1. A formal document or written statement in which someone explicitly declines or rejects a request, offer, or proposal
The company issued a written refusal to the merger proposal.
A empresa emitiu uma recusa escrita à proposta de fusão.
2. A documented denial or rejection recorded in writing for legal or administrative purposes
He submitted a written refusal to participate in the study.
Ele apresentou uma recusa escrita para participar do estudo.