Please read before proceeding
  1. You can submit a Removal Request only after the minimum one year or five years’ self exclusion period you selected has been satisfied. If you chose the lifetime exclusion option, your name cannot be removed from the Self-Exclusion List.

  2. By acknowledging and submitting this online application, you are removing your name from the Self-Exclusion List and authorizing the Division of Gaming Enforcement (Division) to permit all New Jersey casino licensees to reinstate your gaming privileges. However, you may continue to be subject to other Responsible Gaming Programs enacted by the casino companies. The Waiver of liability you signed in connection with the submission of your Request for Voluntary Exclusion from Casino Gambling Form remains in effect.

  3. The Division has five business days from the receipt of your Removal Form to delete your name from the Self-Exclusion List and notify the casinos in Atlantic City of such removal. Consequently, you may be denied gaming privileges from the time you submit your Removal Form until the casinos update their records.

  4. In accordance with Section 7 of the Privacy Act, 5 U.S.C. 552a, disclosure of your social security number to the Division is voluntary. Failure to disclose your social security number is not grounds for denial of your request for removal from the Self-Exclusion List. The request for your social security number is made pursuant to the Casino Control Act, N.J.S.A. 5:12-1, et seq. If provided, your social security number will be used by the Division to obtain and verify information contained in this request. The absence of a social security number may delay the final determination of your request. Voluntary submission of your Social Security Number is required if you are requesting to be self-excluded online. If you do not want to disclose your social security number, please submit the request in person at one of our locations.

  5. For the complete rules governing the Internet Gaming Self-Exclusion program, see the Casino Control Act at N.J.S.A. 5:12-71.2 and 71.3, as well as the regulations set forth at N.J.A.C. 13:69G-2.1 through 2.5. Copies of these rules are available upon request from Division personnel and are also available on the Division's website at Rules may be changed without prior notice to Self-Exclusion program participants.