Remote self-exclusion authority and identification form
Complete this form to authorise the Gambling Help service to act as your representative when consenting to seek a remote self-exclusion from a gaming venue.
Additional Information
| Field | Value |
|---|---|
| Data last updated | 9 July 2026 |
| Metadata last updated | 9 July 2026 |
| Created | 26 June 2020 |
| Format | |
| License | Creative Commons Attribution 4.0 |
| Has views | False |
| Id | dbeb01f5-03ed-4ea7-864a-dbd871f7cfae |
| Mimetype | application/pdf |
| Package id | 5b743aff-7852-41c4-ab03-a83464d6f681 |
| Position | 12 |
| Size | 183.1 KiB |
| State | active |
| Url type | upload |