Consider Self-Exclusion
Download and print copies of the Self-Exclusion form and procedures to self-exclude from all Arizona casinos.
What is Self-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 or recovering any losses. The ban includes the use of any of the services or privileges of the facility such as restaurants, concerts, conventions, and hotels. The time period options are 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 This exclusion is irrevocable and cannot be altered or rescinded for any reason during the time period selected on the form.
How Do I Exclude Myself?
There are a number of ways you can go about excluding yourself. You can download the exclusion form, fill it out in its entirety, have it notarized and mail it to the Department of Gaming along with a current photo of yourself. The form (available in a fillable .pdf) can be found in three separate sections; on the Home page, above on this page, and a Links section on the Resources page. 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.
In Person self-exclusions will not be available until further notice. Please do not let this stop you from excluding yourself or receiving the help you may need. The self-exclusion administrator is available to answer your questions and can be reached at 602-255-3843 or by email at drevere@azgaming.gov. The self-exclusion form is available on this website and can be mailed to the office after being notarized. Pictures can be emailed or attached to the form. In addition to self-exclusion, we offer Tribal and State funded treatment from our list of treatment providers. The list of providers can be found on this site.
Please read the Self-Exclusion FAQs for more information.
Self-Exclusion FAQs
Self-Banning Resources
Below are other options you may wish to explore to assist you in your quest to eliminate gambling from your life. Please note: The Arizona Department of Gaming/Division of Problem Gambling is NOT affiliated with these other programs. Should you decide to pursue any of them, please submit the forms to the address listed on the form. Do not return them to the Division of Problem Gambling.
Exclude Yourself From Using ATMS at Many Casinos
The Everi STeP program allows you to exclude yourself from using ATMs at over 1000 gambling locations.
Everi STeP program
Automated Systems America, Inc. (ASAI) can also assist in blocking ATM transactions in some Arizona casinos.
Exclude Yourself From Internet Gambling
Gamblock prevents access to internet gambling sites.
Gamblock