Self exclusions are for a minimum of three (3) years, do not automatically expire, and can only be overturned by
sending an email to to request an appeal hearing.
Permanent exclusions do not expire. An appeal hearing can be requested after five (5) years by sending an email to
For further information, reference Tulalip Tribal Code Chapter 10.05, Regulation 4 Gaming Facility Exclusions:
First Name Last Name Date of Birth
Address Telephone Number
Email Address
Hearings are held at the TGA offices on Thursdays only, between 1:00 and 2:00
PM. Once you submit an email requesting
a hearing to including your full name, date of birth, address, phone number and email address, you will
receive a reply email with a notice of your hearing date or a notice of denial.
Tulalip Tribal Gaming Agency (TGA)
Exclusion Hearing Request Form
TDS-35468 06/2020
Email Completed Form