Responsible Gaming » Self-Exclusion Program

ABOUT THE PROGRAM: For several years the casino members of the Iowa Gaming Association allowed a person to ban him/herself from a particular casino. In 2004, a Statewide Voluntary Self-Exclusion Program was created so a person could sign one form and not be allowed at any Iowa licensed casino. The statewide program option was passed by the Iowa legislature and 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 is then distributed to all IGA member casinos (the two tribal casinos are exempt from participation). By signing this form, a person agrees to a lifetime ban. He/she forfeits any jackpot, slot credit or chips to the Iowa Gambling Treatment Program if a breach of the lifetime ban is discovered.

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 requests will automatically be distributed to every IGA casino property.

Do casinos' in-house forms automatically transfer to the statewide exclusion program?

No. If a person signs a casino’s in-house voluntary self-exclusion form, he/she does not automatically become enrolled in the statewide exclusion program. The form above must be completed and turned in.

Find a Gambling Treatment Facility Near You

The Iowa Department of Public Health's Iowa 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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