Company should submit letter indicating its intent to surrender and return its original certificate of authority. An online request for hearing can be made online at IDOI Message Center and selecting the form for the type of insurance that you carry.BY THE FCRC REPRESENTATIVE. Date. Attorney code numbers are required on all forms. And please include your email address! 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. Download and complete Motion and Notice forms from the Illinois Office of the Courts. Forms on this website are PDFs with fillable fields. Forms should be downloaded to your computer before filling in the fields.