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Forms & Documents » All » E - H
All A - D E - H I - L M - P Q - T U - Z

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
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  • 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);

  • 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 - );

  • Guardian's Application for Child Support Services - Download

  • Human Services Implementation Plan - Download

  • Language Access Plan for Shawano County - Download
    The purpose of this plan is to establish effective guidelines consistent with Title VI of the Civil Rights Act of 1964, Executive Order 13166 and the Americans with Disabilities Act (ADA).

  • 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.

  • Motion to Reopen Judgment-TR & FO cases - Download

  • Municipal Treasurer - Download

  • Notice of Privacy Practices - Download

  • Not guilty plea for traffic & forfeitures - 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, must be filled out and turned in within 7 days of sentencing or within 7 days of release from jail.

  • Petition for IID Exemption - Download

  • 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 2015 Aggregate Ratios For Shawano County - Download

  • Voluntary Affirmative Action Information - Download

For officials of participating communities
  • General Comprehensive Plan Public Hearing Notice - Download

General Interest
  • 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 the Department of Human Services for further assistance at 715-526-4700.

  • Agricultural and forestry Priorities Memo - Download

  • Application for Family Support - Download

  • City of Shawano Districts 2002 -2012 - 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

  • House Check Form - 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

  • 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

HIPAA
  • HIPAA Policy - Download

  • SHAWANO COUNTY ACKNOWLEDGEMENT OF RECEIPT OF NOTICE - Download

  • SHAWANO COUNTY BUSINESS ASSOCIATE AGREEMENT - Download

  • SHAWANO COUNTY NOTICE OF PRIVACY PRACTICES - Download
Copyright © 2016 Shawano County Government - Shawano Wisconsin
311 N. Main St., Shawano, WI 54166-8724 • (715) 526-9135
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