eGAP DISPUTE FORM

The form below must be completed in its entirety. Please note that we will only respond to dispute mediation requests made for sites that are approved sealholders or sites that are registered for eCOGRA Dispute Resolution Services.

Personal Details Title
Full Name
City
Country
Contact Number
Email

Site Details Site
URL
e.g.: www.ecogra.org
Your Username
Date of Incident

Operator Information Have you completed the site's internal complaints procedure
Reference number

Your Dispute

Security

Security code

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 eCOGRA accredited sealholder and/or its service providers 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 eGAP Dispute Resolution Policies and Procedures and Privacy Policy.

I understand that a Fair Gaming Advocate will contact me to request copies of any e-mails and/or other documentation that are required for adequately investigating the dispute.

You must complete the operator's internal complaints procedure and have made all reasonable attempts to negotiate a solution with the operator before submitting an ADR dispute form.

Mediation is a voluntary process structured by eCOGRA as it deems most suitable after consideration of the circumstances of each dispute. eCOGRA acting as mediator facilitates the resolution of disputes; eCOGRA does not act as arbitrator, nor does it make decisions binding on either party to the dispute. eCOGRA may at any time, at the absolute discretion of its directors, terminate the mediation process and is under no obligation to assist either party in any other form of dispute resolution.

By using our mediation service you agree that you have no entitlement to claim in respect of the mediation outcome. Accordingly, eCOGRA accepts no liability for any loss, damage, loss of opportunity or inconvenience arising from any dispute between a player and an approved site operator or software supplier, the failure of a party to comply with the mediation process and/or any agreement reached between the parties, or the conduct of eCOGRA in relation to the dispute.