ERD-4971, Request to Withdraw Complaint This form is used to withdraw a civil rights complaint-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information in the 'Complainant' section. Enter your first name, middle name (if applicable), and last name, followed by your street address, city, state, and zip code.
3. Next, provide the respondent's details in the 'Respondent' section. Fill in their name and address similarly.
4. Indicate your intention to withdraw the complaint by checking the appropriate box for the agency where you filed: Department of Workforce Development Equal Rights Division, U.S. Equal Employment Opportunity Commission, or City of Madison Equal Opportunities Commission.
5. Enter any relevant case numbers associated with your complaint for each agency listed.
6. In the 'Reason for Withdrawal' section, select one of the options provided regarding settlement terms or specify other reasons for withdrawal.
7. Sign and date the form at the bottom to validate your request.
8. Finally, submit your completed form either by dropping it off at the specified office location or sending it via mail to ensure it reaches the appropriate department.

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