FEDERAL LABOR RELATIONS AUTHORITY
FLRA Form 43
(Rev. 1/81)
WITHDRAWAL REQUEST
In the matter of
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(Name of Case)
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(Case No.)
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(Name of Party Filing)
By _________________________________________________________
(Print or type Name of Representative)
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(Title)
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(Signature)
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(Date)
UNITED STATES OF AMERICA
This is to request withdrawal of the above-named case.
WITHDRAWAL REQUEST APPROVED
Federal Labor Relations Authority
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Regional Director
Dated:___________________________________
Region