STATE OF WISCONSIN
Town of ________
________ County
We, the undersigned Town Board of the Town of ________, ________ County, Wisconsin, after due notice and hearing, find that there is sufficient evidence of [select one 1. continued physical inability to perform the duties of office or 2. gross neglect of duty], on the part of ________ ________ and hereby remove ________ ________ from that office. This order shall be served by mail or by personal service.
This order is effective on ________, 20__, or upon receipt of the order by the officeholder, whichever date is earlier.
Dated this ______ day of ________, 20__.
[Signatures of town board]
Note: This order to be filed with the clerk; see
s. 17.16, Wis. stats.
