Terms you can choose
One or five years, chosen independently for internet gaming and for internet sports betting. Removal is automatic when the selected period expires; there is no early removal.
When it ends
This ends on its own at the end of the term.
Removal is automatic when the selected one or five year period expires, separately for internet gaming and internet sports betting. There is no early removal.
How to enroll
Email the notarized application to MGCB-RGD@michigan.gov.
Attach the notarized application and a legible copy of your photo ID. Posting it to Attention: Responsible Gaming Section, Michigan Gaming Control Board, 3062 W Grand Blvd, Suite L-700, Detroit, MI 48202, or handing it in at the Detroit office, works the same. Sending it is not protection. Placement can take up to 45 days or longer, and you are excluded only once the Executive Director has everything required and adds your name. Someone who holds your power of attorney, or a court document giving them that authority, can request placement for you. They complete the Board’s Legal Representative Attestation Form (MGCB-AD-2507) and send it with your application and that legal document. The Board says submitting it doesn’t guarantee approval.
- Download the six-page application. Tick internet gaming, internet sports betting, or both, and choose one year or five years for each. Each choice stands on its own. We don't fill in or submit this form.
- Complete the identifying fields and sign in front of a notary. Attach a legible copy of your driver license or other government photo ID. Without the ID copy you will not be placed in the database.
- Send the notarized application and ID copy by email to MGCB-RGD@michigan.gov, by mail to Attention: Responsible Gaming Section, Michigan Gaming Control Board, 3062 W Grand Blvd, Suite L-700, Detroit, MI 48202, or in person at the Detroit office, Monday to Friday, 8am to 5pm.
- Wait for the Board's written confirmation, by email if you gave one, otherwise by post. Placement can take up to 45 days or longer, and you are not excluded until your name is added. Until then the sites are not required to block you.
Official form (MGCB-AD-2067 Rev. 8/21) Program page
Before you count on it. Use MGCB-RGD@michigan.gov. The Board has a second, near-identical mailbox, MGCB-DPL@michigan.gov, that handles removals from the casino list only; an application sent there enrolls you in nothing. Removal from this database is automatic when your term ends and you cannot shorten it. The pages we read don’t say whether you have to live in Michigan, whether a remotely notarized form is accepted, whether the Lansing office takes walk-ins, or whether there’s a fee. Sending the form doesn’t put you on the list by itself. If you hold an Internet Gaming Occupational License, as an online dealer does, placement revokes it.
Every route we checked
Routes that enroll you
- By email — MGCB-RGD@michigan.gov
Named on the form itself as one of three submission methods, for the notarized application with a photo identification copy. Note this is a different mailbox from the Disassociated Persons removal address, which is removal-only; the two are easily confused. - By mail — Attention: Responsible Gaming Section, Michigan Gaming Control Board, 3062 W Grand Blvd, Suite L-700, Detroit, MI 48202
Named on the form itself as one of three submission methods. - In person — a Michigan Gaming Control Board office, Detroit 3062 W. Grand Blvd., Suite L-700
Named on the form as a submission method. Business hours Monday to Friday, 8am to 5pm. Whether the Lansing office also accepts walk-in Responsible Gaming Database applications is not stated; Lansing appears only in the Disassociated Persons packet. - Online Not verified — https://www.nvsep.org/michigan
NVSEP's own sign-up portal offers "Michigan: Internet Gaming and Online Sports Wagering" as a jurisdiction it enrolls, which is this list and no other Michigan list, and puts it among the states that require meeting a free online notary first. Its Michigan page, though, names the Board's own program under other options rather than as something NVSEP submits, and neither the Board's pages nor the application mentions NVSEP: the form names email, mail and the Detroit office. So the portal offering Michigan online gaming is not the Board saying it accepts what the portal sends. Ask the Board before you treat a portal submission as your enrollment: the email, mail and office routes are the ones it publishes. Identity checks on the portal 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 — 888-223-3044
General Board line. Not a submission route.
Requirements and sources
Sources read 2026-09-17. These are the program's requirements, not a record of anyone's enrollment.
- Terms available
- One or five years, chosen independently for internet gaming and for internet sports betting. Removal is automatic when the selected period expires; there is no early removal.
- Can a resident enroll
- Not verified: No source addresses out-of-state applicants. The form accommodates non-citizens by accepting a Social Insurance Number. No reviewed source addresses residency eligibility.
- Can a visitor enroll
- Not verified: No source addresses out-of-state applicants. The form accommodates non-citizens by accepting a Social Insurance Number. No reviewed source addresses residency eligibility.
- Identification
- A legible copy of a driver license or other government photo identification must accompany the application; without it the person will not be placed in the database.
- Notarization
- The application must be properly notarized before it is emailed or mailed.
- Witnesses
- Not verified: No witness requirement is stated.
- Notarizing online
- Not verified: Notarization is required but no source addresses whether a remotely notarized document is accepted.
- How long processing takes
- Placement may take up to forty-five days or more from submission, and the person is not excluded until the Executive Director has received all necessary information. Submission is not protection.
- How you are told it took effect
- The Executive Director notifies the applicant by email if provided, otherwise by US mail, when the name has been added.
The form asks for: English or interpreter declaration, exclude from internet gaming yes or no with one or five year term, exclude from internet sports betting yes or no with one or five year term, name, date of birth, primary and alternative telephone, maiden name, aliases or other names, current address, driver license or state identification number, state and expiry, primary email, sex, Social Security number, Social Insurance Number if not a US citizen, city, state and date of execution, signature and printed name, notary block, legible copy of government photo identification.
- MGCB responsible gaming FAQ michigan.gov · read 2026-10-24
- MGCB Self-Exclusion Forms michigan.gov · read 2026-10-24
- Michigan Gaming Control Board responsible gaming michigan.gov · read 2026-09-17
- Michigan MGCB-AD-2067 Responsible Gaming Database application, Rev. 8/21 michigan.gov · read 2026-10-24
- Michigan MGCB-AD-2507 Legal Representative Attestation Form, Rev. 5/2026 michigan.gov · read 2026-10-24