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Employment
- Authorization to Release Information & Acknowledgement for Employment (pdf) - Download
Required for Maple Lane Positions
- Background Information disclosure Instructions (pdf) - Download
Required for Maple Lane Positions
Forms
- Adult Family Home 1-2 Bed Application - Download
Any prospective providers wanting to become sponsors of an Adult Family Home 1-2 Bed residence will need to fill out the AFH 1-2 Bed Application and follow the process described within.
- Application for Satisfaction Due to Discharge in Bankruptcy - Download
Form required when a debt is discharged in Bankruptcy Court to satisfy the judgment in Circuit Court.
- Complaint on Equal Employment - Download
- Confidential Information Release Authorization - Download
- Direct Deposit Form - Download
- SAVES YOU TIME
- IS CONFIDENTIAL
- IS CONVENIENT
- OFFERS GREATER SECURITY
- Equal Opportunity Policy - Download
- GIS Data Disclaimer and Order Forms - Download
To order Shawano County Digital GIS data you must fill out and sign the data disclaimer and the appropriate order form/s. Mail the completed forms with payment to (Payable to - Shawano County Treasurer);
Property Lister
Shawano County Planning & Development Dept.
311 N. Main St
Shawano, WI 54166
If you have any questions please contact;
David Poffinbarger - GIS Coordinator
Shawano County Technology Services
715-526-4614
- GIS Public Access Subscription - Download
To recieve subscription access to the Shawano County GIS Public Access data you must fill out and sign the "Contract for Web Services" form. Mail the completed form with payment to (Payable to - );
Property Lister
Shawano County Planning & Development Dept.
311 N. Main St
Shawano, WI 54166
If you have any questions please contact;
David Poffinbarger - GIS Coordinator
Shawano County Technology Services
715-526-4614
- Guardian's Application for Child Support Services - Download
- Monthly Medication Administration Form- AFH M-1 - Download
Monthly Medication Administration Form to be used by providers for each individual adult living in the AFH. Please be sure to print off both pages as this is a two page document. You may then, at your convenience, make it into a two sided copy.
- Municipal Treasurer - Download
- Notice of Privacy Practices - Download
- Order to Amend Judgement for Support/Maintenance/Custody/Placement - Download
- Parents Application for Child Support Services - Download
- Payment Plan Application - Download
Application for Deferred Payment Plan
- PRN Medications- AFH M-2 page 2 - Download
This is the second page to PRN Medications- AFH as this is suppose to be a two sided document for each client.
- PRN Medications- AFH M-2 - Download
The PRN Medication-AFH M-2 form is to be used by the AFH provider for each adult living in the AFH.
- Service Delivery Discrimination Complaint Form - Download
- Shawano County Process Servers - Download
- Smoke Detector/Fire Extinguisher/Fire Drill Check Sheet - Download
Adult Family Home Sponsors will use this form to monitor smoke dectectors, fire extinguishers, and fire drills. This form should be printed off to your home pc and then when possible, if you choose to, make two sided copies of it. Save a tree.
- Summary of 2012 Aggregate Ratios For Shawano County - Download
- Vaccine Administration Record - Download
Permission form for a child or adult receiving vaccines.
- Voluntary Affirmative Action Information - Download
For officials of participating communities
- General Comprehensive Plan Public Hearing Notice - Download
General Interest
- 02-07-2013 Healthy Families Coalition Minutes - Download
- 2012 Fall Newsletter - Health Dept - Download
Inside this issue:
Program spotlight: WWWP
Flu shot information
Cold, Flu or Pertussis?
Safe Sleep
Public Health Nurse Profile
- 2012 Winter Newsletter - Health Dept - Download
Inside this issue!
Radon Test Kits
WIC: the Special Sup-plemental Nutrition Program
HPV Vaccines Offer Disease Protection Pre-teens can Grow Into—Now for Girls and Boys
National Poison Prevention Week
Immunization Schedules
Economics of Vaccines
- Adult Family Home 1-2 Bed - Brochure - Download
The Adult Family Home 1-2 Bed brochure is used to give a brief over view of the Adult Family Home concept for the interested potential provider.
- Adult Family Home 1-2 Bed Handbook - Download
A user friendly handbook for the Adult Family Home 1-2 Bed Providers
This handbook will offer descriptive information, definitions, expectations, requirements, and standards that have to be maintained to operate an Adult Family Home 1-2 Bed.
Please contact David Edge, the Resource Coordinator @ the Department of Community Programs for further assistance or information in regards to the Adult Family Home 1-2 Bed Program: Phone: 715-526-5547 or email @ dedge@co.shawano.wi.us
- Agricultural and forestry Priorities Memo - Download
- Behavioral Risk Factor Surveillance System - Download
Results of 2008 telephone survey conducted by the St. Norbert College Survey Center that gathered information on the health practices and health-related behavioral risks of residents of Shawano County.
- Benefit Specialist Schedule for July 2012 - Download
- Benefit Specialist Schedule for June 2012 - Download
- Car Seat Inspection Program - brochure - Download
Healthy Families in Shawano County Coalition has worked together to bring a car seat inspection station to Shawano and Wittenberg.
- Car Seat Inspection Station - poster - Download
8 1/2 x 11 size poster for the Car Seat Inspection Station.
- City of Shawano Districts 2002 -2012 - Download
- City of Shawano Supervisory/Aldermatic Districts and Voting Wards 2012-2022 - Download
- Cluster Map - Download
- Comparison of Future Land Use Categories and Existing Zoning Districts to Proposed Zoning Districts - Download
- Design Performance and Environmental Standards Priorities Questionaire Summary - Download
- Directions and Priorities of the Draft Zoning Ordinance - Download
- Dog Regulation Guideline Manual - Download
- Draft Revised Land Division Ordinance - Download
- Economic Support Programs - Download
- Frequently Asked Questions Regarding the Shawano County Comprehensive Planning Process - Download
- Friday City of Shawano Bus Schedule - Download
- Health of the Children Shawano and Menominee Counties 2012 - Download
Maternal Child Health Assessment 2012
- House Check Form - Download
- July Nutrition Menu - Download
- Maple Lane Consumer Confidence Report - Download
- Maternal Child Health Data - Download
Shawano County statistics for the maternal child health population.
- Memo on Working Lands Initiative - Download
- Non-Residential Priorities Questionaire Summary - Download
- Project Timeline (April 2010) - Download
- Public Participation Plan for the Shawano Area Communities Comprehensive Planning Poject - Download
- Senior Express Ability Bus Schedule & Fares - Download
- Shawano County Assembly Representatives - Download
- Shawano County Community Health Needs Assessment - Download
The Wisconsin Office of Rural Health was contracted to complete this community health needs assessment by the Shawano Health Department in the fall of 2002. The assessment was designed jointly by the two organizations to fulfill state requirements to regularly and systematically collect, assemble, analyze and make available information on the health status of the community.
- Shawano County State Senators - Download
- Supervisory Districts 2002 - 2012 - Download
- Swimmer's Itch Fact Sheet - Download
- WANTED: Adult Family Homes - Download
- Zoning Code Advisory Committee Members - Download
- Zoning Code Rewrite Roles and Responsibilities Chart - Download
Grant application process documents:
- Grant award newsletter - Download
- View the Brochure describing the process - Download
- View the consultant Request for Qualifications. - Download
- View the Draft Public Participation Plan - Download
- View the final participant list and cost summary - Download
- View the final participant map. - Download
- View the Joint Planning Grant Contract - Download
- View the Multi-Jurisdictional Grant Application - Download
- View the Non-binding Letter of Intent - Download
- View the Planning Process Concept Diagram - Download
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