Fallen Protective Services Insurance Report – Due Today

​March 15, 2022

To: County Clerks and Treasurers, Municipal Clerks and Treasurers


The Wisconsin Department of Revenue (DOR) would like to remind you of today's filing deadline for Form SL-320C – County Fallen Protective Services Insurance Report and Form SL-320M – Municipal Fallen Protective Services Insurance Report.

General Information

  • 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 2021
  • The reported values are used to calculate the 2023 adjustment to County and Municipal Aid. A county/municipality will not be eligible for this aid adjustment if the form is not submitted timely.

Form Information

  • County/municipal clerk must e-file the appropriate form through MyDORGov
  • Each county/municipality must report
    • Number of:
      • Deceased personnel
      • Surviving spouses/dependents and their age as of January 1, 2021
    • Premiums paid during 2021

Questions?

Contact us at lgs@wisconsin.gov.