Section 633-13-2 - Request for self-exclusion1. Any person may request self-exclusion pursuant to these regulations by: A. Appearing in person at an office of the State of Maine Gambling Control Board, a licensed casino or slot facility, or an affiliate office of the Problem Gambling Services Provider of the Maine Center for Disease Control and Prevention; orB. Requesting a virtual, online self-exclusion meeting with the Problem Gambling Services Provider which can be found on the self-exclusion link of the Gambling Control Unit website.2. The requestor shall:A. Present government-issued identification containing:(2) A photograph or a general physical description;C. Submit a completed Request for Self-Exclusion form.3. The request for self-exclusion shall be made on a form prescribed by the Board. The form must be available at all licensed casinos or slot facilities, and the affiliate offices of the Problem Gambling Services Provider of the Maine Center for Disease Control and Prevention, and the Office of the Gambling Control Board.
A. The Request for Self-Exclusion form must include:(1) The following identifying information concerning the person submitting the self-exclusion request:(a) Name, including any aliases or nicknames;(c) Address of current residence;(d) Current telephone number;(e) Social Security number, if such information is voluntarily provided by the person requesting self-exclusion;(f) A physical description of the person, including height, weight, gender, hair color, eye color and any other physical characteristic that may assist in the identification of the person;(2) The length of the self-exclusion period requested by the person: The length of a self-exclusion period must be for one of the following designated time frames: one year, three years, five years, or lifetime. Once a time frame is selected, the person requesting exclusion will serve the entire duration of the exclusion period except, in the case of lifetime exclusion, the person may petition the Board for removal from the self-exclusion list after five years.
(3) A signed release that includes, at a minimum, the following:(a) Acknowledgement that the request for self-exclusion has been made voluntarily;(b) Certification that the information provided on the form is true and accurate;(c) Acknowledgement that the individual requesting self-exclusion is a problem gambler; and(d) Agreement to release, indemnify, hold harmless and forever discharge the State, the Board, and licensed slot facilities and casinos from any claims, damages, losses, expenses or liability arising out of, by reason of or relating to the self-excluded person or to any other party for any harm, monetary or otherwise, which may arise as a result of or by reason of any act or omission relating to the request for self-exclusion, including:(i) Its processing or enforcement;(ii) The failure of a slot facility or casino to withhold gaming privileges from or restore gaming privileges to a self-excluded person;(iii) Otherwise permitting or not permitting a self-excluded person to engage in gaming activity in a licensed facility while on the list of self-excluded persons.(e) Acknowledgement that any self-excluded person violating the terms of his or her self-exclusion agreement during the self-excluded period may be subject to (1) conviction for criminal trespass, and/or (2) placement by the Board on the involuntary exclusion list as set out in Section 5 of these regulations.B. The request for self-exclusion may be made only by the individual to whom exclusion would apply and not by any other person.16-633 C.M.R. ch. 13, § 2