Government of Ontario

Fire Safety Commission
Safety, Licensing Appeals and
Standards Tribunals Ontario

PO Box 250
Toronto ON  M7A 1N3
Telephone: 416-327-6500
Fax: 416-314-4270

Notice of Withdrawal

Important Information

1. Notice of Withdrawal

I, the Appellant

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

2. Copy to Respondent

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

Name of Recipient

By the following method                            

at the following fax number or address

3. Signature

The Fire Safety Commission collects the personal information requested on this form under sections 26, 33, and 36 of the Fire Protection and Prevention Act, 1997. This information is being collected for the purpose of conducting a proceeding before the FSC. Any questions about this collection may be directed to the Fire Safety Commission at 416-327-6500 or toll-free at 1-844-242-0608.

0431E (2019/07)       © Queen’s Printer for Ontario, 2019

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