[an error occurred while processing this directive]


OSGA Gaming Site Dispute Form

Please Fill out the Form below regarding your troubles with any sportsbook or internet casino. It will be emailed to the OSGA.

If you feel a site has treated you unfairly, you may submit your dispute to us. We will contact the gaming site owner and attempt to resolve the problem. We have an incredible success rate resolving all disputes with OSGA members. If the book or casino is not an OSGA member, we will still attempt to help; but we may not be very effective.

Please complete all of the following information:   ( *Denotes Required Field )

Your First Name: *


Your Last Name: *


Your E-mail: (valid email only)*


Phone Number   (input format xxx-xxx-xxxx)


Street Address


City


State

Zipcode

Sportsbook or Casino Name:*

Website URL*

Phone number of Sportsbook/Casino:*

Your username at Gaming Site: ( NO PASSWORDS, PLEASE! )

Detailed Description of Complaint:*


Have you contacted the sportsbook or casino? *  Yes       No

Name of Representative You Contacted:

Email Address of contact at Website:

Was there any response?  Yes        No

If so, give a brief summary of the response.