Sample Refusal (Opt Out) Letters. This page has links to opt out letters for the tests New York STATE gives to 3rd-8th graders every spring.Personal Information Form for Child Support and Paternity Proceedings. PART IV: Withdrawal Code and Signatures: No student is to be withdrawn until Part II of this form is completed. Principal signature is required. Please accept this request to cancel my current application for F-1 Optional Practical Training. Students who are absent 15 consecutive days will be withdrawn after a home visit and certified letter is mailed to the parent with no response. SUMMARY. The Program Specialist is responsible to provide technical and data analytical services that support direct service staff operations. Complete this form to request a withdrawal from this course. The VA understands that sometimes you may have to drop a class.