Instructions For Requesting A Variance Or Exception To Regulation Page 4

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1. Why is strict application of the regulation impractical? Why should the regulation be varied?
How does the regulation cause you unnecessary hardship or why is the regulation
unwarranted?
2. Explain how or why you do not currently meet the regulation or why you cannot meet it in
the future?
3. Why is it fair to vary the regulation for you when others must comply? Why is your case
special?
4. What is your plan or alternative to the regulation that will offer the same level of protection
for children or meet the same intent of the regulation?
5. What additional information can you offer to support your request? Are there other people
who can offer evidence or support?
Send in all related documents or information with your request. If information is sent separately, BE
SURE THAT IT INCLUDES YOUR NAME, THE PROGRAM, OR CERTRIFICATE NUMBER ON
EACH PAGE. Otherwise, the Division may be unable to match up the additional information with your
original request.
Signature_____________________________________
Date _____________
Printed Name ________________________________ Position___________________________

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