199—4.3 (17A) Intervention.
	 4.3(1) Persons who qualify under any applicable provision of law as an intervenor and who file a petition for intervention within 14 days of the filing of a petition for declaratory order shall be allowed to intervene in a proceeding for a declaratory order.
	 4.3(2) Any person who filed a petition for intervention at any time prior to the issuance of an order may be allowed to intervene in a proceeding for a declaratory order at the discretion of the utilities board.
	 4.3(3) A petition for intervention shall be filed at 350 Maple Street, Des Moines, Iowa 50319-0069. Such a petition shall be deemed filed when it is received by that office. The utilities board will provide the petitioner with a file-stamped copy of the petition for intervention if the petitioner provides an extra copy for this purpose. A petition for intervention must be typewritten or legibly handwritten in ink and must substantially conform to the following form:

STATE OF IOWA
BEFORE THE IOWA STATE UTILITIES BOARD	
IN RE: THE PETITION OF
(insert petitioner’s name)
FOR A DECLARATORY ORDER ON
(insert rule number, statute, etc., for which interpretation is sought).	}	DOCKET NO.___
(insert docket number)
PETITION FOR
INTERVENTION	
COMES NOW (insert name of petitioner) and requests intervention in this matter and in support petitioner states:
(The petition shall then set forth in separately numbered statements:)
	  1. 	 Facts supporting the intervenor’s standing and qualifications for intervention.
	  2. 	 The answers urged by the intervenor to the question or questions presented and a summary of the reasons urged in support of those answers.
	  3. 	 Reasons for requesting intervention and disclosure of the intervenor’s interest in the outcome.
	  4. 	 A statement indicating whether the intervenor is currently a party to another proceeding involving the questions at issue and whether, to the intervenor’s knowledge, those questions have been decided by, are pending determination by, or are under investigation by, any governmental entity.
	  5. 	 The names and addresses of other persons, or a description of any class of persons, known by the intervenor to be affected by, or interested in, the questions presented in the petition.
	  6. 	 Whether the intervenor consents to be bound by the determination of the matters presented in the declaratory order proceeding.
[The petition must be dated and signed by the intervenor or the intervenor’s representative. It must also include the name, mailing address, and telephone number of the intervenor and intervenor’s representative, and a statement indicating the person to whom communications concerning the petition should be directed.]
WHEREFORE, (insert intervenor’s name) prays that the board grant it intervention and issue a declaratory order on (insert proposed subject of the requested order).
Respectfully submitted,
_______________________________
(Signature of intervenor or representative)
(Typed or printed name of signer)
(Address and telephone number)