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. You can choose either a one-year, five-year, or ten-year exclusion. This exclusion is irrevocable and cannot be altered or rescinded for any reason during the period elected on the form.

How to process the Self-Exclusion?

There are two ways to process the self-exclusion:

1. 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. Please note: The self-exclusion will not be processed without proper notarization and a current photo. The photo may be submitted electronically via email; however, the original, notarized self-exclusion form must be mailed or delivered to this office.
2. Go to the Arizona Department of Gaming (ADG) 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. These are available, by appointment only, on most Fridays between 8:00am-3:00pm. For notary services on other days of the week, please call in advance to make an appointment. All fully executed self-exclusion forms can be drop of to the ADG office any time during regular business hours.

Important

Please click on the FAQ link for more information.

Self-Exclusion form link: Online Form.

For more information on the Self-Exclusion requirements go to the ADG link.