Get Erd-4971-e

Filling out the ERD-4971-E form is an important step in withdrawing a discrimination complaint. This guide provides clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the ERD-4971-E form online.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by filling in your personal information. Input your first name, middle name, and last name in the appropriate fields.
3. Provide your street address, city, state, and zip code in the designated sections to ensure accurate identification.
4. Enter the name of the respondent against whom you are withdrawing the complaint. This is essential for the processing of your request.
5. Identify the agency with which the complaint was originally filed by selecting one of the options: Department of Workforce Development Equal Rights Division, U.S. Equal Employment Opportunity Commission, or City of Madison Equal Opportunities Commission.
6. Input the case number associated with your complaint from the appropriate agency in the fields provided.
7. Read and acknowledge your rights regarding harassment and intimidation as stated in the form.
8. Sign and date the form in the designated sections to authenticate your request to withdraw your complaint.
9. In the provided area,, briefly state your reason for withdrawing the complaint. This step is important but voluntary.
10. Once all information is correctly filled out, review the form for completeness and accuracy. Save your changes, download a copy, print it, or share it as needed.

Complete your documents online to ensure timely processing of your withdrawal request.