The self-exclusion procedures and the self-exclusion forms are in a PDF format. Please click on the FAQ link to the right for more information. You may drop off your fully executed self-exclusion forms to our office any time during regular business hours.

For notary services on other days of the week, please call in advance to make an appointment. These are available, by appointment only, on most Fridays between 8:00am-3:00pm. You may also come to the office to complete the entire self-exclusion process which includes meeting with the self-exclusion administrator who will discuss the program, notarize the form and take your photo as well as give you additional resources for problem gambling. The photo may be submitted electronically via email however, the original, notarized self-exclusion form must be mailed or delivered to this office. Please note: The self-exclusion will not be processed without proper notarization and a current photo. You can download the exclusion form found on this site, fill it out, have it notarized and mail it to the Department of Gaming along with a current photo of yourself. There are a number of ways you can go about excluding yourself. This exclusion is irrevocable and cannot be altered or rescinded for any reason during the time period elected on the form. You can choose either a one year, five year, or ten year exclusion. Self-Exclusion is a process that allows a person to request to be banned from all Indian Gaming Facilities within the State of Arizona and to be prohibited from collecting any winnings, recovering any losses, and the use of any of the services or privileges of the facility.

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