
State of California Use Only State of California Gambling Control Commission 2399 Gateway Oaks Drive, Suite 220 Sacramento, CA 95833-4231 (916) 263-0700; Fax: (916) 263-0452 www.cgcc.ca.gov CGCC-037.
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How to fill out the CA CGCC-037 online
The CA CGCC-037 is a self-exclusion form utilized by individuals seeking to prohibit themselves from entering and using gambling establishments in California. This guide provides a step-by-step approach to ensure you can accurately complete the form online.
Follow the steps to effectively fill out the CA CGCC-037 form
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by providing your personal information in Section 1. This includes your full legal name, former names, home address, and contact information. Ensure all fields are completed accurately.
- In Section 2, mark your desired term of exclusion by initialing next to the appropriate option — one year, five years, or lifetime.
- Complete Section 3 by providing a detailed physical description. This includes gender, height, weight, date of birth, race/ethnicity, hair color/type, eye color, and any distinct marks. You will also need to affix a recent passport-quality photograph.
- In Section 4, review and initial each statement in the declaration to confirm your understanding of the implications of your self-exclusion request. Provide your signature and printed name to finalize this section.
- If notarization is required, Section 5 must be filled out. This includes the date, your name, and the signature of the notary public or key employee confirming your identity.
- Once all sections are completed, review the entire form for accuracy. Save any changes made to the document, download a copy for your records, and you may choose to print or share the completed form as needed.
To ensure your self-exclusion is processed, complete the CA CGCC-037 online today.
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