493—6.6 (13B,17A) Content of petition. A petition for waiver or variance shall include the following information where applicable and known to the requester:
	  1. 	 The name, address, and telephone number of the entity or person for whom a waiver or variance 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 or variance is requested.
	  3. 	 The specific waiver or variance requested, including the precise scope and operative period that the waiver or variance will extend.
	  4. 	 The relevant facts that the petitioner believes would justify a waiver or variance. This statement shall include 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 or variance.
	  5. 	 A history of any prior contacts between the state public defender and the petitioner relating to the regulated activity, representation or other assigned function of the state public defender that would be affected by the proposed waiver or variance, including a description of each regulated activity, representation or other assigned function of the state public defender, any notices of violation, contested case hearings, or investigative reports relating to the regulated activity, representation or other assigned function of the state public defender within the last five years.
	  6. 	 Any information known to the requester regarding the state public defender’s treatment of similar cases.
	  7. 	 The name, address, and telephone number of any public agency or political subdivision which also regulates the activity in question or which might be affected by the granting of a waiver or variance.
	  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 or variance.
	  10. 	 Signed releases of information authorizing persons with knowledge regarding the request to furnish the state public defender with information relevant to the waiver or variance.