Self-exclusion From All Gaming Facilities and Entities Licensed, Permitted or Registered by the New York State Gaming Commission - New York

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Request for Voluntary Self-exclusion From All Gaming Facilities and Entities Licensed, Permitted or Registered by the New York State Gaming Commission - New York

Request for Voluntary Self-exclusion From All Gaming Facilities and Entities Licensed, Permitted or Registered by the New York State Gaming Commission is a legal document that was released by the New York State Gaming Commission - a government authority operating within New York.

FAQ

Q: What is a Voluntary Self-exclusion?
A: Voluntary Self-exclusion is a program that allows individuals to ban themselves from all gaming facilities and entities licensed, permitted or registered by the New York State Gaming Commission.

Q: Who can request for Voluntary Self-exclusion?
A: Any individual who wishes to stop gambling and be excluded from all New York State Gaming Commission licensed facilities can request for Voluntary Self-exclusion.

Q: How can I request for Voluntary Self-exclusion?
A: You can request for Voluntary Self-exclusion by completing a form which can be obtained from the New York State Gaming Commission or its licensed gaming facilities.

Q: How long does the Voluntary Self-exclusion last?
A: Voluntary Self-exclusion can last for a minimum of one year or a lifetime, depending on the individual's preference.

Q: Can I reverse my Voluntary Self-exclusion before it expires?
A: No, once you have entered into a Voluntary Self-exclusion agreement, it cannot be reversed or cancelled before the specified duration.

Q: What happens if I violate the terms of Voluntary Self-exclusion?
A: If you violate the terms of Voluntary Self-exclusion, you may be subject to removal from a facility, forfeiture of winnings, and possible legal consequences.

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Form Details:

  • Released on December 7, 2021;
  • The latest edition currently provided by the New York State Gaming 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 New York State Gaming Commission.

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