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There are three ways to enroll in the program. All options require you to provide proof of your identity with a government-issued photo ID that includes your full name and date of birth. Common examples of this type of ID are a driver's license or a passport.
Visit any licensed house-banked card room or participating tribal casino in Washington State, request the enrollment form from staff, complete it, and return it to a house-banked card room or participating tribal casino employee.
If you are enrolling by mail, the enrollment form must be either notarized or signed by a certified problem gambling counselor.
Once your form is complete, mail it to:
This requires you to make an appointment and to travel to Lacey, Washington.
We do not currently have an online enrollment option.
Our Self-exclusion enrollment form page provides the enrollment form, with instructions, in several languages.
If you enroll in person, your enrollment period begins when your form is accepted. If you mail your form, your enrollment begins when we receive your completed form in the mail.
When you enroll, you have to pick from the options of one year, three years, five years, or ten years.