The best method is over the counter with the front desk. A student may submit a medical withdrawal request when an unexpected serious illness or injury prevents the student from continuing classes.Instructions for filing combined Notice of Withdrawal and Withdrawal Request form. Use this form to place a license inactive. One (1) completed form is required for each license to be placed in inactive status. Learn what a withdrawal letter is, how to write a letter of withdrawal and see a template and an example to help you write your own.