Government of Ontario

Tribunals Ontario
Animal Care Review Board

Notice of Withdrawal

Important Information

1. Notice of Withdrawal

I, the Appellant





withdraw my appeal before the Board. I understand that by withdrawing my appeal, no further hearings will be held and that my file with the Board will be closed.

2. Copy to Respondent

I have sent a copy of this Notice of Withdrawal to the Respondent Chief Animal Welfare Inspector or their representative.

Name of Recipient




By the following method                            

at the following fax number or address








3. Signature






The Animal Care Review Board (ACRB) collects the personal information requested on this form under section 38 of the Provincial Animal Welfare Services Act and section 9(5) of Ontario Regulation 443/19 for the purpose of conducting an appeal proceeding before the ACRB. All information, including sensitive personal and financial information, submitted as part of a proceeding may become public in an open hearing and may be contained in decisions, orders, and case files, unless an order to restrict access is made. Any questions about the collection of information may be directed to the ACRB at acrb.registrar@ontario.ca.

If you have any questions, please contact

Animal Care Review Board
PO Box 250
Toronto ON  M7A 1N3
Telephone:   416-327-6500
                     1-888-444-0240
Fax:              416-314-4270
                     1-800-720-5292
Website: www.slasto.gov.on.ca
Email: acrb.registrar@ontario.ca

0425E (2020/06)       © Queen’s Printer for Ontario, 2020

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