Terms you can choose
1, 3, or 5 years, or lifetime (Chapter 13, sec.3(3)(A)(2)); a term expires on the last day of the month of the original exclusion. A lifetime enrollee may petition the Board for removal after 5 years; a term enrollee serves the full period with no way to shorten it, and the term then ends on its own: 'Except for those persons choosing a lifetime self-exclusion, self-exclusion will automatically terminate upon expiration of the period of self-exclusion' (Chapter 13, sec.8(1)(A)). The Board then deletes the name and notifies operators (sec.8(1)(C)).
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 continues until a removal is granted.
A fixed term. Chapter 13 sec.8(1)(A): 'Except for those persons choosing a lifetime self-exclusion, self-exclusion will automatically terminate upon expiration of the period of self-exclusion.' A 1-, 3- or 5-year term ends on the last day of the month it began in, and the Board then deletes your name and tells the operators (sec.8(1)(C)). The Gambling Control Unit's instructions say the same about the expiry date.
A lifetime term. A lifetime enrollee may, after five years, ask the Board in writing for removal. The request must give a detailed explanation, any history of violations, and verification of a reinstatement session with an approved problem gambling services agency (Chapter 13 sec.8(1)(B)). The Board decides; the instructions say you 'can request' removal and do not promise it, and the form you sign says 'my petition for relief may be denied'.
How to enroll
Sign the form in person at the Gambling Control Unit.
Three locations take this form: the Gambling Control Unit in Augusta, Hollywood Casino at 500 Main Street, Bangor, and Oxford Casino at 777 Casino Way, Oxford. Bring a government-issued photo ID showing your name, current address and date of birth. Sign only in front of the State official or casino security representative — a signature you add at home does not count. They photograph you there, or you may bring a photo taken within the last six months. No mail-in enrollment is published.
- Download form MGCB-2100 (Rev. 08/13/2024) from the Gambling Control Unit's Casino Forms and Reports page, or get one on site. We don't fill in or submit this form for you.
- Complete it in legible black or blue ink: legal name and any other names you have used, physical and mailing address, primary phone, date of birth, height, weight, hair and eye color, gender, and any distinguishing marks. Your Social Security number is optional; your Player Club number goes on it if you have one.
- Initial your term — 1, 3 or 5 years, or lifetime. A term expires on the last day of the month it started in.
- Bring a government-issued photo ID showing your name, current address and date of birth. A state ID is fine.
- Go to one of three places and sign there: Gambling Control Unit, 45 Commerce Drive Suite 5, Augusta; Hollywood Casino, 500 Main Street, Bangor; or Oxford Casino, 777 Casino Way, Oxford. Sign only in front of the State official, or a casino security representative if no State official is present. They photograph you on site, or you can bring a photo taken within the last six months.
- Cannot travel? You can book a video meeting with ADEPT, Maine's problem gambling services provider. Its Problem Gambling Services page, which the Gambling Control Unit links as Self-Exclusion, says it emails you an online form and you finish the process on Zoom. It does not say whether people outside Maine can use it.
- Your form and photo go to the Gambling Control Board immediately after the visit and your name is placed on the list. If you chose lifetime, you may petition the Board for removal after five years by writing to the Executive Director, Gambling Control Unit, 45 Commerce Drive Suite 5, 87 State House Station, Augusta, ME 04333.
Official form (Rev. 08/13/2024) Program page
Before you count on it. This list covers Maine's two commercial casinos and their slot facilities. Sports wagering, commercial tracks and off-track betting are a separate Maine list with a separate form (MGCU-8500), so signing this one does nothing about those. The MGCB-2100 form is signed in person with a witnessed signature, and no mail-in route is published. Maine's rule also lets you ask for a virtual self-exclusion meeting, and ADEPT, the state's problem gambling services provider, offers one by Zoom or FaceTime for casino and sports wagering self-exclusion, so you do not have to travel to Maine. Its page does not say whether it serves someone who lives outside Maine, or how your signature is witnessed in the meeting. Maine adopted a broader rule (Chapter 13, effective 10/4/2025) describing a single universal exclusion list that would let one application reach casinos, slots, advance deposit wagering, fantasy contests and sports wagering together; the live form predates it and has no such field, so whether you can request that combined scope today is unresolved. A 1-, 3- or 5-year term ends on its own: Chapter 13 says self-exclusion 'will automatically terminate upon expiration' unless you chose lifetime. No confirmation notice to the applicant is published.
Every route we checked
Routes that enroll you
- In person — Gambling Control Unit, Department of Public Safety, 45 Commerce Drive Suite 5, Augusta, ME 04333, (207) 626-3900
One of three locations where the form is completed, signed and photographed on site. - In person — Hollywood Casino, 500 Main Street, Bangor, ME 04401, 1 (877) 779-7771
One of three locations where the form is completed, signed and photographed on site. - In person — Oxford Casino, 777 Casino Way, Oxford, ME 04270, (207) 539-6700
One of three locations where the form is completed, signed and photographed on site. - By video call — ADEPT Maine Problem Gambling Services, the state's problem gambling services provider: virtual self-exclusion by Zoom or FaceTime, booked through the contacts on its Problem Gambling Services page
Chapter 13 sec.3(1)(B): any person may request self-exclusion by 'Requesting a virtual, online self-exclusion meeting with the Problem Gambling Services Provider'. ADEPT's page says self-exclusion for casinos and sports wagering is available online: it emails you a form and you meet by Zoom to complete the process. Not stated: whether someone who lives outside Maine may use it, and how a signature is witnessed. - By mail Not verified — no mail-in enrollment route is published
The MGCB-2100 route is an in-person visit with a signature witnessed by a State official or casino security representative, and the other described route is a video meeting; no source describes a mail-in enrollment path. No source refuses one either, so mail enrollment is not verified.
Routes that get you a form or an answer, not an exclusion
- By mail — Executive Director, Gambling Control Unit, 45 Commerce Drive Suite 5, 87 State House Station, Augusta, ME 04333
A lifetime enrollee eligible after 5 years may request removal by written request to the Executive Director on behalf of the Board. This is a removal-only address, 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
- 1, 3, or 5 years, or lifetime (Chapter 13, sec.3(3)(A)(2)); a term expires on the last day of the month of the original exclusion. A lifetime enrollee may petition the Board for removal after 5 years; a term enrollee serves the full period with no way to shorten it, and the term then ends on its own: 'Except for those persons choosing a lifetime self-exclusion, self-exclusion will automatically terminate upon expiration of the period of self-exclusion' (Chapter 13, sec.8(1)(A)). The Board then deletes the name and notifies operators (sec.8(1)(C)).
- Can a resident enroll
- 'Any person may request self-exclusion pursuant to these rules' (Chapter 13, Sec.3(1)). No residency requirement is stated.
- Can a visitor enroll
- The same 'any person' language applies; no residency bar is stated. The MGCB-2100 route is a visit to one of three Maine locations. Chapter 13 sec.3(1)(B) and ADEPT's page also describe a scheduled video meeting that needs no trip; no source says whether someone who lives outside Maine may use it.
- Identification
- A government-issued photo ID (a state ID is acceptable) showing name, current address and date of birth; a photo is taken on site or a recent one (within 6 months) may be brought.
- Notarization
- Not verified: Neither the instructions nor Chapter 13 mentions a notary. What both describe instead is a witnessed signature: the form must be signed in person before a State official or, in the State official's absence, a casino security representative. No source says outright that notarization is not required, so whether you need a notary is not verified.
- Witnesses
- Signed in front of a State official or casino security representative, who witnesses the signature; this stands in place of notarization.
- Notarizing online
- Not verified: Notarization itself is not established as required, so remote online notarization does not arise on the current record. The signature is witnessed in person by a State official or casino security representative.
- How long processing takes
- Forms and photos are sent immediately after the visit to the Gambling Control Board and the person's name is placed on the list.
- How you are told it took effect
- Not verified: No source describes a confirmation notice sent to the applicant after enrollment.
The form asks for: legal name and any other names used, physical address (and mailing address if different), primary telephone number, date of birth, height, weight, hair color, eye color, gender, distinguishing physical marks, term of exclusion, initialed, Social Security number, optional, Player Club number, if any.
- 16-633 Chapter 13: Exclusion (rule, eff. 10/4/2025) maine.gov · read 2026-10-01
- Casino Forms and Reports maine.gov · read 2026-10-01
- Gambling Control Unit home page maine.gov · read 2026-10-01
- MGCB-2100 Self-Exclusion Request Form maine.gov · read 2026-10-01
- Self-Exclusion Program & Instructions maine.gov · read 2026-10-01