Terms you can choose
1-Year, 5-Years, or Permanent, chosen at enrollment. The person cannot shorten the term to less than 1 year, and requesting termination after 1 year requires completing gambling education and consulting a problem gambling specialist. Both properties' FAQ pages agree removal is never automatic and requires management approval, though they disagree on wording: Lincoln's page names 'Bally's Lincoln Casino Resort management/RI Lottery approvals,' Tiverton's names only 'Tiverton Casino Hotel management approvals.'
Sign up for the longest exclusion time you can. Future you will thank you.
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. Nothing comes off on its own. No removal is possible during the first year whichever term you chose, and after that a termination request has to be approved by casino management, plus you must complete gambling education and consult a problem gambling specialist. Lincoln's FAQ names 'Bally's Lincoln Casino Resort management/RI Lottery approvals'; Tiverton's names only 'Tiverton Casino Hotel management approvals'. No source resolves which applies where.
A lifetime term. Not verified: Permanent is one of the three terms on the form. What governs it afterwards is not established: the form's own removal-after-one-year clause is written for the exclusion generally, neither property's FAQ restates that carve-out for a Permanent selection, and no source says whether Permanent can be terminated at all.
How to enroll
Take the completed form to Security at Bally's Lincoln or Tiverton.
Bring the form to the Security department at Bally's Lincoln Casino Resort, 100 Twin River Road, Lincoln, RI 02865 (Security is staffed 24/7, 401-475-8220), or at Bally's Tiverton Casino & Hotel, 777 Tiverton Casino Blvd, Tiverton, RI 02878-2497 (401-816-6000). A Security Director or Officer countersigns it with you there. Mail is refused: Bally's own FAQ answers 'Can I mail back the completed application?' with 'No, unfortunately you are unable to mail in a completed self-exclusion form. You must submit in person.' Downloading the form, filling it in, or calling ahead does not enroll you. Only handing over the countersigned form in person does.
- Download the combined self-exclusion form (filename dated 4/1/24) from either Bally's Lincoln's or Bally's Tiverton's responsible-gambling page, or pick one up at the Security department. We don't fill in or submit this form.
- Fill in your name, address, city/town/state/zip, date of birth, Social Security number and PC Card number, and choose your term: 1 Year, 5 Years or Permanent. You sign it in person in front of a Security Director or Officer, who countersigns it. The form does not itself say that photo ID has to be presented.
- No notary is needed. The current form has no notary block anywhere on it; the Security Director's or Officer's in-person countersignature is what witnesses your signature.
- Submit it in person at Security at Bally's Lincoln Casino Resort, 100 Twin River Road, Lincoln, RI 02865, or Bally's Tiverton Casino & Hotel, 777 Tiverton Casino Blvd, Tiverton, RI 02878-2497. Mail is explicitly refused, and no online or phone enrollment route is published.
- The form is a three-part copy: Bally's keeps the original, you keep the yellow guest copy, and a copy goes to the Rhode Island Lottery and the Problem Gambling Service. Keep your yellow copy. No processing time and no other confirmation method is published, so nothing states how quickly your Sportsbook Rhode Island and Bally Casino accounts close after you sign.
- The term you chose runs 1 year, 5 years or permanently. Nothing lapses on its own: no removal is possible during the first year, and after that a termination request needs management approval plus completed gambling education and a consultation with a problem gambling specialist. Lincoln's FAQ names Rhode Island Lottery approval as part of that; Tiverton's names only its own management approvals, and no source resolves which applies.
Official form (Filename dated 4/1/24; PDF creation metadata 2024-03-29) Program page 401-475-8220
Before you count on it. Enrollment is in person only. Mail is explicitly refused, there is no online or phone route, and downloading or completing the form does not enroll you. This form does not reach your online iLottery/VIP Club account: that is a separate Rhode Island Lottery enrollment, and the form itself tells you to call iLottery Player Support at 1-800-288-2485 about it. Retail lottery tickets, charitable gaming and fantasy sports are not addressed by any source reviewed here and were not assessed. Whether people who live outside Rhode Island can enroll is not established. No processing time and no confirmation or receipt process is published beyond the yellow copy you keep, so signing does not by itself prove your online accounts are closed. Removal is never automatic, and the two properties disagree about who approves it: Lincoln's page names 'Bally's Lincoln Casino Resort management/RI Lottery approvals', Tiverton's names only 'Tiverton Casino Hotel management approvals', and no source resolves that. Whether a Permanent selection can still be terminated after one year under the form's own clause, or is genuinely irreversible, is also unresolved. The statutory two-facility cap applies to state-licensed facilities; whether it reaches a tribal casino operating under a federal compact was examined and left unresolved. Entering in violation can mean arrest for trespass and permanent ejection — the form's own term for that status is 'Undesirable Person' — and winnings from a violation are forfeited to the Rhode Island Lottery.
Every route we checked
Routes that enroll you
- In person — Bally's Lincoln Casino Resort Security department (24/7), 100 Twin River Road, Lincoln, RI 02865, tel. 401-475-8220
"An individual must submit an application (in person) to the Bally's Lincoln Casino Resort Security department." - In person — Bally's Tiverton Casino & Hotel Security department, 777 Tiverton Casino Blvd, Tiverton, RI 02878-2497, tel. 401-816-6000
Same in-person requirement at the Tiverton property. - By mail Source says this does not apply — not accepted
"Can I mail back the completed application? No, unfortunately you are unable to mail in a completed self-exclusion form. You must submit in person. This is for your own protection."
Routes that get you a form or an answer, not an exclusion
- By phone — iLottery Player Support, 1-800-288-2485
For closing the separate RIL iLottery VIP Club account for the exclusion's duration — not the casino/Sportsbook/iGaming self-exclusion itself, which stays in-person only.
Requirements and sources
Sources read 2026-09-24. These are the program's requirements, not a record of anyone's enrollment.
- Terms available
- 1-Year, 5-Years, or Permanent, chosen at enrollment. The person cannot shorten the term to less than 1 year, and requesting termination after 1 year requires completing gambling education and consulting a problem gambling specialist. Both properties' FAQ pages agree removal is never automatic and requires management approval, though they disagree on wording: Lincoln's page names 'Bally's Lincoln Casino Resort management/RI Lottery approvals,' Tiverton's names only 'Tiverton Casino Hotel management approvals.'
- Can a resident enroll
- Not verified: Not addressed by the statute, the combined form, or either property's FAQ page.
- Can a visitor enroll
- Not verified: Same as residents.
- Identification
- Not verified: The form does not itself state that photo ID must be presented, though submission is in person only at the casino's Security department.
- Notarization
- Source says this does not apply: No notary block or notarization language appears anywhere in the current combined form.
- Witnesses
- A Security Director/Officer must countersign the form in person.
- Notarizing online
- Source says this does not apply: No notarization is required for the combined form, so remote online notarization does not arise.
- How long processing takes
- Not verified: No reviewed source states how quickly the exclusion takes effect against the online accounts after in-person enrollment.
- How you are told it took effect
- Not verified: Not described on the reviewed sources.
The form asks for: name, address, city/town/state/zip, date of birth, Social Security number, PC Card number, signature, Security Director/Officer countersignature.
- Bally's Lincoln Casino Resort — Responsible Gaming casinos.ballys.com · read 2026-10-01
- Bally's Rhode Island Combined Self-Exclusion Form (updated 4/1/24) casinos.ballys.com · read 2026-10-01
- Bally's Tiverton Casino & Hotel — Responsible Gaming casinos.ballys.com · read 2026-10-01
- R.I. Gen. Laws Sec. 42-61.2-14 — Compulsive and problem gambling programs webserver.rilegislature.gov · read 2026-10-22
- R.I. Gen. Laws Sec. 42-61.2-2 — Division of state lottery authorized to operate video lotteries webserver.rilegislature.gov · read 2026-10-01