Due to COVID-19 concerns and consistent with promoting “social distancing”, the Division will now be accepting electronic removal requests. The requests shall comply with N.J.A.C. 13:69G-2.2(d). In order to initiate an electronic removal request, a completed Online Self-Exclusion Request must be submitted via email.
To request a removal, please email the form below: (Form must be opened in Adobe Reader)
Once the form has been received, the Division will send you a secure email with a form requesting more detailed information (form must be opened in Adobe Reader). You should receive the secure email message within 72 hours of your initial request. You should complete that form and attach it to your reply message in the secure email environment.