Voluntary Self-Exclusion Program
Since December 2005, the Iowa Lottery has offered a program to allow a person
to ban him/herself from receiving lottery prizes over $600 as well as any lottery promotional
materials. The agreement would ban those players who sign it from the lottery's five regional
offices in the state and allow the lottery to deny payment of any prize at a lottery office to
How does the program work?
Under the policy, a lottery player who wishes to enter into a lifetime self-ban agreement
with the lottery signs a contract provided by the lottery and has it notarized, then turns it
in to the lottery. In the contract, players acknowledge that they are problem gamblers, and that
their ability to claim lottery prizes is an unwelcome incentive to them to play. The players
acknowledge that they want to reduce the incentive to play lottery games by entering into a
voluntary self-exclusion agreement restricting them from claiming prizes at lottery offices.
The lottery developed a computer database containing the names and Social Security numbers of
those who have signed the contracts. The lottery checks information against the database whenever
someone tries to claim a prize at an Iowa Lottery office. Those players on the list are denied
The lottery also removes from any mailing or promotional lists the names of those players who
enter into self-ban contracts.
Is the lottery self-ban program affiliated with the Iowa Gaming Association (IGA) statewide exclusion program?
No. If a person has signed an IGA voluntary self-exclusion form for casinos, he/she is not
automatically placed on the Iowa Lottery's self-ban list.
How do I get a self-exclusion form?
Click here to download
the most current version of the lottery's self-exclusion form, which can be printed. When the form is
completed and notarized, it should be turned in to any Iowa
Lottery regional office.
Acrobat Reader is required to view self-exclusion document.
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