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The form below must be completed in its entirety and submitted electronically or by post. Please note that we will not respond to ADR requests made for sites that are not registered with the eCOGRA ADR Service.

Personal Details

Site Details

e.g.: www.ecogra.org

Software Provider Information

PLEASE NOTE: If your complaint does not relate to the outcome of a gambling transaction but rather a responsible gambling issue, this is deemed to be a regulatory issue by the Great Britain Gambling Commission and should be submitted to them here.

Your dispute:


I verify that the information provided is accurate and true, and consent to eCOGRA processing the personal data provided above and having access to my personal data held by the Great Britain Gambling Commission’s license holder for the purpose of adequately investigating the dispute. For further information regarding how your personal data will be processed and your legal rights to privacy as a Data Subject, please refer to the eCOGRA Privacy Policy

I have read, understood, and agree to abide by and accept eCOGRA’s Alternative Dispute Resolution Policies and Procedures and Privacy Policy.

I understand that an accredited ADR mediator will within three weeks of receiving the dispute inform me, together with the reason, should eCOGRA decide to decline the dispute. Alternatively, the accredited ADR mediator will make every effort to conclude the dispute resolution process within ninety days of receiving the dispute and all other relevant information.

Please ensure that you have agreed to our terms and conditions and Privacy Policy by ticking all three boxes as well as clicking and reading the Privacy Policy link and Alternative Dispute Resolution Policies and Procedures.

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