§ 1119a.3. Requests for video gaming self-exclusion.
(a) A person requesting placement on the video gaming self-exclusion list shall submit a completed Request for Voluntary Self-Exclusion from Gaming Activities Form to the Board by one of the following methods:
(1) Electronically on the Board’s web site.
(2) In person by scheduling an appointment at the Board’s Harrisburg office, one of the Board’s other offices or at a licensed facility. To make an appointment, a person shall contact the OCPG at (717) 346-8300 or problemgambling@pa.gov.
(b) A request for video gaming self-exclusion must include all of the following identifying information:
(1) Name, including any aliases or nicknames.
(2) Date of birth.
(3) Address of current residence.
(4) Telephone number.
(5) Social Security number, or the last 4 digits of the individual’s Social Security number, when voluntarily provided in accordance with section 7 of the Privacy Act of 1974 (5 U.S.C.A. § 552a).
(6) Physical description of the person, including height, gender, hair color, eye color and any other physical characteristic that may assist in the identification of the person.
(c) The information provided in subsection (b) shall be updated by the video gaming self-excluded person within 30 days of a change. Updated information shall be submitted on a Change of Information Form to the following address, or submitted online in the ‘‘update my information’’ webform on the Board’s web site. A copy of the form can be obtained by calling the OCPG at (717) 346-8300, by e-mail at problemgambling@pa.gov or by writing to:
PENNSYLVANIA GAMING CONTROL BOARD
OFFICE OF COMPULSIVE AND
PROBLEM GAMBLING
COMMONWEALTH TOWER
303 WALNUT STREET, 5TH FLOOR
HARRISBURG, PA 17101
(d) The length of video gaming self-exclusion requested by a person must be one of the following:
(1) One year (12 months).
(2) Five years.
(3) Lifetime.
(e) A request for self-exclusion from video gaming activities in this Commonwealth must include a signed release which:
(1) Acknowledges that the request for video gaming self-exclusion has been made voluntarily.
(2) Certifies that the information provided in the request for video gaming self-exclusion is true and accurate.
(3) Acknowledges that the individual requesting video gaming self-exclusion is or may be a problem gambler.
(4) Acknowledges that a person requesting a lifetime exclusion may only request removal from the video gaming self-exclusion list in accordance with the procedures set forth in § 1119a.6 (relating to removal from the video gaming self-exclusion list) and that a person requesting a 1-year or 5-year exclusion will remain on the video gaming self-exclusion list until the period of exclusion expires, unless removed from the list pursuant to the provisions of § 1119a.6(b).
(5) Acknowledges that if the individual is discovered participating in video gaming that individual’s winnings will be subject to confiscation and remittance to support compulsive and problem gambling programs.
(6) Releases, indemnifies, holds harmless and forever discharges the Commonwealth, the Board and all terminal operator licensees and establishment licensees from claims, damages, losses, expenses or liability arising out of, by reason of or relating to the self-excluded person or to any other party for any harm, monetary or otherwise, which may arise as a result of one or more of the following:
(i) The failure of a terminal operator licensee or establishment licensee to withhold video gaming privileges from or restore video gaming privileges to a video gaming self-excluded person.
(ii) Otherwise permitting or not permitting a video gaming self-excluded person to engage in video gaming activities in this Commonwealth while on the list of video gaming self-excluded persons.
(iii) Confiscation of the individual’s winnings.
(f) A person submitting a video gaming self-exclusion request shall present or submit electronically a copy of that person’s valid government-issued identification containing the person’s signature and photograph when the person submits the request, or if the person does not possess a valid government-issued identification, some other documentation to verify the identity of the person (for example, a utility or other bill in the person’s name at the same address provided).
(g) A person requesting video gaming self-exclusion under this chapter shall have a photograph taken by the Board, or agent thereof, upon submission of the request to be on the list.
(h) A person requesting video gaming self-exclusion electronically on the Board’s web site shall submit a copy of a recent passport-style photograph of the person upon submission of the request to be on the list.
Source The provisions of this § 1119a.3 amended August 2022, effective August 2022. Immediately preceding text appears at serial pages (406048) to (406050).
Cross References This section cited in 58 Pa. Code § 1119a.4 (relating to video gaming self-exclusion list); 58 Pa. Code § 1119a.6 (relating to removal from the video gaming self-exclusion list); and 58 Pa. Code § 1120a.4 (relating to duties of the Bureau and the Office of Enforcement Counsel).
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