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

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. 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.
  3. In Section 2, mark your desired term of exclusion by initialing next to the appropriate option — one year, five years, or lifetime.
  4. 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.
  5. 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.
  6. 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.
  7. 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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