I have voluntarily requested the withdrawal of the complaint without any coercion, threats, promises or reward of immunity. Signature. Date. Address. Date. A conditional offer of employment must be given before an applicants medical condition is evaluated.Most forms used in the District Court are contained in this index. I am writing to inform you that I am withdrawing my application for the program coordinator position. You can not 'withdraw' a statement. It is part of the report. You will need to contact the police officer that took your statement. Tell him you want to withdraw your statement or recant it. If the occasion demands, the Chief of Police may issue verbal or written orders. Most Maryland court forms and brochures are available in this index.