Withdrawal of Complaint Form 503 - CT.gov - ct: Fill out & sign online

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Click ‘Get Form’ to open the Withdrawal of Complaint Form 503 in our platform.
Begin by entering the CASE NO. and EEOC NO. at the top of the form. This information is crucial for identifying your complaint.
In the section labeled 'NAME OF CASE', fill in the names of both the complainant and respondent as they appear in your original complaint.
Next, clearly state your name in the designated area where it prompts you to request withdrawal of your complaint.
Select one reason for withdrawal from the provided options by marking an 'X' next to your choice, such as raising the issue in another forum or no longer being interested.
If applicable, provide details about any satisfactory offer received from the respondent in the space provided.
Finally, sign and date the form where indicated, ensuring that your signature matches that on your original complaint.

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