Fallen Protective Services Insurance Report – Due Today

March 15, 2024

To: County Clerks and Municipal Clerks

Cc: County Treasurers and Municipal 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 2023

General Information

  • Forms are 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 if the surviving spouse remarries or if the surviving spouse reaches 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.