If you need help completing this form, call 518‑457‑5181. Duration of withholding request.A notice of claim must be filed in writing. The notice form is a "Notice to Surrender" and it is a 4-Day Notice. We can handle posting these notices for you or you can do them yourself. Before you begin to calculate withholding for your employee or independent contractor, be sure to choose the total amount that matches your pay cycle. You received this letter because we determined that you're not entitled to claim exempt status or more than a specified number of withholding allowances. Declaration of Removal of Discriminatory Restriction. When you are finished, you can print your completed form. If you want to stop withholding, complete a new Form W-4V.