STATE OF NEW MEXICO
BEFORE THE OCCUPATIONAL HEALTH AND SAFETY REVIEW COMMISSION
[NAME OF COMPLAINANT OR PETITIONER],
[complainant/Petitioner],
v. No. [insert case no.]
[NAME(S) OF RESPONDENT(S)],
respondent[s].
[NAME OF INTERVENOR],
Intervenor.
NOTICE OF WITHDRAWAL OF INTERVENTION
Notice is hereby given that Intervenor [Name of Intervenor] withdraws from this case.
[Signature]
[TYPED OR PRINTED NAME]
[Address of signer (use as many lines as necessary)]
[Signer's telephone number]
N.M. Admin. Code § 11.5.5.1016