Responsible Gaming » Self-Exclusion Program

For several years the members of the Iowa Gaming Association (IGA) have offered a program to allow a person to ban him/herself from each particular casino. In 2004, a Statewide Voluntary Self-Exclusion Program was created so a person can sign one form and not be allowed at any Iowa licensed casino. Passed by the Iowa legislature, this added deterrent is part of the industry’s comprehensive responsible gaming initiative.


How does the program work?

A person can voluntarily request to be banned from all casinos in Iowa by signing an exclusion form. This form will then be disseminated to all IGA member casinos (The two tribal casinos are exempt from participation). By signing this form, a person agrees to a lifetime ban, and that, if discovered, he/she forfeits any jackpot, slot credit or chips to the Iowa Gambling Treatment program.

How do I get a self-exclusion form?

Download Self-Exclusion Form

  • Complete the downloadable Self-Exclusion Form. If you have registered previously there is no need to resubmit the form.
  • Take the completed form to the closest gambling counseling treatment center to be notarized and sent in on your behalf. The form can also be taken to the nearest casino. At the casino, the form must be signed in person before security personnel.
  • All self-exclusion resquests will automatically be distributed to every IGA casino property.

Do casino “in-house” forms automatically transfer to the statewide exclusion program?

No. If a person had signed a casino’s “in-house” voluntary self-exclusion form, he/she does not automatically become eligible for the statewide exclusion program. A new form must be completed.

Find a Gambling Treatment Facility Near You

The Iowa Department of Public Health's Gambling Treatment Program makes it easy to find your nearest treatment center. Visit its site and click on your county to find gambling treatment providers in your area.

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