Terms you can choose
Five years or lifetime, chosen at enrollment; both are stated as final and irrevocable on the form itself. A five-year term ends automatically and cannot be shortened; a lifetime term entered on or after 2017-07-01 cannot be ended under any circumstance. Anyone who enrolled on or before 2017-06-30, in either term, may separately petition for revocation under a 2017 statutory carve-out, regardless of the term chosen.
Sign up for the longest exclusion time you can. Future you will thank you.
When it ends
A fixed term ends on its own at the end of the term; a lifetime term has no published way to lift it.
A fixed term. A five-year term ends automatically and cannot be shortened; nothing further needs to be filed.
A lifetime term. A lifetime term entered on or after 2017-07-01 cannot be ended under any circumstance. Only someone who enrolled on or before 2017-06-30, in either term, may separately petition for revocation under a 2017 statutory carve-out.
How to enroll
Enroll through NVSEP.
NVSEP fills in Iowa's form with you online, checks your ID, notarizes it free by video call, and sends it to the Iowa Racing and Gaming Commission. Press Self-Exclude Now on the page and sign in with the code NVSEP emails you. Identity checks start with a live face scan — it asks you to turn your head to each side — before it asks your name, and NVSEP says the pictures you submit are stored on your self-exclusion record. Iowa is one of the states it notarizes, and it takes one of those per request: if you also need Colorado, California or Michigan's online list, that is a second request. NVSEP says most self-exclusions take effect within 24 to 72 hours after submission, and that it sends you a confirmation once the submission is processed. The Commission publishes no confirmation of its own, so keep NVSEP's. To enroll on paper or in person instead, use the steps below.
- Enroll through NVSEP. Its Iowa page covers this list: casinos and racetracks, online sports betting and fantasy sports, for five years or lifetime. You fill in the form online, upload your ID, sign in front of a free video notary, and NVSEP sends it to the Commission. We don't fill in or submit it. To enroll on paper instead, follow the steps below.
- Download the mail-in enrollment form (Rev. 01/2024) from the IRGC site, or pick one up at an Iowa Gambling Treatment Provider (IGTP) agency or any licensed casino or racetrack. We don't fill in or submit this form.
- Fill in the form, attach a recent head-and-shoulders photo and a copy of the signature side of your driver license, state ID or passport, and choose your term: five years or lifetime.
- Sign in front of a notary. Iowa accepts remote online notarization wherever you live, as long as the service is one the State of Iowa has approved -- NVSEP.org offers it at no cost for this form, or pick another provider from the Iowa Secretary of State's list.
- Mail the signed, notarized form to Iowa Racing & Gaming Commission, 6200 Park Ave., Ste. 100, Des Moines, IA 50321. Or enroll in person, by appointment at the same address ((515) 281-7352), at an IGTP agency, or at any licensed casino or racetrack.
- A five-year term ends on its own; there's nothing further to file. A lifetime term chosen on or after July 1, 2017 cannot be ended under any circumstance. If you enrolled on or before June 30, 2017, you can separately petition for revocation no matter which term you picked -- that petition goes to a different address than this enrollment form.
Official form (Rev. 01/2024) Program page
Before you count on it. This is separate from the Iowa Lottery's own self-exclusion program: signing this form does not exclude you from the Lottery's regional offices, and signing that one does not exclude you here. It does not reach Iowa's tribal casinos -- Meskwaki, WinnaVegas or Prairie Flower -- which are compact-based rather than state-licensed and publish no self-exclusion program of their own. A second Des Moines address (1300 Des Moines St.) is published only for a pre-2017 revocation petition; it is not where you send this enrollment form. A five-year term ends automatically, but a lifetime term chosen on or after July 1, 2017 is irrevocable -- there is no way off the list. Mailing the form, getting it notarized, or booking an appointment does not confirm you're enrolled; the Commission publishes no confirmation or receipt process. NVSEP says it sends you a confirmation once it has processed a submission made through it.
Every route we checked
Routes that enroll you
- By mail — Iowa Racing & Gaming Commission, 6200 Park Ave., Ste. 100, Des Moines, IA 50321
Mail the signed, notarized form with the photo and ID copy here to enroll. - In person — Iowa Racing & Gaming Commission, 6200 Park Ave., Ste. 100, Des Moines, IA 50321, by appointment only, (515) 281-7352
Appointment-only in-person enrollment, Monday-Friday 8:00am-4:30pm. - In person — Any Iowa Gambling Treatment Provider (IGTP) agency
Bring a valid ID; agency staff assist with completing the form and arrange notarization if a notary is on site. - In person — Any state-licensed casino or racetrack
A representative at the facility assists in completing the form on site. - Online — https://www.nvsep.org/iowa
NVSEP's Iowa page covers this program: casinos and racetracks, online gaming and fantasy sports, for five years or lifetime, and names mail and in-person enrollment as the alternatives to it. NVSEP says it fills in the state's form online, verifies your ID, arranges a free online notarization through Proof when the state requires one, and submits the form to the state electronically. The Commission's own FAQ names NVSEP.org as a free remote notarization service for this form. Its own sign-up portal lists Iowa among the states that require meeting a free online notary before the exclusion is fully processed, and it takes one such state per request, so Colorado, California or Michigan's online list is a separate request. Identity checks there start with a live face scan, and NVSEP says the pictures you submit are stored on your self-exclusion record.
Routes that get you a form or an answer, not an exclusion
- By phone — (515) 281-7352
Used to schedule an in-person appointment or to request a mailed enrollment form. A different mailing address (1300 Des Moines St., Suite 100, Des Moines, IA 50309-5508) and an online form are published only for a pre-2017-07-01 revocation request; neither accepts an enrollment and neither is recorded as a channel here.
Requirements and sources
Sources read 2026-10-02. These are the program's requirements, not a record of anyone's enrollment.
- Terms available
- Five years or lifetime, chosen at enrollment; both are stated as final and irrevocable on the form itself. A five-year term ends automatically and cannot be shortened; a lifetime term entered on or after 2017-07-01 cannot be ended under any circumstance. Anyone who enrolled on or before 2017-06-30, in either term, may separately petition for revocation under a 2017 statutory carve-out, regardless of the term chosen.
- Can a resident enroll
- Yes. The Commission's Compliance Officer told us in writing on October 2, 2026 that every method it makes available is open whatever state you live in. One limit is unchanged: only you can complete your own enrollment, and no one can do it for you.
- Can a visitor enroll
- Yes, even if you live in another state. The Commission's Compliance Officer told us in writing on October 2, 2026: 'a person who lives outside Iowa can self-exclude in Iowa using any of the methods we make available, including the mail-in form.' The same form applies -- there is no separate out-of-state version.
- Identification
- A copy of the signature side of a government-issued driver license, state ID or passport and a recent photo must accompany the mail-in form; in-person routes require bringing a valid ID.
- Notarization
- Required: the signature must be witnessed by a notary public who will require valid photo ID. The FAQ confirms remote online notarization (RON) is accepted: 'The State of Iowa has approved remote online notarization by several organizations, ... NVSEP.org offers remote online notarization at no cost for self-exclusions using an organization approved by the State.'
- Witnesses
- Not verified: No witness requirement beyond the notary is stated.
- Notarizing online
- Remote online notarization is explicitly accepted, and the Commission's Compliance Officer confirmed on October 2, 2026 that it 'is an option for anyone as long as they use one of the services approved by the State of Iowa.' Pick your provider from the Iowa Secretary of State's approved list -- a platform Iowa has not approved will not do, wherever you live. The FAQ names NVSEP.org as offering a session at no cost for this self-exclusion using an approved organization. If you notarize it yourself, mail is the published way to get the form to the Commission: it publishes no upload or email route of its own, and NVSEP is the one route that submits for you.
- How long processing takes
- Not verified: No specific processing-time interval from submission to list placement is published.
- How you are told it took effect
- Not verified: No applicant-facing confirmation or receipt mechanism is published.
The form asks for: name and identifying information, copy of the signature side of a government-issued ID (driver license, state ID or passport), a recent head-and-shoulders photo, chosen term: 5 years or lifetime, notarized signature.
- Frequently Asked Questions irgc.iowa.gov · read 2026-09-24
- Iowa Code Chapter 99D, Pari-Mutuel Wagering (2026 code) legis.iowa.gov · read 2026-09-24
- Iowa Code Chapter 99F, Gambling Games and Sports Wagering Regulation (2026 code) legis.iowa.gov · read 2026-10-23
- Iowa Racing & Gaming Commission compliance, written answers to BanMyself on out-of-state enrollment, remote online notarization and the reach of a statewide exclusion written answer received 2026-10-02
- Self-Exclusion Program irgc.iowa.gov · read 2026-09-24
- Self-Exclusion Program Overview irgc.iowa.gov · read 2026-09-24
- Self-Exclusion Revocation irgc.iowa.gov · read 2026-09-24
- Voluntary Self-Exclusion Mail-In Enrollment (Rev. 01/2024) irgc.iowa.gov · read 2026-09-24