Form Erd 4971 is an important piece of documentation for U.S. citizens and permanent residents who have a foreign bank account. This form is used to report the existence of a foreign bank account, and must be filed by June 30th each year for taxpayers with foreign accounts that meet certain requirements. Failing to file this form can result in significant fines and penalties, so it's important to understand how it works and make sure you're compliant. In this post, we'll explain what Form Erd 4971 is, who needs to file it, and the consequences of not doing so. Stay tuned for more information on this topic!
| Question | Answer |
|---|---|
| Form Name | Form Erd 4971 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Statutes, MEOC, WI, Workforce |
State of Wisconsin
Department of Workforce Development
Equal Rights Division
Civil Rights Bureau
Request to Withdraw Complaint
NOTICE REQUIRED UNDER Section 15.04(1)(m), Wisconsin Statutes. Authorization for this form is provided under Section 111.375, Wisconsin Statutes. Completion of this form is voluntary. However, if you wish to file a withdrawal of a discrimination complaint with the Equal Rights Division, you must submit a written document containing the information sought by this form. Personal information you provide may be used for secondary purposes.
Complainant |
Respondent |
First Name |
Respondent Name |
Middle Name |
|
Last Name |
|
Street Address |
Street Address |
City |
City |
State |
State |
Zip Code |
Zip Code |
I wish to withdraw my discrimination complaint against the above named respondent(s) filed with the:
Department of Workforce Development Equal Rights Division
(ERD) Case Number
U.S. Equal Employment Opportunity Commission
(EEOC) Case Number
City of Madison Equal Opportunities Commission
(MEOC) Case Number
I have been advised that under state, federal and local laws it is unlawful for any person to threaten intimidate or harass me because I have filed a complaint.
Signature |
Date Signed |
I make this request for the following reason(s):
Send Completed form to:
THE EQUAL RIGHTS DIVISION
201 E WASHINGTON AVE ROOM A300 PO BOX 8928
MADISON WI 53708
THE EQUAL RIGHTS DIVISION 819 N 6TH ST
ROOM 255 MILWAUKEE WI 53203