58 Pa. Code § 815a.3 - Requests for interactive gaming self-exclusion
(a) A person requesting placement on the
interactive gaming self-exclusion list shall submit a completed Request for
Voluntary Self-Exclusion from Gaming Activities Form to the Board by one of the
following methods:
(1) Electronically on the
Board's web site.
(2) In person by
scheduling an appointment at the Board's Harrisburg office, one of the Board's
other offices or at a licensed facility. To make an appointment, a person shall
contact the OCPG at (717) 346-8300 or problemgambling@pa.gov.
(b) A request for interactive
gaming self-exclusion must include all of the following identifying
information:
(1) Name, including any aliases
or nicknames.
(2) Date of
birth.
(3) Address of current
residence.
(4) Telephone
number.
(5) Social Security number,
or the last 4 digits of the individual's Social Security number, when
voluntarily provided in accordance with section 7 of the Privacy Act of 1974
(5 U.S.C.A. §
552a).
(6) Physical description of the person,
including height, gender, hair color, eye color and any other physical
characteristic that may assist in the identification of the
person.
(c) The
information provided in subsection (b) shall be updated by the interactive
gaming self-excluded person within 30 days of a change. Updated information
shall be submitted on a Change of Information Form to the following address, or
submitted online in the "update my information" webform on the Board's web
site. A copy of the form can be obtained by calling the OPCG at (717) 346-8300,
by e-mail at problemgambling@pa.gov, or by writing to:
PENNSYLVANIA GAMING CONTROL BOARD OFFICE OF COMPULSIVE AND PROBLEM GAMBLING COMMONWEALTH TOWER
303 WALNUT STREET, 5TH FLOOR
HARRISBURG, PA 17101
(d) The length of interactive gaming
self-exclusion requested by a person must be one of the following:
(1) One year (12 months).
(2) Five years.
(3) Lifetime.
(e) A request for self-exclusion from
interactive gaming activities in this Commonwealth must include a signed
release which:
(1) Acknowledges that the
request for interactive gaming self-exclusion has been made
voluntarily.
(2) Certifies that the
information provided in the request for interactive gaming self-exclusion is
true and accurate.
(3) Acknowledges
that the individual requesting interactive gaming self-exclusion is or may be a
problem gambler.
(4) Acknowledges
that a person requesting a lifetime exclusion may only request removal from the
interactive gaming self-exclusion list in accordance with the procedures set
forth in §
815a.6 (relating to removal from
the interactive gaming self-exclusion list) and that a person requesting a
1-year or 5-year exclusion will remain on the interactive gaming self-exclusion
list until the period of exclusion expires.
(5) Acknowledges that if the individual is
discovered participating in interactive gaming, that the individual's
interactive gaming account will be suspended and the individual's winnings will
be subject to confiscation and remittance to support compulsive and problem
gambling programs.
(6) Releases,
indemnifies, holds harmless and forever discharges the Commonwealth, the Board
and all interactive gaming certificate holders or interactive gaming operators
from claims, damages, losses, expenses or liability arising out of, by reason
of or relating to the self-excluded person or to any other party for any harm,
monetary or otherwise, which may arise as a result of one or more of the
following:
(i) The failure of an interactive
gaming certificate holder or interactive gaming operator to withhold
interactive gaming privileges from or restore interactive gaming privileges to
an interactive gaming self-excluded person.
(ii) Otherwise permitting or not permitting
an interactive gaming self-excluded person to engage in interactive gaming
activities in this Commonwealth while on the list of interactive gaming
self-excluded persons.
(iii)
Confiscation of the individual's winnings.
(f) A person submitting an interactive gaming
self-exclusion request shall present or submit electronically a copy of that
person's valid government-issued identification containing the person's
signature and photograph when the person submits the request, or if the person
does not possess a valid government-issued identification, some other
documentation to verify the identity of the person (for example, a utility or
other bill in the person's name at the same address provided).
(g) A person requesting interactive gaming
self-exclusion under this chapter shall have a photograph taken by the Board,
or agent thereof, upon submission of the request to be on the list.
(h) A person requesting casino self-exclusion
electronically on the Board's web site shall submit a copy of a recent
passport-style photograph of the person upon submission of the request to be on
the list.
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