Voluntary Exclusion

Results: 124



#Item
51CONFIDENTIAL REQUEST FOR VOLUNTARY EXCLUSION FROM ALL DELAWARE VIDEO LOTTERY FACILITIES This form is to be completed by any patron requesting to be excluded from all gaming activities in all Delaware Video Lottery Facili

CONFIDENTIAL REQUEST FOR VOLUNTARY EXCLUSION FROM ALL DELAWARE VIDEO LOTTERY FACILITIES This form is to be completed by any patron requesting to be excluded from all gaming activities in all Delaware Video Lottery Facili

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Source URL: www.delottery.com

Language: English - Date: 2013-10-10 14:21:47
52VEP Number  Application for Maryland Voluntary Exclusion Program for Problem Gamblers Instructions – Read carefully • •

VEP Number Application for Maryland Voluntary Exclusion Program for Problem Gamblers Instructions – Read carefully • •

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Source URL: mdgamblinghelp.org

Language: English - Date: 2014-03-27 11:23:14
53Attachment 22  U.S. DEPARTMENT OF AGRICULTURE Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions

Attachment 22 U.S. DEPARTMENT OF AGRICULTURE Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions

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Source URL: www.cdph.ca.gov

Language: English - Date: 2014-09-23 18:45:32
54Principal / Business / Debarment / United States law / Database transaction

DCJS[removed]) Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions (Sub-Recipient) This certification is required by the regulations implementing Exec

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Source URL: criminaljustice.state.ny.us

Language: English - Date: 2002-12-02 14:55:24
55VOLUNTARY EXCLUSION AND SETTLEMENT AGREEMENT This Voluntary Exclusion and Settlement Agreement (Agreement) is entered into by and between the United States Department of Health and Human Services (HHS), through the Publi

VOLUNTARY EXCLUSION AND SETTLEMENT AGREEMENT This Voluntary Exclusion and Settlement Agreement (Agreement) is entered into by and between the United States Department of Health and Human Services (HHS), through the Publi

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Source URL: ori.hhs.gov

Language: English - Date: 2013-08-16 17:17:02
56Caesars Entertainment Corporation / Gambling / Nevada

Caesars UK Voluntary Self Exclusion REQUEST FORM To: The Compliance Department, 10 Brick Street, LONDON, W1J 7HQ I wish to voluntarily exclude myself with immediate effect from all gambling premises operated by Caesars

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Source URL: www.lciclubs.com

Language: English - Date: 2013-12-04 08:31:56
57Attachment E CERTIFICATION REGARDING DEBARMENT, SUSPENSION, 03/07 INELIGIBILITY AND VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS This certification is required by the regulations implementing Executive Order 12549

Attachment E CERTIFICATION REGARDING DEBARMENT, SUSPENSION, 03/07 INELIGIBILITY AND VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS This certification is required by the regulations implementing Executive Order 12549

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Source URL: scworkspeedee.com

Language: English - Date: 2013-11-08 10:36:39
58IOWA STATEWIDE AND LIFETIME SELF-EXCLUSION FORM ATTACH RECENT PHOTO HERE  SELF-EXCLUSION REQUEST

IOWA STATEWIDE AND LIFETIME SELF-EXCLUSION FORM ATTACH RECENT PHOTO HERE SELF-EXCLUSION REQUEST

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Source URL: iowagaming.org

Language: English - Date: 2012-05-04 19:36:28
59IOWA STATEWIDE AND LIFETIME SELF-EXCLUSION FORM ATTACH RECENT PHOTO HERE  SELF-EXCLUSION REQUEST

IOWA STATEWIDE AND LIFETIME SELF-EXCLUSION FORM ATTACH RECENT PHOTO HERE SELF-EXCLUSION REQUEST

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Source URL: www.iowagaming.org

Language: English - Date: 2012-05-04 19:36:28
602006 Annual Report 2006 MACPG Annual Report  Alliance Mission:

2006 Annual Report 2006 MACPG Annual Report Alliance Mission:

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Source URL: www.888betsoff.org

Language: English - Date: 2007-04-10 15:37:12