RTDR11148 – Notice of Withdrawal in Alberta

This form is the “RTDR11148 – Notice of Withdrawal” used by the Residential Tenancy Dispute Resolution Service (RTDRS) in Alberta, designed for either a landlord or tenant to formally withdraw a previously submitted application for dispute resolution. The document allows the applicant to indicate the complete satisfaction of the application, detailing the originally scheduled hearing time and location options, including the Edmonton or Calgary RTDRS office or by telephone conference. Additionally, it provides options for how a filed copy of the withdrawal notice should be returned to the applicant, whether by fax, regular mail, or email. The form also emphasizes the collection of personal information under the Freedom of Information and Protection of Privacy Act for the purpose of identifying the individual or entity requesting the withdrawal, ensuring the integrity of the withdrawal process.

Filling out this form provided by the Residential Tenancy Dispute Resolution Service (RTDRS) in Alberta requires careful attention to detail to ensure that your withdrawal is processed correctly. Here is a step-by-step guide to help you complete the form:

1. RTDRS Case Number

Enter your RTDRS case number at the top of the form. This number is unique to your dispute case and ensures that your withdrawal is matched to the correct application.

2. Applicant Information

Select whether you are the landlord or the tenant who originally filed the application. This helps identify the role of the applicant within the dispute resolution process.

3. Respondent Information

Similarly, indicate whether the respondent (the party you filed the application against) is the landlord or the tenant.

4. Withdrawal Statement

Check the box or circle the statement that says, “I withdraw my application against the respondent.” This officially indicates your intention to withdraw your dispute resolution application.

5. Satisfaction Statement

Check the box or circle next to the statement, “My application has been completely satisfied,” if your dispute has been resolved to your satisfaction, prompting the withdrawal.

6. Scheduled Hearing Information

Fill in the date and time of the hearing that was scheduled for your case. Also, indicate the location of the hearing, whether it was to be held at the Edmonton RTDRS office, the Calgary RTDRS office, or by way of a telephone conference.

7. Service Confirmation

Confirm that a copy of the application package has been served to the other party by checking the appropriate box or circling “Yes.”

8. Method of Receiving Filed Withdrawal Notice

Choose how you wish to receive a filed copy of your Notice of Withdrawal. Options typically include fax, regular mail, or email. Provide the necessary contact information depending on your selection (fax number, email address, or confirmation that your address is the same as on your application form).

9. Date and Signature

Date the form with the day, month, and year of submission. Then, sign the form to validate your request to withdraw. If you are representing the applicant as a lawyer or agent, include your signature in the respective section.

10. Submission

After completing the form, follow the instructions provided by RTDRS for submission, which may include sending it by fax, email, or mail to the provided RTDRS contact details. Ensure you keep a copy of the completed form for your records.