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  • Ca Cgcc-037 2006

Get Ca Cgcc-037 2006

SELF-EXCLUSION FORM Type or print (in ink) all information requested on this form. If additional space is needed, please note response on a separate sheet of paper and attach to the form. You may hand this completed form in to any Cardroom or participating gambling facility, to the Division of Gambling Control, or the California Gambling Control Commission. Or you may mail this completed form to: Division of Gambling Control, P.O. Box 168024, Sacramento, CA 95816. SECTION 1: PERSONAL INFORMATI.

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How to fill out the CA CGCC-037 online

The CA CGCC-037 is a self-exclusion form used by individuals seeking to voluntarily exclude themselves from gambling in California. This guide provides clear, step-by-step instructions on completing the form online to ensure a smooth and accurate submission.

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

  1. Click ‘Get Form’ button to obtain the form and open it in your chosen editor.
  2. In Section 1, enter your personal information including your full legal name, any former names, your home address, mailing address if different, and contact numbers.
  3. Indicate the games you most often play in the specified field in Section 1.
  4. In Section 2, initial next to the appropriate term of exclusion: one year, five years, or lifetime.
  5. Complete the photo and visual description section in Section 3, providing details like height, weight, date of birth, race/ethnicity, hair color/type, eye color, and any distinguishing marks.
  6. Affix a recent passport-quality photograph showing your head and shoulders in the designated area.
  7. In Section 4, read the declaration carefully. Initial in the designated spaces to confirm understanding, agreement, and to acknowledge that the exclusion request is irrevocable for the term selected.
  8. Sign and print your name in Section 4, providing the date of your signature.
  9. Complete Section 5 if notarization is required, including the date and witness signature as necessary.
  10. Review all entered information for accuracy, then save changes, download, print, or share the form as needed.

Complete your CA CGCC-037 form online today for a streamlined process.

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CA CGCC-037
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