Before you submit this request, obtain approval from the Responsible Cabinet Executive (RCE) -listed at the end of this form.
POLICY NAME AND LOCATION
EFFECTIVE WITHDRAWAL DATE
REQUESTOR'S CONTACT INFORMATION
REASON FOR WITHDRAWING THIS POLICY
If another policy(ies) or guideline(s) is/are to be used after this policy is withdrawn, please provide the link(s)
APPROVED BY RCE