The following statutes affect this form: s. 17.25 (1) (a), Wis. stats. STATE OF WISCONSIN
Town of ________
________ County
We, ________ ________ and ________ ________, two supervisors, and ________ ________, clerk of the Town of ________, ________ County, Wisconsin, hereby appoint ________ ________ to fill the vacancy in the town board.
Dated this ______ day of ________, 20__.
[Signatures of supervisors and town clerk]
Note: See s. 17.25 (1), Wis. stats., for exceptions to this procedure.