Get Ok Choctaw Nation Self-exclusion Form 2022-2025

Completing the OK Choctaw Nation Self-Exclusion Form online is an important step for individuals who recognize a need to manage their gambling habits. This guide provides a clear and supportive overview of how to effectively fill out the form to initiate self-exclusion from all Choctaw Casinos.

Follow the steps to successfully complete the self-exclusion form.

1. Press the ‘Get Form’ button to access the self-exclusion form and open it in an online editor.
2. Begin by clearly printing your full name in the designated field, followed by your date of birth.
3. Provide any aliases or nicknames you may use, as well as your race.
4. Enter your current mailing address, ensuring to include your city, state, and zip code.
5. Fill in your telephone number to enable contact if necessary.
6. Offer a personal description by providing details such as height, sex, weight, hair color, eye color, and any distinguishing marks like scars or tattoos.
7. Attach a copy of your government-issued photo ID to the form as required.
8. Acknowledge your status as a problem gambler and specify the exclusion period desired by checking the appropriate box: One Year, Five Years, or Ten Years.
9. Review the terms and restrictions associated with the self-exclusion form carefully and confirm your understanding and agreement.
10. Sign and date the form, indicating your city, state, and the date of execution.
11. If required, complete the notary section by having a notary public witness your signature.
12. Finally, save your changes, and choose the option to download, print, or share the completed form. Ensure to mail or deliver the form with your picture attached to the specified address for the Choctaw Nation Gaming Commission.

Take the first step towards managing your gambling by completing the OK Choctaw Nation Self-Exclusion Form online today.