STATE OF WISCONSIN
Town of ________
________ County
________ ________, the incumbent of the office of ________, of the Town of ________, ________ County, Wisconsin, being [unable to perform the official duties or absent], we, the undersigned town board, appoint ________ ________, of the town, to discharge the duties of the office until [the disability of ________ ________ is removed or ________ ________ returns].
Dated this ______ day of ________, 20__.
Attest: [Signature of town clerk]
Note: Adapt this form for
s. 60.30 (5) (b), Wis. stats., if a town officer refuses to perform any official duty.
