Fallen Protective Services Insurance Report – Due Today

March 15, 2023

To: County Clerks and Treasurers, Municipal Clerks and Treasurers

The Wisconsin Department of Revenue, State and Local Finance Division would like to remind you of today's filing deadline for the following forms:

  • Form SL-320C – County Fallen Protective Services Insurance Report
  • Form SL-320M – Municipal Fallen Protective Services Insurance Report

Under state law (2019 WI Act 19), counties and municipalities must submit one of these forms, if they:

  • Had a police officer, emergency medical services practitioner, or firefighter die in the line of duty
  • Paid hospital, surgical or other health insurance premiums for the surviving spouse and dependent children during 2022

General Information

Form Information

Each county/municipality must report

  • Number of:
    • Eligible deceased personnel
    • Surviving spouses/dependents and their age as of January 1, 2022
  • Premiums paid during 2022



Contact us at lgs@wisconsin.gov.​