Fallen Protective Services Insurance Report – Available Online

February 2, 2024

To:

County Clerks and Municipal Clerks

Cc:

County Treasurers and Municipal Treasurers

The Wisconsin Department of Revenue, State and Local Finance Division posted the following forms in MyDORGov.

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

Under state law (2019 WI Act 19), counties and municipalities must submit their form (SL-320C or SL-320M) 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 2023

General Information

  • Forms available in MyDORGov
  • Due date – March 15, 2024
  • County/municipal clerk must e-file this form
  • Reported values are used to calculate the 2025 adjustment to county and municipal aid. A county/municipality is not eligible for this aid adjustment if the form is not submitted timely.

Form Information

Each county/municipality must report:

  • Number of:
    • Eligible deceased personnel
    • Surviving spouses/dependents and their age as of January 1, 2023
  • Premiums paid during 2023

Reminders

  • A political subdivision may not be required to pay the premiums for a surviving spouse upon the remarriage of the surviving spouse or upon the surviving spouse reaching the age of 65 (sec. 66.0137(5)(c)3, Wis. Stats.)
  • An individual is not a dependent child after the individual reaches the age of 26 (sec. 66.0137(5)(c)3, Wis Stats.)

Questions?

Contact us at lgs@wisconsin.gov.