Last updated: 8/29/2025
Withdrawal Request
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Description
WITHDRAWAL REQUEST FORM. This form is used by the New York State Public Employment Relations Board (PERB) in the private sector allows a party to withdraw a case that has been filed with the agency. This form is submitted when an employer, employee, or representative no longer wishes to pursue the matter, such as a complaint, charge, or petition previously under PERB’s review. It requires basic case information, including the employer’s name, case number, the identity of the withdrawing party, and the representative’s details. Once submitted, the request must be approved by PERB’s Acting Director of Private Employment Practices and Representation. www.FormsWorkflow.com





