Complete the Self-Exclusion Enrollment application at the Washington State Gambling Commission Headquarters.Attach a passport style photo and a copy of your photo ID to your application.Your enrollment form must be notarized or signed by a certified gambling counselor.Translated Self-Exclusion Enrollment Forms are also available. Fill out a Self-Exclusion Enrollment Form.Complete the Self-Exclusion Enrollment application at home and mail it to WSCG Headquarters in Lacey.There are three options to complete your application: Please monitor this page for participating tribal casinos. Tribal casinos may also participate in this statewide Self-Exclusion Program. The Self-Exclusion Program allows you to submit a single form to voluntarily exclude yourself from all house-banked cardrooms statewide. All Self-Restriction forms are kept and maintained in the individual cardrooms.The Gambling Commission has developed the voluntary Self-Exclusion Program for individuals with a gambling problem or gambling disorder. Self-Restriction periods are dictated by individual cardrooms and can vary from cardroom to cardroom. The cardroom may voluntarily use the California Gambling Control Commission’s form or they may create their own. Self-Restriction is an irrevocable, voluntary agreement to have restricted access to specific gambling establishments, or to the issuance of credit, check cashing, or marketing, from a particular licensed cardroom. You can find the form on the California Gambling Control Commission’s webpage.Īlso in accordance with regulations, Licensees are required to administer a Self-Restriction Program. The mailing instructions are located on the top of the form. Please be sure to submit the form with an original signature by mail. Removal will also require submission of a Self-Exclusion Removal Request form CGCC-CH7-06 (Rev. Removal from a lifetime term will require that the Self-Excluded person has currently been on the Self-Exclusion term for a minimum of 1 year prior to requesting removal. 1 year Self-Exclusion terms are irrevocable.

Self-Excluded patrons are prohibited from collecting any unredeemed jackpots or prizes for the term specified on their form, which can be 1 year or lifetime. A licensed gambling establishment does not include Tribal Casino’s or Horse Racing wagering facilities. Self-Excluded patrons are banned from all licensed gambling establishments in the State of California. In accordance with regulations, the Bureau administers a confidential list of Self-Excluded patrons.

Casino gaming exclusion list