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Igon Petrovski

Create: Thu, 11/21/2024 - 14:25

Author: rmcgarvey

Igon

Petrovski

EX-1459

11672-2024

Wed, 11/20/2024 - 10:00

PublicAdvisory - Igor Petrovski - EX-01459.pdf403.42 KB

PENNSYLVANIA

GAMING CONTROL BOARD

PA Gaming Control Board
303 Walnut Street, Commonwealth Tower, 5th Floor
Harrisburg, PA 17101
(717) 346-8300

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PRIVACY POLICY | Copyright © 2024 - PENNSYLVANIA GAMING CONTROL BOARD SITE BY ACUTA DIGITAL

NAME OF INDIVIDUAL FILING A DISPUTE OR COMPLAINT

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LAST NAME:

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Last?

HOME ADDRESS:

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Address

Address 2

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PHONE NUMBER:

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DATE AND APPROX TIME OF INCIDENT:

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Complaint Number:

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ONLINE SITE USED:

Online Site Used*

DEVICE TYPE:

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USER/SCREEN NAME USED:

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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.

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.

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While NOT REQUIRED to file a complaint, after completing this form, if you have items (texts, screen shots, emails, etc.) relating to this complaint, you can send them in a separate email. For instructions, please reference the confirmation email that will be sent you once this form is submitted

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