Contact
Toll Free: 800-952-0195
Phone 1: 715-787-3110
Phone 2: 715-793-4090
Fax: 715-787-3129
Note: it may take a few moments for the form to load in. Please be Patient. If it does not load or seems to be taking too long, please click the link below:
Alternative Online Form Link.Voluntary Exclusion Program Self-Ban Forms
For you convience, you may print out the Self-Ban and Self-Ban Lift forms. These forms must be filled out completely and delievered in person.
PLEASE READ THEM CAREFULLY BEFORE FILLING THEM OUT OR SUBMITTING THEM
More Winners
Joan C. won $30,000
Friday, September 10th
Larry G. won $12,494
Friday, September 10th
Mark S. won $12,018
Monday, September 6th
Franklin K. won $20,000
Saturday, September 4th
Mark S. won $18,119
Saturday, September 4th
Carla P. won $13,751
Friday, September 3rd