[Iowa DOT] 431233. Peace Officer Behind-the-Wheel Exemption Application

PEACE OFFICER BEHIND-THE-WHEEL EXEMPTION APPLICATION

Supplement to Form 431160 for Eligible Peace Officers

Please email completed form to dot.btw@iowadot.us

Iowa Code § 321.178 (1)(b)(2)(a) allows certain individuals to be exempt from the requirement to be authorized by the Iowa Board of Educational Examiners to provide behind-the-wheel instruction. Qualified individuals must be a peace officer as defined in subsection 801.4 (11), paragraph “a”, “b”, “c”, or “h”, with five or more years of experience as a peace officer, or a retired peace officer who holds a driver license that is valid for more than two years from the date of issuance.

To be completed by the applicant’s commanding officer:

NOTE: If you are a retired peace officer, this form only needs to be submitted once. Thereafter, submit only Form 431160 for your annual IOWA DOT Behind-the-Wheel certificate renewal.

To be completed by the applicant’s commanding officer:

I hereby certify that the above-named individual qualifies for the peace officer exemption outline in Iowa Code § 321.178(1)(b)(2)(a) by virtue of their employment status (check one box and fill in required information):

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