Self Exclusion Application (Fillable Form)
The Problem Gambling Coalition of Colorado, in partnership with the Colorado Gaming Association, offers a voluntary self-exclusion program. This program allows persons to be removed from casino marketing lists, cancel slot club memberships, and cancel any check-cashing privileges at casinos in Colorado.
If you would like to self-exclude from Colorado casinos, then you may download a self exclusion form (fillable form) and mail to:
Problem Gambling Coaltion of Colorado, Inc.
PO BOX 260435
Lakewood, CO 80226-0435
Self Exclusion Rescind Application Form (Fillable Form)
If your time has been met and you would like to remove your name from the self-exclude list please fill out the application.