EQUAL EMPLOYMENT OPPORTUNITY COMMISSIONREQUEST FOR WITHDRAWAL OF CHARGE OF DISCRIMINATIONInstructions to the person requesting withdrawal: You recently indicated a desire to withdraw your charge. In order to begin such action,please furnish the information below and return this form in the enclosed envelope. As a request for withdrawal of charge is subject to theapproval of the Commission, your request will be considered and acted upon when received by this office. Please note that at this time theCommission is still prepared to proceed with your case if you so desire. AGGRIEVED PARTY - - COMPLETE INFORMATION BELOW(Continue on reverse if necessary)I am aware that the Federal Government protects my right to file a charge and have been advised that it is unlawful for any person covered bythe statutes enforced by EEOC to threaten, intimidate, harass or otherwise retaliate against me because I have filed a charge. I have not beencoerced into requesting this withdrawal.I request the withdrawal of my charge because:s FOR EEOC USE ONLYEEOC Form 154 (10/94) CHARGE NUMBER DATEAGGRIEVED PARTY RESPONDENT(S) DATE SIGNATURE SEND TO Withdrawal with SettlementWithdrawal without SettlementApproveDisapproveDATEAPPROVING OFFICIAL American LegalNet, Inc. www.FormsWorkFlow.com