South Dakota Commission on Gaming Self-Exclusion Plan

Terms you can choose

6 months, 1 year, 2 years, 5 years, or indefinitely, as radio options on the official form. You can ask to come off the list before your chosen term ends, with no penalty and no waiting period for asking.

When it ends

Not verified.

You can ask to come off the list before your chosen term ends. Write to the South Dakota Commission on Gaming, 120 Industrial Drive, Suite 1, Spearfish, SD 57783, and ask — the Commission's Executive Secretary confirmed that route in writing on 2026-10-07 and said there is no penalty and no waiting period for asking. What nobody has stated is how a term ends on its own. Nothing says whether your name comes off when a 6-month, 1-, 2- or 5-year term runs out or stays on until you ask, and nothing says whether an indefinite exclusion can be lifted at all. Treat the term you choose as the term that applies, and ask the Commission at (605) 578-3074 if you need to know which.

How to enroll

Open form 4014 and sign it online.

Form 4014 is not a PDF to print — it signs and submits in the browser. Fill it in, choose your term, upload a copy of your driver's license or identification card and a facial photo (both required there), and sign. You do not have to live in South Dakota. If you would rather post it, the Commission also takes it by mail at 120 Industrial Drive, Suite 1, Spearfish, SD 57783, or by email to DORSDGaming@state.sd.us. Submitting is a submission and not a confirmation: no processing time and no confirmation method are published, so keep a copy and write down the date. You can call the Commission at (605) 578-3074 afterward to ask where your form stands.

1. Open form 4014, the Commission on Gaming's Self-Exclusion (Voluntary Exclusion) form, on the South Dakota Department of Revenue's site. It is an online form you sign in the browser, not a PDF to print. We don't fill in or submit it.
2. Complete your name and identifying information, choose your term — 6 months, 1 year, 2 years, 5 years, or indefinitely — and sign. Include a copy of your driver's license or identification card and a facial photo. The Commission prefers a color copy. You do not have to live in South Dakota to be put on the list.
3. The form has no notary field or block anywhere on it, and no source addresses whether notarization is required.
4. Sign and submit it on the form itself — that is the shortest route, and both attachments upload there. The Commission also accepts it by mail to 120 Industrial Drive, Suite 1, Spearfish, SD 57783, or by email to DORSDGaming@state.sd.us.
5. No processing time and no confirmation method are published. Call the Commission at (605) 578-3074 and ask whether your form was accepted and whether the Deadwood gaming properties have been notified.
6. The term is the one you pick on the form: 6 months, 1, 2 or 5 years, or indefinitely. You can ask to come off the list before that term ends — the request goes to the Commission at 120 Industrial Drive, Suite 1, Spearfish, SD 57783, and the Commission's Executive Secretary says there is no penalty and no waiting period for asking. What happens when a fixed term runs out on its own is not published, and nothing says whether an indefinite exclusion can use that same request. Ask the Commission what applies to the term you chose.

Official form · Program page

Before you count on it. Confirmed coverage reaches Deadwood's licensed gaming establishments. This list does not reach South Dakota's tribal casinos. The Commission's Executive Secretary was asked directly and answered that it does not apply there and that the tribal casinos would have to have their own, and the Department of Revenue says those casinos offer the same games as Deadwood — so if you play at one, this form leaves that gambling open, and no tribal program has been found to fill the gap. Ask the casino itself. No self-exclusion route was found for the State Lottery or its video lottery terminals, for racing and pari-mutuel wagering, or for fantasy sports, so none of those are covered here. The form carries no notary block, and no source says whether notarization is required. No processing time and no confirmation method are published, so a submitted form is not by itself proof that you are excluded. Keep a copy and write down the date. You can call the Commission at (605) 578-3074 to ask where your form stands. You can ask to come off the list before your chosen term ends, with no penalty and no waiting period for asking. What happens when a fixed term runs out on its own is not published, and nothing says whether an indefinite exclusion can be lifted at all, so do not count on either.