Member call-in withdrawal form

Call-in withdrawal

Note: Questions marked by * are mandatory

*This is a mandatory field. Date of request

*This is a mandatory field. Councillor name:

*This is a mandatory field. Councillor ward:

*This is a mandatory field. Application Reference:

*This is a mandatory field. Application Address:

*This is a mandatory field. Application Ward:

*This is a mandatory field. Reason for withdrawal:

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