Company should submit letter indicating its intent to surrender and return its original certificate of authority. A letter is sent when a vehicle, with a current registration, has "no valid insurance" for 10 or more consecutive days in the Georgia Motor Vehicle database.IMPORTANT NOTICE - This is a request to withdraw your application. If we approve it, the decision we made on your application will have no legal effect. Download forms for Georgia businesses. Download Form 521: Request for Withdrawal of Application (PDF). Then, find the Social Security office closest to your home and mail us the completed form. Please follow the steps shown below to ensure we are able to process your request in a timely manner. This packet is used to request withdrawals. Fill out the application: With your documents and statement ready to go, you can fill out your application for an Emergency Withdrawal online.