I am a duly authorized bankruptcy trustee, receiver, or other court-appointed fiduciary for the corporation filing this document. An Official Notice of Pupil Withdrawal form must be completed for students who withdraw.Instructions for filing combined Notice of Withdrawal and Withdrawal Request form. 1. Download the form from the Arizona State Personnel Board website. 2. Complete all the blank fields, in addition to your written objection. Applicants for the Erotic Entertainer License must be 19 years of age or older. We're ready to answer your questions about all University of Phoenix matters. Here you'll find the phone numbers and email addresses to reach us. If you need help in completing the application, please call DCSS Customer Service at (602) 252-4045 for assistance. Candidate Statement of Withdrawal Form.