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  • Indiana Voluntary Exclusion Program Form

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Indiana Voluntary Exclusion Program VEP Request for Removal State Form 52323 R / 2-11 Instructions Read Carefully Read each section of this form and the attached removal guidelines carefully before completing. Print legibly in blue or black ink. Present a valid driver s license or government-issued identification card for verification of personal information. Important Notice Under 68 IAC 6-3-5 A person may upon the expiration of the selected t.

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Complete and sign the Voluntary Self-exclusion Reinstatement Form stating that you have read and understand the information. The Alcohol, Gaming, Fuel and Tobacco Division or confirms the date it removes your name from the voluntary exclusion list. You can then re-enter the s.

The Indiana Internet Self-Restriction Program (ISRP) enables individuals to request to be barred from participating in licensed mobile sports wagering in Indiana.

The Voluntary Self-Exclusion Program (VSE) is a statewide program that allows you to voluntarily exclude yourself from gambling, sports wagering or both for a predetermined amount of time.

A person making a request for removal must do so in writing, on the appropriate form. The Request for Removal form may be completed at the IGC office in Indianapolis, an Indiana location or by US mail.

Self-exclusion begins immediately after you've signed the agreement and lasts for the period of time chosen by you. It cannot be cancelled or changed in any way.

The Self-Exclusion will remain in force until it is revoked successfully. How do I apply to revoke? Please log in with your Singpass to proceed with your Self-Exclusion Revocation application. If you require assistance on how to submit your application, you may contact NCPG at 6354 8154.

Removal of the self-exclusion order Your request for the lifting of your self-exclusion order will only be considered after the 6-month period has passed. You'll also have to prove that you've attended counselling sessions with a treatment professional.

In order to be removed from the VEP, the person must complete and submit a Request for Removal form. The form may be completed in person at any Indiana location, at the IGC office in Indianapolis or by US Mail.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232