761—620.3 (321J) Issuance of temporary restricted license.
	 620.3(1) Eligibility and application.
	  a.   	 The department may issue a temporary restricted license to a person who is eligible under Iowa Code section 321J.4 (except subsection 8), 321J.9, 321J.12 or 321J.20. The department shall not issue a temporary restricted license to a person who has a current suspension or revocation for any other reason, or who is otherwise ineligible.
	  b.   	 To apply for a temporary restricted license, an applicant shall, at any time before or during the revocation period, submit application Form 430100 to the office of driver services at the address in 761—620.2(321J). The application form should be furnished by the arresting officer. It may also be obtained upon oral or written request to the office of driver services or by submitting Form 432018 to driver services with the appropriate box checked.
	  c.   	 A temporary restricted license issued for employment may include permission for the licensee to transport dependent children to and from a location for child care when that activity is essential to continuation of the licensee’s employment.
	 620.3(2) Statements. A person applying for a temporary restricted license shall submit all of the following statements that apply to the person’s situation. Each statement shall explain the need for the license and shall list specific places and times for the activity which can be verified by the department.
	  a.   	 A statement from the person’s employer unless the person is self-employed including, when applicable, verification that the person’s use of a child care facility is essential to the person’s continued employment.
	  b.   	 A statement from the person.
	  c.   	 A statement from the health care provider if the person or the person’s dependent requires continuing health care.
	  d.   	 A statement from the educational institution in which the person is enrolled.
	  e.   	 A statement from the substance abuse treatment program in which the person is participating.
	  f.   	 A copy of the court order for community service and a statement describing the assigned community service from the responsible supervisor.
	  g.   	 A statement from the child care provider.
	 620.3(3) Additional requirements. A person applying for a temporary restricted license shall also comply with all of the following requirements:
	  a.   	 Provide a description of all motor vehicles to be operated under the temporary restricted license.
	  b.   	 Submit proof of financial responsibility under Iowa Code chapter 321A for all motor vehicles to be operated under the temporary restricted license.
	  c.   	 Provide certification of installation of an approved ignition interlock device on every motor vehicle operated.
	  d.   	 Pay the $200 civil penalty.
	 620.3(4) Issuance and restrictions.
	  a.   	 When the application is approved and all requirements are met, the applicant shall be notified by the department to appear before a driver’s license examiner. The applicant shall pass the appropriate examination for the type of vehicle to be operated under the temporary restricted license. An Iowa resident shall also pay the reinstatement and license fees.
	  b.   	 The department shall determine the restrictions to be imposed by the temporary restricted license. The licensee shall apply to the department in writing with a justification for any requested change in license restrictions.
	 620.3(5) Denial. A person who has been denied a temporary restricted license or who contests the restrictions imposed by the department may request an informal settlement conference by submitting a written request to the director of the office of driver services at the address given in 761—620.2(321J). Following an unsuccessful informal settlement or instead of that procedure, the person may request a contested case hearing in accordance with rule 620.4(321J).