Terms you can choose
Minimum five years, no shorter option; the form and instructions both state it verbatim: 'a minimum of five (5) years.' Removal is NOT automatic: the name remains on the list after five years elapse until 1) a written request for removal, 2) a hearing before the Board's Hearing Officer, and 3) a decision determining there is no longer a basis to remain on the list. Even after removal, individual casinos may still choose to deny access.
When it ends
A fixed term continues until a removal is granted; whether a permanent term exists, and what would govern it, is not established.
A fixed term. Removal is never automatic. After the five-year minimum has passed, coming off the list requires a written request, a hearing before the Board's Hearing Officer, and a decision from the Board that there is no longer a basis to remain on the list. Even after removal, individual casinos may still choose to deny access.
A lifetime term. Not verified: No source states whether the program offers a longer or lifetime term beyond the five-year minimum; the form and instructions describe only a minimum five-year term with no other tier mentioned.
How to enroll
Bring the completed form to a Gaming Field Office in person.
Enrollment happens only in person, during normal business hours, at one of five Louisiana State Police Gaming Field Offices. Mail is not accepted. Bring a driver's license, passport, or military ID — a Division agent witnesses your signature and photographs you on site.
- Download and read the Request for Self-Exclusion form and its Instructions from the Gaming Control Board's site. We don't fill in or submit this form.
- Complete the form's identifying fields. Your Social Security number is voluntary under the Privacy Act, but the form authorizes using it to deny you credit and check-cashing privileges, so leaving it off can limit that protection.
- Bring a driver's license, passport, or military ID to one of the five Gaming Field Offices during normal business hours: Baton Rouge (7919 Independence Blvd. Box A3, (225) 925-1900), Breaux Bridge (437 West Mills Ave., (337) 332-8070), Lake Charles (One Lakeshore Dr., Ste. 970, (337) 491-2850), New Orleans (1450 Poydras St., Suite 1300, (504) 310-7000), or Bossier City (4183 Viking Drive, (318) 741-7100). Sign in front of a Division agent, who photographs you there. Mail is not accepted — this step has to happen in person.
- The exclusion lasts a minimum of five years and does not end on its own. Coming off the list later needs a written request, a hearing before the Board's Hearing Officer, and a decision that there's no longer a basis to keep you listed — none of which can happen before five years pass. Even after you're removed, an individual casino can still choose to keep barring you.
Official form (PDF metadata dated 2024-11-04; the companion Instructions PDF is dated 2018-09-10 in its own metadata) Program page
Before you count on it. This covers casino gaming and sports wagering only — not Louisiana's lottery, charitable gaming, Video Draw Poker Devices Control Law licensees (unless also licensed for sports wagering), fantasy sports operators (a separate per-operator process), or any tribal casino; tribal gaming here is regulated by compact, not by this Board. The exclusion lasts a minimum of five years and never lifts on its own — removal takes a written request, a hearing, and a Board decision, and even then an individual casino may still choose to bar you. Whether applicants from outside Louisiana are eligible is not established. Downloading or completing the form does not enroll you — enrollment only happens once you sign it in person at a Field Office.
Every route we checked
Routes that enroll you
- In person — Baton Rouge Field Office, 7919 Independence Blvd. Box A3, Baton Rouge, LA 70806, (225) 925-1900
One of five Gaming Field Office locations where the form must be signed in person during normal business hours. - In person — Breaux Bridge Field Office, 437 West Mills Ave., Breaux Bridge, LA 70517, (337) 332-8070
One of five Gaming Field Office locations where the form must be signed in person during normal business hours. - In person — Lake Charles Field Office, One Lakeshore Dr., Ste. 970, Lake Charles, LA 70629, (337) 491-2850
One of five Gaming Field Office locations where the form must be signed in person during normal business hours. - In person — New Orleans Field Office, 1450 Poydras Street, Suite 1300, New Orleans, LA 70112, (504) 310-7000
One of five Gaming Field Office locations where the form must be signed in person during normal business hours. - In person — Bossier City Field Office, 4183 Viking Drive, Bossier City, LA 71111, (318) 741-7100
One of five Gaming Field Office locations where the form must be signed in person during normal business hours. - By mail Source says this does not apply — not accepted
The Instructions PDF states the form 'must be submitted in person by the person requesting self-exclusion' at a field office; no mail-in enrollment route is offered. - Online Source says this does not apply — not accepted
There is nothing to file online. The same sentence that rules out mail rules this out: the form 'must be submitted in person by the person requesting self-exclusion' at a field office. NVSEP's sign-up portal does offer Louisiana, but only tribal casinos; this statewide list is not one of the jurisdictions it enrolls, so do not expect to reach it from a platform.
Routes that get you a form or an answer, not an exclusion
- By mail — Louisiana State Police, Gaming Enforcement Division, ATTN: Self-Exclusion Coordinator, 7919 Independence Blvd., A-28, Baton Rouge, LA 70806
Published for requests to confirm the date an exclusion became effective; not an enrollment route. - By phone — (225) 925-1900, Self-Exclusion Coordinator
Published to confirm the effective date of an existing exclusion; not an enrollment route.
Requirements and sources
Sources read 2026-09-24. These are the program's requirements, not a record of anyone's enrollment.
- Terms available
- Minimum five years, no shorter option; the form and instructions both state it verbatim: 'a minimum of five (5) years.' Removal is NOT automatic: the name remains on the list after five years elapse until 1) a written request for removal, 2) a hearing before the Board's Hearing Officer, and 3) a decision determining there is no longer a basis to remain on the list. Even after removal, individual casinos may still choose to deny access.
- Can a resident enroll
- Not verified: The statute says 'any person may request placement on the list' with no residency language found in any reviewed source.
- Can a visitor enroll
- Not verified: The statute says 'any person may request placement on the list' with no residency language found in any reviewed source.
- Identification
- A driver's license, passport, or military identification card must be presented; State Police personnel photograph the applicant on site.
- Notarization
- Not verified: No source mentions a notarization requirement; the in-person Division-agent witnessing appears to substitute for one.
- Witnesses
- The form must be signed in person before a Louisiana State Police Gaming Enforcement Division agent at a field office.
- Notarizing online
- Not verified: No source mentions a notarization requirement; a Division agent witnesses the application in person. Whether a remotely notarized application would be accepted is not addressed.
- How long processing takes
- The photograph and identifying information are distributed to the Casino Operator, Casino Manager and all casino gaming licensees; no specific processing-time interval is published.
- How you are told it took effect
- Not verified: No applicant-facing receipt or confirmation mechanism is described beyond the in-person signing itself.
The form asks for: full name and any aliases, identifying information, Social Security number, voluntary under the Privacy Act, chosen understanding of the five-year minimum term, signature witnessed by a Division agent, photograph taken by Division staff.
- Instructions for Self-Exclusion lgcb.dps.louisiana.gov · read 2026-09-24
- Problem Gambling - LSP lsp.org · read 2026-09-24
- Procedure for Removal from Self-Exclusion List lgcb.dps.louisiana.gov · read 2026-09-24
- Request for Self-Exclusion from Casino Gaming lgcb.dps.louisiana.gov · read 2026-09-24
- RS 27:27.1 (current, print view) legis.la.gov · read 2026-09-24
- Voluntary Exclusions - LGCB lgcb.dps.louisiana.gov · read 2026-09-24