VICCC Voluntary Exclusion from Casino Gambling Revised
Virgin Islands Casino Control Commission 3005 Orange Grove Christiansted, VI 00820 Telephone: 340-718-3616 * Fax: 340-718-3136 info@casinocontrolcommission.vi INSTRUCTIONS FOR VOLUNTARY EXCLUSION FROM CASINO GAMBLING 1. Please read carefully the instructions and the Request for Voluntary Exclusion from Casino Gambling (“Voluntary Exclusion Request”), including the waiver and acknowledgement. By signing and submitting the Voluntary Exclusion Request, you are acknowledging that you are a problem gambler and agreeing to be excluded from all gaming activities at United States Virgin Islands’ licensed casinos for ( ) year(s) (Choose one (1), two (2), or three (3)). This means you cannot gamble, receive, or use complimentary goods or services, be a member ofa slot or players club, receive credit from any casino, cash checks at a casino, collect winnings or recover losses for the chosen period. The casinos are to remove your name from their direct marketing lists. 2. Placement on the self-exclusion list is voluntary and can only be done by the individual seeking exclusion. …
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Virgin Islands Casino Control Commission 3005 Orange Grove Christiansted, VI 00820 Telephone: 340-718-3616 * Fax: 340-718-3136 info@casinocontrolcommission.vi INSTRUCTIONS FOR VOLUNTARY EXCLUSION FROM CASINO GAMBLING 1. Please read carefully the instructions and the Request for Voluntary Exclusion from Casino Gambling (“Voluntary Exclusion Request”), including the waiver and acknowledgement. By signing and submitting the Voluntary Exclusion Request, you are acknowledging that you are a problem gambler and agreeing to be excluded from all gaming activities at United States Virgin Islands’ licensed casinos for ( ) year(s) (Choose one (1), two (2), or three (3)). This means you cannot gamble, receive, or use complimentary goods or services, be a member ofa slot or players club, receive credit from any casino, cash checks at a casino, collect winnings or recover losses for the chosen period. The casinos are to remove your name from their direct marketing lists. 2. Placement on the self-exclusion list is voluntary and can only be done by the individual seeking exclusion. Submission of the Voluntary Exclusion Request must be made in person at the following location during normal business hours (8:00 a.m.-5:00 p.m., Monday-Friday): Virgin Islands Casino Control Commission 3005 Orange Grove Christiansted, St. Croix, VI 00820 Tel: (340)718-3616 info@casinocontrolcommission.vi 3. You are required to bring with you a valid driver’s license, passport, military identification card, permanent resident card or other approved government issued identification that contains your signature and a clear photograph, when submitting the Voluntary Exclusion Request. Your photograph will be taken by Commission personnel. 4. Your photograph and identifying information will be distributed to appropriate casino personnel. The information contained in the Voluntary Exclusion Request and the self-exclusion list maintained by the Commission is not open to public inspection and every effort will be made to maintain its confidentiality. However, the Commission and casinos are not liable for any disclosures of such information other than a willfully unlawful disclosure. Certain limited disclosures by the casinos are permitted. The casinos may inform certain of their agents, including cash advance services and junket representatives, that you are on the self-exclusion list for the purpose of denying you gaming related services. The casinos also are permitted by law to disclose to affiliate gaming entities in this territory or other jurisdiction(s) that you are on the self-exclusion list for the limited purpose of the proper administration of responsible gaming programs administered by the affiliated gaming entities. Further, the casinos may alert other Virgin Islands casinos to be vigilant should you attempt to gamble while on the self-exclusion list. 5. Self-exclusion remains in effect until you request removal in writing, notwithstanding that the term selected in paragraph 1 has expired. Removal is not automatic. You must remain on the self- exclusion list fora minimum period of SIX (6) MONTHS. At the conclusion of the minimum period, you can request an early removal from the self-exclusion list, the request for removal must be in writing and approved by the Commission. The Commission can grant or deny your request. If you are granted Virgin Islands Casino Control Commission Revised May 8, 2024 VICCC REQUEST FOR VOLUNTARY EXCLUSION DO NOT WRITE BELOW ———— FOR COMMISSION PERSONNEL USE ONLY TYPE OF I.D. OFFERED: I certify that the signature of the person requesting suspension of gaming privileges appears to agree with that contained on the above identification credentials, and that a physical description or photograph of the person on the identification credentials appears to agree with his or her actual appearance. CASINO CONTROL COMMISSION DATE: BY: I certify that a copy of this Request for Voluntary Exclusion was forwarded to all licensed Virgin Islands casinos. CASINO CONTROL COMMISSION DATE: BY: Virgin Islands Casino Control Commission Revised May 8, 2024