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Norman Antuzzi EX-1187 10272-2022

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Blondell Simmons EX-1186 9225-2020

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Sherdina Williams EX-1222 10176

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Gregory Ponce EX-1221 9976-2021

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Jane Maconeghy EX-1185 10248-2022

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Jeffrey Paglione EX-1220 10413-2022

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Reginald Lloyd EX-1219 10404-2022

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Richard Gary Krawiec EX-1218 10114-2021

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Dennis Bonilla EX-1178 10173-2022

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Robert Dugan EX-1179 10117-2021

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PENNSYLVANIA
GAMING CONTROL BOARD

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EMPLOYEE WEB EMAIL | REPORT A WEBSITE ISSUE

PRIVACY POLICY | Copyright © 2024 - PENNSYLVANIA GAMING CONTROL BOARD SITE BY ACUTA DIGITAL
NAME OF INDIVIDUAL FILING A DISPUTE OR COMPLAINT

First Name

LAST NAME:
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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.
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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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