Any person wishing the board to issue its ruling as to the applicability to that person of any statutory provision or rule or order of the board may file with the board a petition in substantially the following form:

1. (1) The state statute or board rule or order in question is: (here identify and quote the pertinent statute, rule, or order);
2. (2) The facts and circumstances which give rise to the issue to be answered by the board are:

3. (3) The precise issue to be answered by the board's declaratory ruling is:

   Dated at _____________________(cityandstate), this _____ day of ___________, 20___.

   _________________________

4. (Signatureofpetitioner)

State of South Dakota

One-Call Notification Board

Pursuant to the provisions of SDCL 1-26-15, I, (nameofpetitioner), of (addressofpetitioner), am (titleorcapacityofpetitioner), and do hereby petition the South Dakota One-Call Notification Board for its declaratory ruling in regard to the following:

Source: 26 SDR 161, effective June 8, 2000.

General Authority: SDCL 1-26-15 , 49-7A-4.

Law Implemented: SDCL 1-26-15.