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Casino / Sportsbook Patron Dispute/Complaint Form

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Questions or comments regarding patron disputes or complaints can be directed to the Pennsylvania Gaming Control Board at casinocomplaints@pa.gov.

PLEASE COMPLETE ALL INFORMATION - BE AS DETAILED AS POSSIBLE
Name of individual filing a dispute or complaint:


Home Address:
Phone
Email Address
Date and Approx Time of Incident
Complaint Type (Choose One)
Licensed Gaming Entity Where Incident Occurred:
Please provide a summary of the incident or dispute to the best of your knowledge. Include any statements which you made to the licensed gaming entity's personnel or any statements you made to witnesses to the incident or dispute.