Support will point you in the right. The PGCB’s online Self-Exclusion application allows users to perform removals for casino-based self-exclusions. C. Request For Removal From Voluntary Self-Exclusion List. When the period ends, your removal from the self-exclusion list does not happen automatically. If you or anyone you know has a gambling problem, call 1-800-GAMBLER. • my participation in certain state-sponsored voluntary exclusion programs shall supersede my request for removal from the Self-Limit Program and that MGM Resorts reserves the right to deny my request for removal, for any or no reason. (And 20) Multi-Jurisdictional Personal History Disclosure Form. 2002, c. A. Exclusion List – A – Z. In this article, you can find the differences between two of our responsible gaming tools: Self-Exclusion and Cool-Off. Topeka office: 785-296-5800. P. It is a complex process to remove your name from a self-exclusion list in Illinois. In New Jersey, self-exclusion is governed by state regulations aimed at promoting responsible gambling practices and protecting individuals who may be at risk. L. According to the consent agreement with Wind Creek, the casino uses a software system called Veridocs to scan and verify a person’s identity and to compare the photo with its. J. No one except the Gambling Control Unit may release the names of anyone on the self-exclusion list. It means you will be refused service from these venues and websites. S. com real-money. If you can't find what you're looking for, please call our PA iLottery Player Support at 1-833-530-PLAY (7529) or email [email protected]:5-65. You must remain on the self-exclusion list for at least one year from that date. To be eligible, applicants must demonstrate: Exclusion from both federal stimulus checks and COVID related unemployment assistance. Q: How do I get placed on the self-exclusion list? A: Individuals wanting to exclude for a period of two or five years should fill out the self-exclusion form found by clicking on the link above. I want to make sure he doesn’t make the same mistake he did last time. You self excluded yourself so entering the premises including any entertainment venues would violate your agreement with the casino. If you or anyone you know has a gambling problem, call 1-800-GAMBLER. In 2023, the Medically Needy Income Limit (MNIL) in NJ is $367 for an individual and $434 for a couple. 7. Click the My PlayBreak tab under My Account on OLG. Feb 26, 2023, 10:47 PM. ca or call OLG Player Support at 1-855-978-7529. Is he able to gamble in NJ being banned from casinos in PA… as far as I’m aware he’s only banned on ceaser owned. 5:12-71) also provides for the establishment of a list of persons who are to be excluded or ejected from any licensed casino in New Jersey, such as career or professional offenders, cheats or criminal offenders, which is not to be confused with Self-Exclusion. The editor lets you black out, type, and erase text in PDFs. There you’ll need to submit a completed application form from the NJ. S. 5:12-71) provides for the establishment of a list of persons who are to be excluded or ejected from any licensed casino in New Jersey, such as career or professional offenders, cheats or criminal offenders. If you would prefer not to return to a casino to place yourself on the list, you may also complete your application at the KRGC offices in Topeka. 1), shall not collect, in any manner or proceeding, winnings or recover losses arising as a result of wagering activity at a permitted racetrack or licensed off-track. The New Jersey Assembly on Feb. The Casino Control Act (N. What Will Happen After I Get Off A Self-exclusion List? If you selected one or five years, you could begin gambling again after completing the removal process. , A-28 Baton Rouge, LA 70806 Please also understand that removal is not automatic. Required Fields [ * ] Personal Info. Self-exclusion. 2. Download your adjusted document, export it to the cloud, print it. Save or instantly send your ready documents. , put his name on the self-exclusion list in 2004, which bars him from Atlantic City's 11 casinos. After a five-year time frame, if you choose to remove yourself, a few steps must be taken, including: Provide regulators with an affidavit from a licensed mental health professional that has certification for gambling. Tennessee Avenue and the Boardwalk, Atlantic City, NJ 08401. Please click on the link below to go to their site. No software installation. M. Click on New Document and choose the form importing option: add Nj self exclusion removal list form from your device, the cloud, or a secure link. Complete a blank sample electronically to save yourself time and money. Click on first letter of last name for additional information. Avvo Rating: 10. View Profile. Cops can’t be automatically excluded from jury duty, N. 2 Regulations applicable to persons on self-exclusion list; enforcement; sanctions. Follow the step-by-step instructions below to electronically sign your self exclusion removal request: Pick the paper you need to sign and click the Upload button. Now, people can apply online without visiting a gambling website. The process is simple, but it must be completed in person. Quick steps to complete and e-sign Nj self exclusion list online: Use Get Form or simply click on the template preview to open it in the editor. Click on name for additional information. How do I get placed on the self-exclusion list(s)? There are various options for the New Jersey Casino Gambling Self-Exclusion Program which includes self-exclusion from. Police officers who work in the county where a crime occurred can’t automatically be removed. Always set time and money limits before you start to gamble, and adhere to those limits. 1, 13:71-30. D. The action comes with Internet gambling set to begin in just over two weeks, and some. Here are the steps to process and kick off the self-exclusion gambling program based on N. State of New Jersey Office of the Attorney General Department of Law and Public Safety Division of Gaming Enforcement P. Get Off of It! Often a physician, dentist, nurse, or other health professional will be placed on the Medicare List of Excluded Individuals and Entities, or the LEIE. C. See the date on the Notice as to when it was sent, because in 20 days from that date the exclusion will become effective. Once the self exclusion period has been fulfilled. 17 reviews. A person may have his or her own name placed on the self-exclusion list by submitting, in person, a completed request for self exclusion to the: New Mexico Gaming Control Board 4900 Alameda Blvd NE Albuquerque, NM. You may also enroll by scheduling an appointment at a PGCB office or by visiting a PGCB office located in a licensed facility. Provide a photocopy of your driver’s license. Easily fill out PDF blank, edit, and sign them. If you or anyone you know has a gambling problem, call 1-800-GAMBLER. Please fill out the Feedback Form with "Account Wagering Regs" as the subject matter for regulatory questions on Account Wagering. govThe state of New Jersey's official Web site is this gateway to NJ information and services for occupant, visitors, and businesses. The Illinois Gambling Act gives the Board the power to eject or exclude any person from Illinois casinos where such person is in violation of the Act, rules, regulations or a final order of the Board; or where the person's conduct or reputation is such that his/her presence within the casino may call into question the honesty and integrity of the. Compulsive gamblers usually answer “yes” to at least seven of these questions. SJH will screen them against the current List of Excluded Individuals and Entities of the OIG and the State of New Jersey debarment list. To remove yourself from the self-exclusion list, you must complete the initial term, be it one or five years. A. In the case of a 1-year or 5-year self-exclusion, a player can only remove himself from the Self-Exclusion List by appearing in person at one of the NJDGE Offices or at the offices or racetracks of the New Jersey Racing Commission. Securely download your document with other editable templates, any time, with PDFfiller. Individuals who choose the lifetime ban are unable to request removal from the Self-Exclusion List. J. Jefferson City office: (573)526-4080. "Off-track wagering licensee" means the New Jersey Sports and Exposition Authority, provided that the Racing Commission has granted its approval for the Authority toIn California, Tier One sex offenders may be able to get removed from the sex offender registry after 10 years. When people sign up for self-exclusion, the casino must stop marketing to them; remove them from any. This article explains how to begin the self-exclusion process legally, within the state of New Jersey. 3000, § 3000. Have the document notarized. 5:5-30, 5:5-65. It is for those who wish to be supported to stop gambling. J. Request for Removal from the Self-Exclusion List. com play prevent you from entering casinos. This article will explain what self-exclusion is, how it works, and what to consider before self-excluding from an online casino Ein No Deposit Bonus bedeutet gratis Casino Geld ohne Einzahlung, online gambling self-exclusion. O. Depending on the circumstances surrounding the exclusion, other factors may need to be addressed, such as: Repayment of an overpayment; Payment of. Each MAC (Medicare Administrative Contractor) as well as. Continue filling out the form and complete the process to be removed from the list. 2 and N. The player can still play in the casino, with cash, but that’s it. D. Click on New Document and choose the form importing option: add Nj self exclusion removal list form from your device, the cloud, or a secure link. Alternatively, you can take a trip to the offices of the New Jersey Racing Commission to hand over the form. Visit the same Self-Exclusion Registration & Removal page of the Division of Gaming Enforcement. Individuals who wish to place themselves on the Self-Exclusion List can obtain the request and instructions by visiting the Gaming Control Board web site, and choosing the. Explains one insider, “Nevada does not have a self-exclusion list. 1,. Self-exclusion is a facility for people who want to stop gambling for at least six months. You will not be contacted when it takes effect or when the time period has expired. how do i get placed on the self-exclusion list? You may obtain an application form and information on the Self-Exclusion Program from the Division’s web site at by phone at (609) 441-3688 or (609) 777-2279 or in The man, identified only as S. Self-exclusion lists are maintained by state gaming enforcement to ensure operators don’t accept bets from gamblers who would otherwise. NJ had 464 individuals listed as of October 2019. Your participation in the PGCB’s Self-Exclusion Program (s) will not be shared with or visible to any other state agency. gov Phone: (202) 691. A. Self-exclusion. DraftKings has received a number of fines for self-exclusion transgressions in New Jersey and other jurisdictions across the US. N. Although the PGCB has 4 separate self-exclusion lists, our licensees and operators may choose to ban individuals from other types of gambling and/or their gambling and non-gambling venues, including casinos, sports wagering at casinos and/or at freestanding sports wagering locations, VGT establishments, hotels, restaurants, and Fantasy and. Connecticut: Enroll online. Unlike individuals on the involuntary exclusion list, self-excluded persons are not statutorily prohibited from being present in any area of a casino hotel facility and are not subject to any sanction for violating the self-exclusion pact other than the forfeiture of any winnings. -after gambling for a while, the person is identifed by casino personnel. New Jersey, the self-exclusion program is now maintained and implemented by the New Jersey Division of Gaming Enforce-ment. The editor lets you black out, type, and erase text in PDFs. The program covers drugs that are furnished 'incident to' a physician’s service provided that the drugs are not usually administered by the patients who take them. J. 1, 13:71-30. Here are the steps to process and kick off the self-exclusion gambling program based on N. Personal History Disclosure Form – Ancillary Casino Service Industry Enterprise UPDATED March 3, 2023. A. Please call to schedule an appointment to ensure an agent will be available. Streamline Verify screens all state Medicaid lists as part of its robust. Click on New Document and select the form importing option: upload How to get off self exclusion list nj from your device, the cloud, or a secure URL. I understand that upon my enrollment in the Self-Limit Program, I will be ineligible to enroll in theLife circumstances, personal growth, or evolving priorities may make you wonder how to get off self-exclusion list NJ. NJHelps is a basic screening tool. OIG has the authority to exclude individuals and entities from Federally funded health care programs pursuant to section 1128 of the Social Security Act (Act) (and from Medicare and State health care programs under section 1156 of the Act) and maintains a list of all currently excluded individuals and entities called the List of Excluded. Nj casino self exclusion list Nj […]My brother and I are going to NJ to see the chainsmokers and he’s on the self exclusion list in PA but I don’t think that includes NJ casinos. Exclusion List Photo Index. Never use gambling as a coping mechanism. Seeking alternatives is a valid choice, so the State has. Complete a blank sample electronically to save yourself time and money. Please do not call the Commission to attempt to confirm placement on the Problem Gambling List for at least 5 years – this confirmation will not be. A. If you would prefer not to return to a casino to place yourself on the list, you may also complete your application at the KRGC offices in Topeka. ”. 44:7-35 – Public assistance; 34:15-29; 25:2-1 - Workers' compensationSelf-Exclusion List Readoption: N. No software installation. Muck Rock reports New York state, which is supposed to have an exclusion list, currently has no one on a list. 5:5-30, 5:5-65. It is located at Tennessee Ave. 13:74A Proposed: October 5, 2009 at 41 N. Title: State of New Jersey Author:How To Stop Gambling Without Self-Exclusion. Streamline Verify screens all state Medicaid lists as part of its robust. Complete a blank sample electronically to save yourself time and money. An individual who was removed from the voluntary self-exclusion list may not enter the gaming floor,. To self-exclude in person, you can also visit one of the two Department of Gaming Enforcement offices in person at the following address: Arcade Building - Tennessee Ave & Boardwalk. Read the instruction and check the box, then proceed. Regular Exemption. The good thing about NJ self-exclusion is that it’s irreversible. M. While jury duty is a civic requirement for all eligible citizens in New Jersey, there are a number of excuses that can be used to legally get out of being required to report for jury selection or jury duty, or receive a deferral. You can take active steps to remove yourself from gambling whether online or in a premises. Jefferson City, MO 65109. If it is determined upon reasonable due diligence that an individual or entity is listed as excluded by the OIG, the relationship shall be immediately terminated. Self-exclusion is a serious matter, and understanding the rules of Self Exclusion in New Jersey is crucial in navigating this process effectively. J. L. Email: exclusions@oig. The player can still play in the casino, with cash. Sportsbet. S. I know from the policy that you can be banned from land casinos as well. Once your removal from self exclusion list nj form is ready, you can securely share it with recipients and collect eSignatures in a few clicks with pdfFiller. You can apply for exclusion from only physical casinos or physical and online casinos. After five years a Self-Excluded person may request removal from the Self-Exclusion List. However, in order to be removed from the Self-Exclusion List, a Self-Excluded person. gaming activity while I am on the list of self-excluded persons and (4) disclosure of information about me to any. Click on first letter of last name for additional information. When the playing time limit is initially set by a player, the. 05/20). Remember, you can only remove yourself from the self-exclusion list once you've reached the end of your selected 1 or 5 year exclusion period. Self-Exclusion information & Instructions pdf. However, in order to be removed from the Self-Exclusion List, a Self-Excluded person must provide an affidavit from a licensed mental health professional who is also a certified gambling addictions counselor. Please call the Self-Exclusion Administrator if you would like to know the expiration date of your exclusion. "Account wagering licensee" means the New Jersey Sports. Code § 13:69G-2. 5:5-65. If you are eligible, you will be able to request removal from the Casino Self-Exclusion list soon. You must participate in a hearing before the Gaming Control Board’s Hearing Officer who will render a decision which either allows your removal from or requires that you remain on the Self-Exclusion List. Attach an image to the paperwork as stated in the application. "The commission considers that contacting self-excluded persons is a serious breach of the Code, notwithstanding that the email was not an invitation to bet, and no accounts were opened or bets. gov. These rules also established the Colorado Division of Gaming as the custodian of the Self-Exclusion list. S. BitcoinCasino. These self-exclusions expire automatically once the term of. This takes courage, so congratulations to all gamblers who have made the call. In a matter of seconds, receive an electronic document with a legally-binding signature. Call (717)346-8300 to schedule an appointment at the PGCB Harrisburg Office, one of the PGCB’s regional offices or a PGCB office in a licensed facility. December 7th, 2011 at 3:10:31 PM permalink. In addition to self-exclusion, you could consider software which blocks your access to gambling websites, such as GamBan. Self-Exclusion List : Self-Exclusion : FAQs : Problem Gambling Quiz : Self-Exclusion List Forms :. "Account wagering licensee" means the New Jersey Sports. This time, select the Removal from NJ Self-Exclusion Program tab. Case opinion for nj superior court, appellate division i/m/o petition of s. How to get off self exclusion list nj. Regular Exemption. Continue filling out the form and complete the process to be removed from the list. 84% of people who used GAMSTOP to self-exclude say they felt safer from gambling harms and more in control of their gambling. Self-exclusions for one or five years years remain in effect until the self-excluded person requests removal from the list. Jefferson City, MO 65109. The following is a list of persons so excluded by the Division of Gaming Enforcement. Removing yourself from the self-exclusion list is entirely possible and involves a simple process. 5. -at the time the peson is identified, the person up $1500. OIG maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE). In 2013, the program was expanded to also. Limited Gaming Rule 29 and Sports Betting Rule 9 established responsible gaming duties and requirements for Casinos and Sports Betting Operations, as well as guidance to individuals who wish to self-exclude from gaming in Colorado. 1 and 5:5-65. If you have met your ban period, regulators must approve your application before removing your name from the self-exclusion lists. C. Appearing on the Gaming Control Board’s list will not prevent you from playing PAiLottery. This is the best option for players who want to self-exclude from online and land-based options. 13:70-32. A player can set and adjust his daily playing time limit on the HarrahsCasino. On any device & OS. Search OAG Services from A - Z - Full Alphabetical Listing Highlighted Categories: - Agencies / Boards / ProgramsNEW JERSEY RACING COMMISSION Horse Racing Rules; Harness Racing Rules; Off-Track Wagering And Account Wagering Rules Self-Exclusion List Proposed New Rules: N. WHAT'S HOT: WIN: Jersey Cash Codes;FAQs - The Official Web Site for The State of New Jersey. gov Your participation in the PGCB’s Self-Exclusion Program(s) will not be shared with or visible to any other. Individuals who choose the lifetime ban are unable to request removal from the Self-Exclusion List. Extreme Financial Hardship. A total of 11,000 New Jersey residents on last year’s self-exclusion list only banned themselves from online. If you have any questions or require additional information regarding any person on this list, please. Tennessee Casino Banned List. C. ca. 3785(a). Business Attorney in Malvern, PA. With your name removed from the. Start completing the fillable fields and carefully type in required information. C. az. As with all exemptions, check for current amounts and qualification requirements. 08401. On this page, you will find information about some of the original slot machines out there today, high noon casino mobile and download app if you just want to spin the reels and win smaller amounts, application for casino self exclusion. Responsible Gaming Self-Exclusion. In Tennessee, most forms of gambling are prohibited under state law. This can occur because of a state licensing board action against them, a conviction involving a health-related crime, failure to repay a student loan, or many other reasons. 5:5-65. Complete NJ Request for Removal from Voluntary Self-Exclusion List 2011-2023 online with US Legal Forms. When I go in person, I bring a strict amount with me and go to have fun. Seeking alternatives is a valid choice, so the State has also established guidelines on how to remove yourself from the program. To self-exclude specifically from William Hill, shop customers can contact our Retail self-exclusion telephone line on 0800 169 3352. Will prevent you from playing on other online casinos or sportsbooks in the state of NJ. cannot. Adopted: March 29, 2010 by the New Jersey Racing Commission,. Casino operators. Washington, DC 20026. Self-exclusion can be an effective way to get some perspective if you’re experiencing a gambling problem. It probably says that in the letter you received. Advertisement. Self-Exclusion Registration & Removal. Individuals wanting to exclude for a lifetime must do so in person either at Lottery headquarters or at one of our opened casino locations by calling. For the complete. However, in order to be removed from the Self-Exclusion List, a Self-Excluded person must provide an affidavit from a licensed mental health professional who is also a certified gambling addictions counselor. Names on the. Decide Whether to Apply Online or Offline; You must decide whether you want a physical or online process. and Boardwalk in Atlantic City. Gambling self-exclusion is removing oneself from being eligible to gamble in a certain state. PO Box 1847. If your total income is $100,001 up to $125,000, you can deduct. They can submit a request by removal only after the expiration of the minimum one year conversely five-years self-exclusion duration you chose on your Request by Voluntary Excluding upon casino both simulcasting activities, racetrack. Within just seconds, receive an e- document with a legally-binding signature. Your identifying information will be distributed to all New Jersey Internet gaming platform providers. J. : fill, sign, print and send online instantly. mission has granted its approval for the Authority to establish an account wagering system consistent with NJ. - 8:00 P. Any Sporttrade user can self-exclude from within the app by going to Account > Patron Protection Center > Self Exclusion. The state of New Jersey's official Web site is the gateway to NJ information and services for residents, visitors, and businesses. Prohibited persons are allowed to remove themselves from the self-exclusion list once their self-selected exclusion period expires. Click here for the NYS Medicaid Exclusion List. Such request shall be in writing and state with specificity the reason for the request. After five years a Self-Excluded person may request removal from the Self-Exclusion List. Save. Tel: (609) 441-3846. Your name will remain on the self-exclusion list until you complete the entire exclusion period, regardless of any change in personal circumstances. , 5 years, 10 years, etc. D) By signing below, I request to be included on the Connecticut Gaming Self-Exclusion List and that I. Applicants must be able to demonstrate that. Because New Jersey does not tax Social Security income, the $100,000 in gross income does not include Social Security, he said. What Will Happen After I Get Off A Self-Exclusion List? Once you are off the list, you are free to log online to casino sites or visit local establishments that offer gaming. 33. It is the. If you are married (or in a civil union) and are filing jointly, your spouse can also claim a $1,000 regular exemption. Atlantic City, N. ”. Call the OLG Support Centre at 1-800-387-0098, ask a staff member on-site or speak to a Service Coordinator at a PlaySmart Centre. The state minimum in New Jersey is $15,000/$30,000 for liability coverage. Any income that is specifically excluded by any other Federal statute from consideration as income for the purpose of determining eligibility for the NJ SNAP program shall be excluded. 34 helpful votes. If you have self excluded or wish to self exclude, you will not be eligible to have an account with Prophet Exchange until the self-exclusion period is over. (d) Within 15 business days after the Request for Removal from Voluntary Self-Exclusion Form is accepted by Board staff, the OCPG will delete the name of the individual from the self-exclusion list and notify each slot machine licensee of the removal. M. Securely download your document with other editable templates, any time, with PDFfiller. It shall be permissible for a casino licensee, or an employee or agent thereof, to disclose the names of persons on the self-exclusion list or Internet self-exclusion list to a third party that is registered or licensed by the Division pursuant to N. The Nevada Gaming Commission will soon allow players to barre themselves from playing online casino games and online poker games. Please review the FAQs before contacting OIG. Questions regarding self-exclusion can be answered by calling 602-771-4263 and ask to speak to some about self-exclusions or by email at contact@problemgambling. In its place each company maintains a ‘self-limit’ list, which bans the customer from receiving any benefits from the casino (including comps, marketing promotions, check cashing, credit, player’s club points, etc. New Jersey Administrative Code, Title 13 - LAW AND PUBLIC SAFETY, Chapter 74A - SELF-EXCLUSION LIST, Subchapter 4 - REMOVAL OF NAME FROM SELF-EXCLUSION LIST, Section 13:74A-4. Gelber, reach of new jersey’s voluntary self- exclusion list. You can submit a request to be removed from the NJ Self Exclusion list by clicking the button below. You can try a few ways to take a break. to remain o then Self-Exclusion List until you request its removal. It typically proceeds a minimum non-revocation period after which an individual is eligible to apply for reinstatement. This is the first time that regulators in the state will attempt to keep a. J. Complete the Statement and Authorization forms that will be provided by the OIG. After enrolling, the individual is not allowed to enter a gambling facility or gamble online. DraftKings said a software glitch accidentally set the “cooling off” period to zero days. Anyone who hires an individual or entity on the LEIE may be subject to civil monetary penalties (CMP). Television. Click on New Document and choose the form importing option: add Nj self exclusion removal list form from your device, the cloud, or a secure link. 3. You must remain on the self-exclusion list for at least one (1) year from that date. In contrast, the “Instructions forThe state of New Jersey's official Web site is the gateway to NJ information and services for residents, visitors, and businesses. Missouri Gaming Commission. After 3 years of exclusion without any license in any state. 2. 0:43. Online exclusion eliminates the feeling of embarrassment often associated with in-person self-exclusion. S. Household income that is at or below $55,000. Call the OLG Support Centre at 1-800-387-0098 or ask a staff member on-site. You must complete the form and submit it in person to the Delaware Lottery Office Monday – Friday between the hours of 8:00am and 4:00pm, excluding state holidays. 2. J. Self-exclusion is a term that refers to the process of requesting oneself be legally excluded from an activity. While some online operators provide restrictions like cool-off periods, the self-exclusion option is for those who know they have an issue with controlling their. A. The state’s constitution explicitly prohibits all forms of casino-style gambling, including slot machines, roulette, and other table games. Type all necessary information in the required fillable areas. No paper. This application captures live photos during self-exclusion enrollment and removal. FAQs on self-exclusion in NJ. A. A. g. For a list of New Jersey Providers and their current standing with the Medicaid Fraud Division, please visit these sites:. New Jersey Online Gambling Self Exclusion: How To Opt-Out. Please do not call the Commission to attempt to confirm placement on the Problem Gambling List for at least 5 years – this confirmation will not be provided over the phone due to confidentiality concerns. An official website of the United States government. BILL NUMBER: S412A SPONSOR: BIAGGI TITLE OF BILL: An act to amend the mental hygiene law and the racing, pari-mutuel wagering and breeding law, in relation to gambling and the creation of a self-exclusion request for removal form PURPOSE: This legislation will help individuals who place themselves on the gambling self-exclusion list access. J. A. A. to remain o then Self-Exclusion List until you request its removal. With self-exclusion, you cut yourself off from sports betting, both online and offline. The New Jersey self-exclusion program is a responsible gambling initiative offered by the New Jersey Division of Gaming Enforcement (DGE). Removal will also require submission of a Self-Exclusion Removal Request form CGCC-CH7-06 (Rev. Securely download your document with other editable templates, any time, with PDFfiller. J. Request Form, the Atlantic City Casino Gambling Self-Exclusion List and the Internet Gaming Self-Exclusion List maintained by the DGE is not open to public inspection and every effort will be made to maintain its confidentiality. ). Self-exclusion.