283—7.12(256,ExecOrd11,17A) Contents of petition. A petition for waiver shall include the following information where applicable and known to the petitioner:
	7.12(1) The name, address, telephone number, and social security number of the person or entity for whom a waiver is being requested and the case number of any related contested case, whether pending or closed.
	7.12(2) A description and citation of the specific rule from which a waiver is requested.
	7.12(3) The specific waiver requested, including the precise scope and duration.
	7.12(4) The relevant facts that the petitioner believes would justify a waiver. 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.
	7.12(5) A history of any prior contacts between the commission and the petitioner. The historical summary shall include:
	a. 	A list of all of the programs, contracts, allocations, bond issues, loans, grants, or other activities in which the petitioner has participated or from which the petitioner has received a benefit and which are affected by the proposed waiver.
	b. 	A description of each instance when the petitioner has participated in or benefited from any of the commission’s programs or contracts, including but not limited to allocations, grants, or loans held by the petitioner, any notices of noncompliance, other administrative events, whether federal or state, contested case hearings, or investigative reports relating to the program, allocation, grant, or loan.
	7.12(6) Any information known to the petitioner about the commission’s treatment of similar cases.
	7.12(7) The name, address, and telephone number of any person or entity, inside or outside state government, who would be adversely affected by the granting of a petition.
	7.12(8) The name, address, and telephone number of any person with knowledge of the relevant facts relating to the proposed waiver.
	7.12(9) Signed releases of information authorizing persons with knowledge regarding the request to furnish the commission with information pertaining to the waiver.
[Editorial change: IAC Supplement 4/3/24]