State of California California Gambling Control Commission 2399 Gateway Oaks Drive, Suite 220 Sacramento, CA 958334231 (916) 2630700; Fax: (916) 2630452 www.cgcc.ca.govSELFEXCLUSION REQUEST CGCC 037.

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How to fill out the CA CGCC-037 online

The CA CGCC-037 form is used for individuals seeking to request self-exclusion from gambling activities in California. This comprehensive guide will provide clear and supportive instructions for completing the form online, ensuring users can easily navigate each section.

Follow the steps to successfully complete the CA CGCC-037 online.

  1. Press the ‘Get Form’ button to access the online form and open it in your digital editor.
  2. Enter your full legal name as it appears on legal documents, including your first, middle, and last names. If applicable, list any other names you may have used, such as former names or aliases.
  3. Provide your personal address, including street, city, state, zip code, and home telephone number. Additionally, include your email address for communications.
  4. In Section 2, select the term of exclusion by initialing your choice: Lifetime or One Year. You may also need to provide the date of birth and race/ethnicity, as well as physical attributes such as hair and eye color, height, and weight.
  5. Affix a recent passport-quality photograph to the designated area in the form. Ensure the photograph clearly shows your head and shoulders.
  6. Complete the declaration section, acknowledging your understanding of the self-exclusion terms and your voluntary decision to exclude yourself from gambling establishments.
  7. If required, proceed to the notarization section. This can be done by a notary public or a key employee at a gambling facility who can attest to the authenticity of your submission.
  8. Finally, review all provided information for accuracy. Once confirmed, save, download, or print your completed form as needed. You can then submit it to any participating gambling facility or mail it to the Bureau of Gambling Control.

Complete your CA CGCC-037 self-exclusion request online today!

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