Complete this section only if unable to secure signature of affected adjacent owner or representative. Proof of delivery (i.e.An ethics manual acknowledgement form for City officers and employees to sign upon receipt of the Board of Ethics manual. After I130 withdrawal acknowledgment letter is sent is everything for the beneficiary withdrawn as well? The I-485 and I-765? I wish to withdraw my appeal at this time. By withdrawing the above named appeal, I acknowledge that the case will. I am writing to inform you that I am withdrawing my application for the program coordinator position. By email dated April 9, 2009, you requested to withdraw the application from NRC review. The. These forms are provided in a fillable PDF format, which allows you to enter data directly into the form using your computer and Adobe Acrobat Reader.