Withdrawal Form

Withdrawal Form

Complainants: complete this form if you want to withdraw your human rights complaint(s) with the Commission.

Once we have received this form and reviewed it, we will send a withdrawal letter to you and/or your representative as well as the organization/person that you are complaining about. In addition, we will close your file and no further action will be taken.

General Instructions

  • When you have completed this form and press Submit a copy of the form will be emailed to the email address you provided in the form as well as to the Commission.
  • If you have any questions you may contact us at the email address complaint.plainte@chrc-ccdp.gc.ca. Please make sure to provide your name and complaint file number.
  • Keep a copy of your withdrawal form and all of your documents.

Information about your complaint

Name of the person withdrawing complaint
Name of the Respondent


I am withdrawing my complaint because

Declaration and Signature

If you are filing your form electronically, your digital signature represents your legal signature.

I declare that to the best of my knowledge, all of the information I have provided with this form is truthful, complete and accurate.