This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
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.
Q: What is the document about?
A: The document is about requesting voluntary self-exclusion from gaming facilities in New York.
Q: What is voluntary self-exclusion?
A: Voluntary self-exclusion is a process through which an individual requests to be banned from participating in gambling activities at licensed facilities.
Q: Who can request voluntary self-exclusion?
A: Any individual who wishes to exclude themselves from gambling activities can make this request.
Q: Which entities are covered by this document?
A: This document covers gaming facilities and entities licensed, permitted or registered by the New York State Gaming Commission.
Q: Is this process mandatory?
A: No, this process is voluntary and can be requested by individuals who want to self-exclude from gambling.
Q: What is the purpose of self-exclusion?
A: The purpose of self-exclusion is to help individuals with gambling addiction or those at risk of developing one to stay away from gambling facilities and activities.
Q: How long does the self-exclusion last?
A: The duration of self-exclusion can vary and is typically chosen by the individual, ranging from one to five years.
Q: Can the self-exclusion be revoked?
A: No, once a self-exclusion is requested and confirmed, it cannot be revoked or lifted before the chosen duration expires.
Q: What happens if someone violates their self-exclusion?
A: If someone violates their self-exclusion, they may be subject to penalties and exclusion from the facility for a longer period of time.
Form Details:
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.