Terms you can choose
One year or five years only — no lifetime option. At the end of the term the patron must write a letter to the Director of Security requesting rescission; the exclusion is not lifted automatically.
When it ends
This continues until a removal is granted.
The exclusion does not lift at the end of the one-year or five-year term. You have to write to the Director of Security requesting rescission, and an ejection committee panel has to confirm it.
How to enroll
Mail the notarized form to Mohegan Sun Security.
Complete the form, affix a color photo, sign in front of a notary, and mail it to Mohegan Sun Security. This is the route onto Mohegan Sun's own exclusion list, and it covers the Mohegan Sun gaming floor and nothing else — not Foxwoods, and not Connecticut's statewide DCP list for online gaming and mobile sports wagering, which is a separate request to the state. Mailing the form is a submission, not a confirmation: nothing published says what Mohegan Sun sends back or how long it takes, so follow up with Security and ask whether your exclusion is in effect. We don't fill in or submit this form.
- Download Mohegan Sun's self-exclusion form. The state DCP's own self-exclusion page links to it directly. We don't fill in or submit this form.
- Fill in your name, address, physical description (height, weight, hair, eyes, complexion) and driver's license number, and affix a color photo.
- Sign in front of a notary. The notary block sits directly under your signature line, and the form is built for every submission to be notarized. Whether a remote online notarization is accepted is not addressed.
- Mail it to Mohegan Sun, Attn: Security, 1 Mohegan Sun Blvd., Uncasville, CT 06382.
- No processing time and no confirmation method are published, so nothing tells you the form arrived or that the exclusion is active.
- Choose one year or five years; there is no lifetime option. The exclusion does not lift on its own at the end of the term. You have to write a letter to the Director of Security asking for rescission, and an ejection committee panel has to confirm it. Where that letter goes and how long the panel takes are not published.
- This covers the Mohegan Sun gaming floor only. Mohegan Sun's online and mobile sports wagering is covered by the state's separate DCP list, which is its own enrollment.
Official form (PDF metadata ModDate 2022-04-29; no separate printed revision code)
Before you count on it. This reaches the Mohegan Sun gaming floor and nothing else. The form itself states it does not enroll you in Connecticut's statewide DCP list for online gaming and mobile sports wagering — that is a separate request to the state, and joining the state list does not exclude you from this gaming floor either. It does not cover Foxwoods, which runs its own separate program. If you return and play, you can be arrested for criminal trespassing and any jackpot winnings are forfeited. Whether residents or visitors qualify, how long processing takes, and what confirmation you get are all unaddressed on the form, so mailing it does not by itself tell you the exclusion is active. Removal is never automatic: after one or five years you have to write the Director of Security, and an ejection committee panel has to agree. The letter's exact address and the panel's timeline are not published.
Every route we checked
Routes that enroll you
- By mail — Mohegan Sun, Attn: Security, 1 Mohegan Sun Blvd., Uncasville, CT 06382
The form's own submission address.
Requirements and sources
Sources read 2026-09-24. These are the program's requirements, not a record of anyone's enrollment.
- Terms available
- One year or five years only — no lifetime option. At the end of the term the patron must write a letter to the Director of Security requesting rescission; the exclusion is not lifted automatically.
- Can a resident enroll
- Not verified: Not addressed on the form.
- Can a visitor enroll
- Not verified: Not addressed on the form.
- Identification
- A color photo affixed to the form, plus descriptive physical fields and a driver's license number.
- Notarization
- A notary block sits directly under the patron's signature line; the form's design has every submission notarized rather than offering it as an optional alternative.
- Witnesses
- Not verified: Not addressed beyond the notarization.
- Notarizing online
- Not verified: The form requires notarization but does not state whether remote online notarization is accepted.
- How long processing takes
- Not verified: Not described on the form.
- How you are told it took effect
- Not verified: Not described on the form.
The form asks for: name, address, physical description (height, weight, hair, eyes, complexion), driver's license number, color photo affixed, notarized signature.
- Mohegan Sun Security Self-Exclusion Form mohegansun.com · read 2026-10-21