This is a test server New Complaint Form - iGaming / online sportsbook / fantasy 12/2021 - Pennsylvania Gaming Control Board

Patron Dispute/Complaint Form
Interactive Gaming / Live-Dealer Gaming Studio / ONLINE Sportsbook / Fantasy Contest

Please be sure to provide a valid email address as PGCB staff will only use email to communicate with patrons in reference to iGaming and online complaints.

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. REMEMBER! TO COMPLETE THIS FORM: YOU MUST FIRST FILE A DISPUTE OR COMPLAINT WITH THE INTERACTIVE GAMING, ONLINE SPORTSBOOK, FANTASY CONTEST, OR LIVE-DEALER GAMING OPERATOR, and receive a TICKET / COMPLAINT NUMBER from them.

Name of individual filing a
dispute or complaint:
    
Home Address:
City, State, Postal Code:
         
Phone:
E-mail Address:
Date and Approx Time of Incident:
Complaint Type (choose one)
Interactive Gaming
Live-Dealer Studio Gaming
Online Sportsbook
Fantasy Contest
Online Site Used* :

*If you cannot find the site name you are looking for above, you may not be using the correct complaint form.
Only the online / Interactive sites listed above apply to this form.
NOTE: The PA Gaming Control Board has no jurisdiction over the PA iLottery, or online sites that are not licensed in the Commonwealth of Pennsylvania.

User / Screen Name Used:

When filling out this form, you are REQUIRED to enter a TICKET / COMPLAINT number below. This number should have been provided to you by the Interactive Gaming, Evolution provider, Online Sportsbook, or Fantasy Contest Operator when the complaint is made.
Ticket / Complaint Number:
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.
Make sure the entire form is completed and read the information below before clicking on the "I Understand" button to complete your complaint.
By submitting this patron complaint/dispute form, I understand that I am making a request for an investigation of this matter by the Pennsylvania Gaming Control Board and declare that all information provided on the pages of this form and on any pages that I attach hereto are true and factual to the best of my knowledge. I further understand that if I have knowingly, intentionally or willfully made false statements or intentional misrepresentations that I may be subject to the penalties for violations of 4 Pa.C.S. §1518(a)(1), relating to perjury, false swearing and unsworn falsifications. I further acknowledge that as part of the investigation, the Pennsylvania Gaming Control Board may contact the licensee or game provider in order to obtain further information relating to my complaint/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 by clicking the YELLOW BUTTON* you will see on the "Thank You for your Submission" page, or the CLICK HERE* link in the email you will receive to confirm your complaint / dispute submission.
* This button - or link - will open the mail application on your computer, tablet, or phone
allowing you to send attachments to us. For security reasons, only certain file types are allowed.
Before filling out this form you should have contacted the licensed operator first and obtained either a ticket number or a complaint number. This number will be required to complete this form.

 Click here to access the form.