10a NCAC 27g .0802       CONTENTS OF WAIVER REQUESTS

Except as provided in Rules .0806 and .0813 of this Section, waiver requests shall be in writing and shall contain:

(1)           the name, address and telephone number of the person making the request;

(2)           the name, address and telephone number of the facility, program, agency or other entity for which the waiver is requested;

(3)           the rule number and title of any rule for which the waiver is requested;

(4)           a statement of facts including:

(a)           the reason for the request;

(b)           the nature and extent of the request; and

(c)           confirmation that the health, safety or welfare of clients will not be threatened;

(5)           the time frame for which the waiver is requested; and

(6)           authorization for the waiver request and the date of such authorization.  Required authorization is as follows:

(a)           by the area board for a facility operated by an area program;

(b)           by the governing board of the contract agency with a recommendation by the area board, for a contract agency (of area programs);

(c)           by the governing body for a private facility; and

(d)           by the Director of the Division of Prisons for the Department of Correction.

 

History Note:        Authority G.S. 122C‑112(a)(8); 143B‑147(a)(8);

Eff. May 1, 1996.