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Emergency Rule 2204 COVID-19 Safety Plan Template

Document Number: DETM-18963-E

Description: This form may be used by camp operators to meet the EmR2204 requirement that operators submit a COVID-19 Safety Plan for each migrant labor camp that the camp operator maintains. See, Wis. Admin. Code § DWD 301.07(11)(k).

Comments: Migrant camp operators using this template should complete all sections and provide it to the Department of Workforce Development via email: MSFW@dwd.wisconsin.gov. This form is fillable.

Content Contact: MSFW Team

Document Attachments:

DETM-18963-E (English Electronic Version - pdf/726 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.