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PATRON COMPLAINTS

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Please follow these simple steps
to complete your complaint or dispute
STEP
#1
Before filling out this form you must first file a dispute or compliant with the interactive gaming, online sportsbook, fantasy contest, or live-dealer gaming licensed operator.
STEP
#2
Did you receive a ticket number or complaint number from step#1? This will be required to complete this form. If it is not received, please go to step #1.
STEP
#3
Fill out the form below.
STEP
#4
Should you have questions or comments regarding patron disputes or complaints, please contact the Pennsylvania Gaming Control Board by reaching out to us on our CONTACT PAGE
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NAME OF INDIVIDUAL FILING A DISPUTE OR COMPLAINT

First Name

Last Name
HOME ADDRESS:
Home Address
PHONE NUMBER:
EMAIL ADDRESS:
DATE AND APPROX TIME OF INCIDENT:
COMPLAINT TYPE:
Complaint Number:
ONLINE SITE USED:
DEVICE TYPE:
USER/SCREEN NAME USED:
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.
ATTACHMENTS or DOCUMENTATION?
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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