Iowa Code r. 281-4.5 - Content of petition
A petition for waiver includes the following information where applicable and known to the requester:
1. The name, address, and telephone number of
the person for whom a waiver is being requested, and the case number of any
related contested case.
2. A
description and citation of the specific rule from which a waiver is
requested.
3. The specific waiver
requested, including the precise scope and duration.
4. The relevant facts that the petitioner
believes would justify a waiver under the criteria described in Iowa Code
section 17A.9A(2). This
statement includes a signed statement from the petitioner attesting to the
accuracy of the facts provided in the petition and a statement of reasons that
the petitioner believes will justify a waiver.
5. A history of any prior contacts between
the board, the department and the petitioner relating to the regulated
activity, license, or grant affected by the proposed waiver, including a
description of each affected item held by the requester, any notices of
violation, contested case hearings, or investigative reports relating to the
regulated activity, license, or grant within the last five years.
6. A detailed statement of the impact on
student achievement for any person affected by the granting of a
waiver.
7. Any information known to
the requester regarding the board's or department's treatment of similar
cases.
8. The name, address, and
telephone number of any person or entity that would be adversely affected by
the granting of a petition.
9. The
name, address, and telephone number of any person with knowledge of the
relevant facts relating to the proposed waiver.
10. Signed releases of information
authorizing persons with knowledge regarding the request to furnish the
department with information relevant to the waiver.
Notes
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