Agency Rulemaking Petition - Iowa

Petition for Adoption, Amendment, or Repeal of an Iowa Agency Rule

To: [AGENCY NAME]

Agency address or designated filing channel: [ADDRESS OR CHANNEL]

From: [PETITIONER NAME]

Date: [__/__/____]

Re: Petition under Iowa Code § 17A.7(1) concerning [RULE OR SUBJECT]

Petitioner and interest

Petitioner, [PETITIONER NAME], is an interested person because [SPECIFIC CONNECTION TO THE RULE OR SUBJECT]. Petitioner's mailing address is [ADDRESS], telephone number is [PHONE], and email address is [EMAIL]. If represented, direct correspondence to [REPRESENTATIVE NAME AND CONTACT INFORMATION].

Rule action requested

Petitioner requests that [AGENCY NAME]:

☐ Adopt a rule on [SUBJECT; PROPOSED IOWA ADMINISTRATIVE CODE LOCATION, IF KNOWN].

☐ Amend [CURRENT IOWA ADMINISTRATIVE CODE CITATION AND TITLE].

☐ Repeal [CURRENT IOWA ADMINISTRATIVE CODE CITATION AND TITLE].

The precise action requested is [STATE THE REQUEST IN ONE OR TWO SENTENCES]. The proposed effective or implementation date, if relevant, is [DATE OR EXPLANATION].

Proposed text

For an adoption or amendment, petitioner proposes the following language, identifying the existing text affected by any amendment:

[INSERT COMPLETE PROPOSED RULE TEXT OR ATTACH A MARKED EXHIBIT]

For a repeal, identify the provision and scope of repeal: [PROVISION AND SCOPE].

Reasons and authority

The agency's authority to regulate this subject appears in [CURRENT ENABLING STATUTE OR OTHER AUTHORITY]. The requested action is within that authority because [EXPLAIN THE CONNECTION BETWEEN THE AUTHORITY AND THE PROPOSED RULE].

The present rule or regulatory gap is [DESCRIBE CURRENT PRACTICE OR LANGUAGE]. It causes or risks [CONCRETE EFFECT], as shown by [FACTS, DATA, OR ATTACHED EXHIBIT]. The requested action would address that issue by [EXPLAIN HOW]. Any relevant costs, benefits, and practical alternatives are [DESCRIBE OR STATE WHY NONE ARE IDENTIFIED].

Requested disposition

Under Iowa Code § 17A.7(1), petitioner asks the agency to consider this petition and, within sixty days after its submission, initiate rulemaking under § 17A.4 or adopt a rule if that rule is not required to be filed under the procedures of § 17A.4(1). If the agency denies the petition, petitioner requests a written decision on the merits stating the reasons for denial. Please send the disposition to [CONTACT AND ADDRESS].

Exhibits

The following materials accompany this petition: [LIST EXHIBITS OR WRITE "NONE"].

Respectfully submitted,

Signature: [________________________________]

Name and title: [________________________________]

For petitioner, if applicable: [________________________________]

Date: [__/__/____]

Delivery record

Submitted to [AGENCY RECIPIENT OR PORTAL] by [METHOD] on [__/__/____]. Receipt or tracking number, if available: [NUMBER].