AB75-ASA1,1304,1513 INSPECTION AND DISCLOSURE OF
14 INFORMATION RELATING TO MY PHYSICAL
15 OR MENTAL HEALTH
AB75-ASA1,1304,1716 Subject to any limitations in this document, my health care agent has the
17authority to do all of the following:
AB75-ASA1,1304,1918 (a) Request, review and receive any information, oral or written, regarding my
19physical or mental health, including medical and hospital records.
AB75-ASA1,1304,2120 (b) Execute on my behalf any documents that may be required in order to obtain
21this information.
AB75-ASA1,1304,2222 (c) Consent to the disclosure of this information.
AB75-ASA1,1304,2323 (The principal and the witnesses all must sign the document at the same time.)
AB75-ASA1,1304,2424 SIGNATURE OF PRINCIPAL
AB75-ASA1,1304,2525 (person creating the power of attorney for health care)
AB75-ASA1,1304,26
1Signature....  Date....
AB75-ASA1,1305,32 (The signing of this document by the principal revokes all previous powers of
3attorney for health care documents.)
AB75-ASA1,1305,44 STATEMENT OF WITNESSES
AB75-ASA1,1305,155 I know the principal personally and I believe him or her to be of sound mind and
6at least 18 years of age. I believe that his or her execution of this power of attorney
7for health care is voluntary. I am at least 18 years of age, am not related to the
8principal by blood, marriage, or adoption, am not the domestic partner under ch. 770
9of the principal,
and am not directly financially responsible for the principal's health
10care. I am not a health care provider who is serving the principal at this time, an
11employee of the health care provider, other than a chaplain or a social worker, or an
12employee, other than a chaplain or a social worker, of an inpatient health care facility
13in which the declarant is a patient. I am not the principal's health care agent. To
14the best of my knowledge, I am not entitled to and do not have a claim on the
15principal's estate.
AB75-ASA1,1305,1616 Witness No. 1:
AB75-ASA1,1305,1717 (print) Name.... Date....
AB75-ASA1,1305,1818 Address....
AB75-ASA1,1305,1919 Signature....
AB75-ASA1,1305,2020 Witness No. 2:
AB75-ASA1,1305,2121 (print) Name.... Date....
AB75-ASA1,1305,2222 Address....
AB75-ASA1,1305,2323 Signature....
AB75-ASA1,1305,2524 STATEMENT OF HEALTH CARE AGENT AND
25 ALTERNATE HEALTH CARE AGENT
AB75-ASA1,1306,4
1I understand that.... (name of principal) has designated me to be his or her
2health care agent or alternate health care agent if he or she is ever found to have
3incapacity and unable to make health care decisions himself or herself. .... (name of
4principal) has discussed his or her desires regarding health care decisions with me.
AB75-ASA1,1306,55 Agent's signature....
AB75-ASA1,1306,66 Address....
AB75-ASA1,1306,77 Alternate's signature....
AB75-ASA1,1306,88 Address....
AB75-ASA1,1306,119 Failure to execute a power of attorney for health care document under chapter
10155 of the Wisconsin Statutes creates no presumption about the intent of any
11individual with regard to his or her health care decisions.
AB75-ASA1,1306,1312 This power of attorney for health care is executed as provided in chapter 155
13of the Wisconsin Statutes.
AB75-ASA1,1306,1414 ANATOMICAL GIFTS (optional)
AB75-ASA1,1306,1515 Upon my death:
AB75-ASA1,1306,1716 .... I wish to donate only the following organs or parts: .... (specify the organs or
17parts).
AB75-ASA1,1306,1818 .... I wish to donate any needed organ or part.
AB75-ASA1,1306,1919 .... I wish to donate my body for anatomical study if needed.
AB75-ASA1,1306,2220 .... I refuse to make an anatomical gift. (If this revokes a prior commitment that
21I have made to make an anatomical gift to a designated donee, I will attempt to notify
22the donee to which or to whom I agreed to donate.)
AB75-ASA1,1306,2423 Failing to check any of the lines immediately above creates no presumption
24about my desire to make or refuse to make an anatomical gift.
AB75-ASA1,1306,2525 Signature....     Date....
AB75-ASA1, s. 2441
1Section 2441. 155.40 (2) of the statutes is amended to read:
AB75-ASA1,1307,62 155.40 (2) If the health care agent is the principal's spouse or domestic partner
3under ch. 770
and, subsequent to the execution of a power of attorney for health care
4instrument, the marriage is annulled or divorce from the spouse is obtained or the
5domestic partnership under ch. 770 is terminated
, the power of attorney for health
6care is revoked and the power of attorney for health care instrument is invalid.
AB75-ASA1, s. 2442 7Section 2442. 157.05 of the statutes is amended to read:
AB75-ASA1,1307,14 8157.05 Autopsy. Consent for a licensed physician to conduct an autopsy on
9the body of a deceased person shall be deemed sufficient when given by whichever
10one of the following assumes custody of the body for purposes of burial: Father,
11mother, husband, wife, child, guardian, next of kin, domestic partner under ch. 770,
12or in the absence of any of the foregoing, a friend, or a person charged by law with
13the responsibility for burial. If 2 or more such persons assume custody of the body,
14the consent of one of them shall be deemed sufficient.
AB75-ASA1, s. 2443 15Section 2443. 157.06 (9) (a) 2. of the statutes is amended to read:
AB75-ASA1,1307,1616 157.06 (9) (a) 2. The spouse or domestic partner under ch. 770 of the individual.
AB75-ASA1, s. 2443m 17Section 2443m. 165.03 of the statutes is created to read:
AB75-ASA1,1307,22 18165.03 Funding for assistant district attorney and public defender
19retention pay.
(1) Notwithstanding the purposes for which appropriations are
20made under s. 20.455, in each fiscal year, the attorney general shall transfer to the
21appropriation account under s. 20.455 (3) (kb) a total of $1,000,000 from
22appropriation accounts under s. 20.455 except all of the following:
AB75-ASA1,1307,2323 (a) A sum sufficient appropriation.
AB75-ASA1,1307,2424 (b) An appropriation of federal moneys.
AB75-ASA1,1308,2
1(c) An appropriation from which transfer of moneys under this subsection is
2prohibited under the constitution.
AB75-ASA1,1308,3 3(2) (a) In this subsection:
AB75-ASA1,1308,54 1. "District attorney percentage" means the percentage of total assistant
5attorney positions that are assistant district attorney positions.
AB75-ASA1,1308,76 2. "Public defender percentage" means the percentage of total assistant
7attorney positions that are assistant state public defender positions.
AB75-ASA1,1308,108 3. "Total assistant attorney positions" means the total full-time equivalent
9assistant district attorney positions filled as of June 30th of a fiscal year plus the total
10full-time equivalent assistant state public defender positions filled on that date.
AB75-ASA1,1308,1411 (b) On June 30th of each fiscal year, the attorney general shall transfer from
12the appropriation account under s. 20.455 (3) (kb) to the appropriation account under
13s. 20.475 (1) (kb) an amount equal to $1,000,000 multiplied by the district attorney
14percentage.
AB75-ASA1,1308,1815 (c) On June 30th of each state fiscal year, the attorney general shall transfer
16from the appropriation account under s. 20.455 (3) (kb) to the appropriation account
17under s. 20.550 (1) (kb) an amount equal to $1,000,000 multiplied by the public
18defender percentage.
AB75-ASA1, s. 2444b 19Section 2444b. 165.25 (4) (ar) of the statutes, as affected by 2009 Wisconsin
20Act 2
, is amended to read:
AB75-ASA1,1309,221 165.25 (4) (ar) The department of justice shall furnish all legal services
22required by the department of agriculture, trade and consumer protection relating
23to the enforcement of ss. 91.68, 93.73, 100.171, 100.173, 100.174, 100.175, 100.177,
24100.18, 100.182, 100.195, 100.20, 100.205, 100.207, 100.209, 100.21, 100.28, 100.37,

1100.42, 100.50, 100.51, 100.55, and 846.45 and chs. 126, 136, 344, 704, 707, and 779,
2together with any other services as are necessarily connected to the legal services.
AB75-ASA1, s. 2446 3Section 2446. 165.755 (1) (a) of the statutes is amended to read:
AB75-ASA1,1309,74 165.755 (1) (a) Except as provided in par. (b), a court shall impose under ch. 814
5a crime laboratories and drug law enforcement surcharge of $8 $13 if the court
6imposes a sentence, places a person on probation, or imposes a forfeiture for a
7violation of state law or for a violation of a municipal or county ordinance.
AB75-ASA1, s. 2447m 8Section 2447m. 165.785 of the statutes is created to read:
AB75-ASA1,1309,13 9165.785 Crime alert network. (1) In addition to its duties under ss. 165.50
10and 165.78, the department may develop, administer, and maintain an integrated
11crime alert network to provide information regarding known or suspected criminal
12activity, crime prevention, and missing or endangered children or adults to state
13agencies, law enforcement officers, and members of the private sector.
AB75-ASA1,1309,15 14(2) The department may charge a fee to members of the private sector who
15receive information under sub. (1).
AB75-ASA1, s. 2448 16Section 2448. 165.82 (1) (a) and (ag) of the statutes are consolidated,
17renumbered 165.82 (1) (a) and amended to read:
AB75-ASA1,1309,2018 165.82 (1) (a) For each record check, except a fingerprint card record check,
19requested by a nonprofit organization, $2. (ag) For each record check, except a
20fingerprint card record check, requested
or by a governmental agency, $5 $7.
AB75-ASA1, s. 2448d 21Section 2448d. 165.82 (1) (a) of the statutes, as affected by 2009 Wisconsin Act
22.... (this act), is amended to read:
AB75-ASA1,1309,2423 165.82 (1) (a) For each record check, except a fingerprint card record check,
24requested by a nonprofit organization, or by a governmental agency, $7 $2.
AB75-ASA1, s. 2448s 25Section 2448s. 165.82 (1) (am) of the statutes is created to read:
AB75-ASA1,1310,2
1165.82 (1) (am) For each record check, except a fingerprint card record check,
2requested by a governmental agency, $7.
AB75-ASA1, s. 2450 3Section 2450. 165.85 (4) (b) 1d. f. of the statutes is created to read:
AB75-ASA1,1310,104 165.85 (4) (b) 1d. f. Training concerning cultural diversity, including sensitivity
5toward racial and ethnic differences. The training shall be designed to prevent the
6use of race, racial profiling, racial stereotyping, or other race-based discrimination
7or selection as a basis for detaining, searching, or arresting a person or for otherwise
8treating a person differently from persons of other races and shall emphasize the fact
9that the primary purposes of enforcement of traffic regulations are safety and equal
10and uniform enforcement under the law.
AB75-ASA1, s. 2450b 11Section 2450b. 167.10 (1) (p) of the statutes is created to read:
AB75-ASA1,1310,1212 167.10 (1) (p) A novelty device that spins or moves on the ground.
AB75-ASA1, s. 2450c 13Section 2450c. 167.10 (2) (intro.) of the statutes is amended to read:
AB75-ASA1,1310,1514 167.10 (2) Sale. (intro.) No person may sell or possess with intent to sell
15fireworks, except unless any of the following apply:
AB75-ASA1, s. 2450d 16Section 2450d. 167.10 (2) (a) of the statutes is amended to read:
AB75-ASA1,1310,1817 167.10 (2) (a) To a The person sells the fireworks, or possesses the fireworks
18with intent to sell them, to a person
holding a permit under sub. (3) (c);.
AB75-ASA1, s. 2450dm 19Section 2450dm. 167.10 (2) (b) of the statutes is amended to read:
AB75-ASA1,1310,2120 167.10 (2) (b) To The person sells the fireworks, or possesses the fireworks with
21intent to sell them, to
a city, village or town; or.
AB75-ASA1, s. 2450e 22Section 2450e. 167.10 (2) (bg) of the statutes is created to read:
AB75-ASA1,1310,2423 167.10 (2) (bg) The person sells the fireworks, or possesses the fireworks with
24intent to sell them, to a person who is not a resident of this state.
AB75-ASA1, s. 2450f 25Section 2450f. 167.10 (2) (c) of the statutes is amended to read:
AB75-ASA1,1311,2
1167.10 (2) (c) For The person sells the fireworks, or possesses the fireworks
2with intent to sell them, for
a purpose specified under sub. (3) (b) 2. to 6.
AB75-ASA1, s. 2450g 3Section 2450g. 167.10 (3) (a) of the statutes is amended to read:
AB75-ASA1,1311,104 167.10 (3) (a) No person may possess or use fireworks without a user's permit
5from the mayor of the city, president of the village or chairperson of the town in which
6the possession or use is to occur or from an official or employee of that municipality
7a person designated by the mayor, president or chairperson to issue a user's permit.
8No person may use fireworks or a device listed under sub. (1) (e) to (g) or (i) to (n) while
9attending a fireworks display for which a permit has been issued to a person listed
10under par. (c) 1. to 5. or under par. (c) 6. if the display is open to the general public.
AB75-ASA1, s. 2450h 11Section 2450h. 167.10 (3) (f) 3. of the statutes is amended to read:
AB75-ASA1,1311,1312 167.10 (3) (f) 3. The general kind and approximate quantity of fireworks which
13may be purchased.
AB75-ASA1, s. 2450j 14Section 2450j. 167.10 (3) (fm) of the statutes is created to read:
AB75-ASA1,1311,1815 167.10 (3) (fm) If a city, village, or town requires that a user's permit be signed
16or stamped, a person who is authorized to issue the permit under par. (a) may sign
17or stamp the permit before the permit is issued rather than signing or stamping the
18permit at the time that it is issued.
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