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SB249,27,1917 253.13 (1) (a) In this subsection, “nurse-midwife" means an individual who is
18licensed as an advanced practice registered nurse and possesses a certified
19nurse-midwife specialty designation under s. 441.09.
SB249,59 20Section 59 . 253.15 (1) (em) of the statutes is created to read:
SB249,27,2321 253.15 (1) (em) “Nurse-midwife" means an individual who is licensed as an
22advanced practice registered nurse and possesses a certified nurse-midwife
23specialty designation under s. 441.09.
SB249,60 24Section 60 . 253.15 (2) of the statutes is amended to read:
SB249,28,23
1253.15 (2) Informational materials. The board shall purchase or prepare or
2arrange with a nonprofit organization to prepare printed and audiovisual materials
3relating to shaken baby syndrome and impacted babies. The materials shall include
4information regarding the identification and prevention of shaken baby syndrome
5and impacted babies, the grave effects of shaking or throwing on an infant or young
6child, appropriate ways to manage crying, fussing, or other causes that can lead a
7person to shake or throw an infant or young child, and a discussion of ways to reduce
8the risks that can lead a person to shake or throw an infant or young child. The
9materials shall be prepared in English, Spanish, and other languages spoken by a
10significant number of state residents, as determined by the board. The board shall
11make those written and audiovisual materials available to all hospitals, maternity
12homes, and nurse-midwives licensed under s. 441.15 that are required to provide or
13make available materials to parents under sub. (3) (a) 1., to the department and to
14all county departments and nonprofit organizations that are required to provide the
15materials to child care providers under sub. (4) (d), and to all school boards and
16nonprofit organizations that are permitted to provide the materials to pupils in one
17of grades 5 to 8 and in one of grades 10 to 12 under sub. (5). The board shall also make
18those written materials available to all county departments and Indian tribes that
19are providing home visitation services under s. 48.983 (4) (b) 1. and to all providers
20of prenatal, postpartum, and young child care coordination services under s. 49.45
21(44). The board may make available the materials required under this subsection
22to be made available by making those materials available at no charge on the board's
23Internet site.
SB249,61 24Section 61 . 255.06 (1) (d) of the statutes is renumbered 255.06 (1) (f) (intro.)
25and amended to read:
SB249,29,2
1255.06 (1) (f) (intro.) “Nurse practitioner" “Women's health nurse clinician"
2means a any of the following:
SB249,29,7 31. A registered nurse who is licensed under ch. 441 or who holds a multistate
4license, as defined in s. 441.51 (2) (h), issued in a party state, as defined in s. 441.51
5(2) (k), and whose practice of professional nursing under s. 441.001 (4) includes
6performance of delegated medical services under the supervision of a physician,
7dentist, or podiatrist, or advanced practice registered nurse.
SB249,62 8Section 62 . 255.06 (1) (f) 2. of the statutes is created to read:
SB249,29,99 255.06 (1) (f) 2. An advanced practice registered nurse.
SB249,63 10Section 63 . 255.06 (2) (d) of the statutes is amended to read:
SB249,29,1511 255.06 (2) (d) Specialized training for rural colposcopic examinations and
12activities.
Provide not more than $25,000 in each fiscal year as reimbursement for
13the provision of specialized training of nurse practitioners women's health nurse
14clinicians
to perform, in rural areas, colposcopic examinations and follow-up
15activities for the treatment of cervical cancer.
SB249,64 16Section 64 . 255.07 (1) (d) of the statutes is amended to read:
SB249,29,1917 255.07 (1) (d) “Health care practitioner" means a physician, a physician
18assistant licensed under s. 448.04 (1) (f), or an advanced practice registered nurse
19who is certified holds a permit to issue prescription orders under s. 441.16 441.09 (2).
SB249,65 20Section 65 . 257.01 (5) (a) and (b) of the statutes are amended to read:
SB249,30,221 257.01 (5) (a) An individual who is licensed as a physician, a physician
22assistant, or a podiatrist under ch. 448, licensed as a registered nurse, licensed
23practical nurse, or nurse-midwife advanced practice registered nurse under ch. 441,
24licensed as a dentist under ch. 447, licensed as a pharmacist under ch. 450, licensed

1as a veterinarian or certified as a veterinary technician under ch. 89, or certified as
2a respiratory care practitioner under ch. 448.
SB249,30,103 (b) An individual who was at any time within the previous 10 years, but is not
4currently, licensed as a physician, a physician assistant, or a podiatrist under ch. 448,
5licensed as a registered nurse, licensed practical nurse, or nurse-midwife, advanced
6practice registered nurse
under ch. 441, licensed as a nurse-midwife under ch. 441,
72017 stats.,
licensed as a dentist under ch. 447, licensed as a pharmacist under ch.
8450, licensed as a veterinarian or certified as a veterinary technician under ch. 89,
9or certified as a respiratory care practitioner under ch. 448, if the individual's license
10or certification was never revoked, limited, suspended, or denied renewal.
SB249,66 11Section 66 . 341.14 (1a), (1e) (a), (1m) and (1q) of the statutes are amended to
12read:
SB249,31,613 341.14 (1a) If any resident of this state, who is registering or has registered an
14automobile, or a motor truck, dual purpose motor home or dual purpose farm truck
15which has a gross weight of not more than 8,000 pounds, a farm truck which has a
16gross weight of not more than 12,000 pounds or a motor home, submits a statement
17once every 4 years, as determined by the department, from a physician licensed to
18practice medicine in any state, from an advanced practice registered nurse licensed
19to practice nursing in any state, from a public health nurse certified or licensed to
20practice in any state, from a physician assistant licensed or certified to practice in
21any state, from a podiatrist licensed to practice in any state, from a chiropractor
22licensed to practice chiropractic in any state, or from a Christian Science practitioner
23residing in this state and listed in the Christian Science journal certifying to the
24department that the resident is a person with a disability that limits or impairs the
25ability to walk, the department shall procure, issue and deliver to the disabled

1person plates of a special design in lieu of plates which ordinarily would be issued
2for the vehicle, and shall renew the plates. The plates shall be so designed as to
3readily apprise law enforcement officers of the fact that the vehicle is owned by a
4nonveteran disabled person and is entitled to the parking privileges specified in s.
5346.50 (2a). No charge in addition to the registration fee shall be made for the
6issuance or renewal of such plates.
SB249,32,2 7(1e) (a) If any resident of this state, who is registering or has registered a
8motorcycle, submits a statement once every 4 years, as determined by the
9department, from a physician licensed to practice medicine in any state, from an
10advanced practice registered nurse licensed to practice nursing in any state, from a
11public health nurse certified or licensed to practice in any state, from a physician
12assistant licensed or certified to practice in any state, from a podiatrist licensed to
13practice in any state, from a chiropractor licensed to practice chiropractic in any
14state, from a Christian Science practitioner residing in this state and listed in the
15Christian Science journal, or from the U.S. department of veterans affairs certifying
16to the department that the resident is a person with a disability that limits or impairs
17the ability to walk, the department shall procure, issue and deliver to the disabled
18person a plate of a special design in lieu of the plate which ordinarily would be issued
19for the motorcycle, and shall renew the plate. The statement shall state whether the
20disability is permanent or temporary and, if temporary, the opinion of the physician,
21advanced practice registered nurse, public health nurse, physician assistant,
22podiatrist, chiropractor, practitioner, or U.S. department of veterans affairs as to the
23duration of the disability. The plate shall be so designed as to readily apprise law
24enforcement officers of the fact that the motorcycle is owned by a disabled person and

1is entitled to the parking privileges specified in s. 346.50 (2a). No charge in addition
2to the registration fee may be made for the issuance or renewal of the plate.
SB249,32,22 3(1m) If any licensed driver submits to the department a statement once every
44 years, as determined by the department, from a physician licensed to practice
5medicine in any state, from a public health nurse certified or licensed to practice in
6any state, from an advanced practice registered nurse licensed to practice nursing
7in any state, from a physician assistant licensed or certified to practice in any state,
8from a podiatrist licensed to practice in any state, from a chiropractor licensed to
9practice chiropractic in any state, or from a Christian Science practitioner residing
10in this state and listed in the Christian Science journal certifying that another
11person who is regularly dependent on the licensed driver for transportation is a
12person with a disability that limits or impairs the ability to walk, the department
13shall issue and deliver to the licensed driver plates of a special design in lieu of the
14plates which ordinarily would be issued for the automobile or motor truck, dual
15purpose motor home or dual purpose farm truck having a gross weight of not more
16than 8,000 pounds, farm truck having a gross weight of not more than 12,000 pounds
17or motor home, and shall renew the plates. The plates shall be so designed as to
18readily apprise law enforcement officers of the fact that the vehicle is operated by a
19licensed driver on whom a disabled person is regularly dependent and is entitled to
20the parking privileges specified in s. 346.50 (2a). No charge in addition to the
21registration fee may be made for the issuance or renewal of the plates. The plates
22shall conform to the plates required in sub. (1a).
SB249,33,16 23(1q) If any employer who provides an automobile, or a motor truck, dual
24purpose motor home or dual purpose farm truck which has a gross weight of not more
25than 8,000 pounds, a farm truck which has a gross weight of not more than 12,000

1pounds or a motor home, for an employee's use submits to the department a
2statement once every 4 years, as determined by the department, from a physician
3licensed to practice medicine in any state, from an advanced practice registered
4nurse licensed to practice nursing in any state, from a public health nurse certified
5or licensed to practice in any state, from a physician assistant licensed or certified
6to practice in any state, from a podiatrist licensed to practice in any state, from a
7chiropractor licensed to practice chiropractic in any state, or from a Christian
8Science practitioner residing in this state and listed in the Christian Science journal
9certifying that the employee is a person with a disability that limits or impairs the
10ability to walk, the department shall issue and deliver to such employer plates of a
11special design in lieu of the plates which ordinarily would be issued for the vehicle,
12and shall renew the plates. The plates shall be so designed as to readily apprise law
13enforcement officers of the fact that the vehicle is operated by a disabled person and
14is entitled to the parking privileges specified in s. 346.50 (2a). No charge in addition
15to the registration fee may be made for the issuance or renewal of the plates. The
16plates shall conform to the plates required in sub. (1a).
SB249,67 17Section 67 . 343.16 (5) (a) of the statutes is amended to read:
SB249,34,1618 343.16 (5) (a) The secretary may require any applicant for a license or any
19licensed operator to submit to a special examination by such persons or agencies as
20the secretary may direct to determine incompetency, physical or mental disability,
21disease, or any other condition that might prevent such applicant or licensed person
22from exercising reasonable and ordinary control over a motor vehicle. If the
23department requires the applicant to submit to an examination, the applicant shall
24pay for the examination. If the department receives an application for a renewal or
25duplicate license after voluntary surrender under s. 343.265 or receives a report from

1a physician, physician assistant, as defined in s. 448.01 (6), advanced practice
2registered nurse prescriber certified under s. 441.16 (2) licensed under s. 441.09, or
3optometrist under s. 146.82 (3), or if the department has a report of 2 or more arrests
4within a one-year period for any combination of violations of s. 346.63 (1) or (5) or
5a local ordinance in conformity with s. 346.63 (1) or (5) or a law of a federally
6recognized American Indian tribe or band in this state in conformity with s. 346.63
7(1) or (5), or s. 346.63 (1m), 1985 stats., or s. 346.63 (2) or (6) or 940.25, or s. 940.09
8where the offense involved the use of a vehicle, the department shall determine, by
9interview or otherwise, whether the operator should submit to an examination under
10this section. The examination may consist of an assessment. If the examination
11indicates that education or treatment for a disability, disease or condition concerning
12the use of alcohol, a controlled substance or a controlled substance analog is
13appropriate, the department may order a driver safety plan in accordance with s.
14343.30 (1q). If there is noncompliance with assessment or the driver safety plan, the
15department shall revoke the person's operating privilege in the manner specified in
16s. 343.30 (1q) (d).
SB249,68 17Section 68 . 343.51 (1) of the statutes is amended to read:
SB249,35,1418 343.51 (1) Any person who qualifies for registration plates of a special design
19under s. 341.14 (1), (1a), (1m), or (1q) or any other person with a disability that limits
20or impairs the ability to walk may request from the department a special
21identification card that will entitle any motor vehicle parked by, or under the
22direction of, the person, or a motor vehicle operated by or on behalf of the
23organization when used to transport such a person, to parking privileges under s.
24346.50 (2), (2a), and (3). The department shall issue the card at a fee to be determined
25by the department, upon submission by the applicant, if the applicant is an

1individual rather than an organization, of a statement from a physician licensed to
2practice medicine in any state, from an advanced practice registered nurse licensed
3to practice nursing in any state, from a public health nurse certified or licensed to
4practice in any state, from a physician assistant licensed or certified to practice in
5any state, from a podiatrist licensed to practice in any state, from a chiropractor
6licensed to practice chiropractic in any state, or from a Christian Science practitioner
7residing in this state and listed in the Christian Science journal that the person is
8a person with a disability that limits or impairs the ability to walk. The statement
9shall state whether the disability is permanent or temporary and, if temporary, the
10opinion of the physician, advanced practice registered nurse, public health nurse,
11physician assistant, podiatrist, chiropractor, or practitioner as to the duration of the
12disability. The department shall issue the card upon application by an organization
13on a form prescribed by the department if the department believes that the
14organization meets the requirements under this subsection.
SB249,69 15Section 69 . 343.62 (4) (a) 4. of the statutes is amended to read:
SB249,35,2416 343.62 (4) (a) 4. The applicant submits with the application a statement
17completed within the immediately preceding 24 months, except as provided by rule,
18by a physician licensed to practice medicine in any state, from an advanced practice
19registered nurse licensed to practice nursing in any state, from a physician assistant
20licensed or certified to practice in any state, from a podiatrist licensed to practice in
21any state, from a chiropractor licensed to practice chiropractic in any state, or from
22a Christian Science practitioner residing in this state, and listed in the Christian
23Science journal certifying that, in the medical care provider's judgment, the
24applicant is physically fit to teach driving.
SB249,70 25Section 70 . 440.03 (13) (b) 3. of the statutes is amended to read:
SB249,36,2
1440.03 (13) (b) 3. Advanced practice registered nurse prescriber permitted to
2issue prescription orders
.
SB249,71 3Section 71. 440.03 (13) (b) 39m. of the statutes is created to read:
SB249,36,44 440.03 (13) (b) 39m. Nurse, advanced practice registered.
SB249,72 5Section 72. 440.03 (13) (b) 42. of the statutes is repealed.
SB249,73 6Section 73 . 440.08 (2) (a) 4m. of the statutes is amended to read:
SB249,36,87 440.08 (2) (a) 4m. Advanced practice registered nurse prescriber: October
8permitted to issue prescription orders: March 1 of each even-numbered year.
SB249,74 9Section 74. 440.08 (2) (a) 47. of the statutes is created to read:
SB249,36,1110 440.08 (2) (a) 47. Nurse, advanced practice registered: March 1 of each
11even-numbered year.
SB249,75 12Section 75. 440.08 (2) (a) 50. of the statutes is repealed.
SB249,76 13Section 76 . 440.981 (1) of the statutes is amended to read:
SB249,36,1814 440.981 (1) No person may use the title “licensed midwife," describe or imply
15that he or she is a licensed midwife, or represent himself or herself as a licensed
16midwife unless the person is granted a license under this subchapter or is licensed
17as a nurse-midwife under s. 441.15 an advanced practice registered nurse and
18possesses a certified nurse-midwife specialty designation under s. 441.09
.
SB249,77 19Section 77 . 440.982 (1) of the statutes is amended to read:
SB249,36,2420 440.982 (1) No person may engage in the practice of midwifery unless the
21person is granted a license under this subchapter, is granted a temporary permit
22pursuant to a rule promulgated under s. 440.984 (2m), or is licensed as a
23nurse-midwife under s. 441.15
an advanced practice registered nurse and possesses
24a certified nurse-midwife specialty designation under s. 441.09
.
SB249,78 25Section 78 . 440.987 (2) of the statutes is amended to read:
SB249,37,4
1440.987 (2) One member who is licensed as a nurse-midwife under s. 441.15
2an advanced practice registered nurse and possesses a certified nurse-midwife
3specialty designation under s. 441.09
and who practices in an out-of-hospital
4setting.
SB249,79 5Section 79 . 441.001 (1c) of the statutes is created to read:
SB249,37,116 441.001 (1c) Advanced practice registered nursing. “Advanced practice
7registered nursing” means the advanced practice of nursing in one of the 4 recognized
8roles based on advanced clinical knowledge and skills focusing on direct care of
9individuals, greater responsibility, autonomy, and accountability for the provision of
10care, health promotion and maintenance, including prescribing pharmacological
11agents and therapeutics, and management of patient conditions.
SB249,80 12Section 80 . 441.001 (1m) of the statutes is created to read:
SB249,37,2013 441.001 (1m) Clinical pharmacology or therapeutics. “Clinical
14pharmacology or therapeutics” means the identification of individual and classes of
15drugs, their indications and contraindications, their efficacy, their side effects, and
16their interactions, as well as clinical judgment skills and decision-making based on
17thorough interviewing, history taking, physical assessment, test selection and
18interpretation, pathophysiology, epidemiology, diagnostic reasoning, differentiation
19of conditions, treatment decisions, case evaluation, and nonpharmacological
20interventions.
SB249,81 21Section 81 . 441.001 (5) of the statutes is created to read:
SB249,37,2322 441.001 (5) Recognized role. “Recognized role” means one of the following
23roles:
SB249,37,2424 (a) Certified nurse-midwife.
SB249,37,2525 (b) Certified registered nurse anesthetist.
SB249,38,1
1(c) Clinical nurse specialist.
SB249,38,22 (d) Nurse practitioner.
SB249,82 3Section 82 . 441.01 (3) of the statutes is amended to read:
SB249,38,104 441.01 (3) The board may promulgate rules to establish minimum standards
5for schools for professional nurses and, schools for licensed practical nurses, and
6schools for advanced practice registered nurses,
including all related clinical units
7and facilities, and make and provide periodic surveys and consultations to such
8schools. It The board may also establish promulgate rules to prevent unauthorized
9persons from practicing professional nursing. It shall approve all rules for the
10administration of this chapter in accordance with ch. 227.
SB249,83 11Section 83 . 441.01 (4) of the statutes is amended to read:
SB249,38,1712 441.01 (4) The board shall direct that those schools that qualify be placed on
13a list of schools the board has approved for professional nurses or, of schools the board
14has approved for licensed practical nurses, or of schools the board has approved for
15advanced practice registered nurses
on application and proof of qualifications;, and
16the board shall make a study of nursing education and initiate promulgate rules and
17policies to improve it.
SB249,84 18Section 84 . 441.01 (7) (a) (intro.) of the statutes is amended to read:
SB249,38,2219 441.01 (7) (a) (intro.) The board shall require each applicant for the renewal
20of a registered nurse or, licensed practical nurse, or advanced practice registered
21license issued under this chapter to do all of the following as a condition for renewing
22the license:
SB249,85 23Section 85 . 441.01 (7) (b) of the statutes is amended to read:
SB249,39,524 441.01 (7) (b) The board may not renew a registered nurse or, licensed practical
25nurse, or advanced practice registered license under this chapter unless the renewal

1applicant has completed the nursing workforce survey to the satisfaction of the
2board. The board shall establish standards to determine whether the survey has
3been completed. The board shall, by no later than June 30 of each odd-numbered
4year, submit all completed nursing workforce survey forms to the department of
5workforce development.
SB249,86 6Section 86 . 441.01 (7) (c) of the statutes is created to read:
SB249,39,97 441.01 (7) (c) An applicant who is renewing both a registered nurse and
8advanced practice registered nurse license under s. 441.09 (1) (d) is only required to
9pay a single fee under par. (a) 2.
SB249,87 10Section 87 . 441.06 (title) of the statutes is repealed and recreated to read:
SB249,39,11 11441.06 (title) Registered nurses; civil liability exemption.
SB249,88 12Section 88. 441.06 (3) of the statutes is amended to read:
SB249,39,1813 441.06 (3) A Except as provided in s. 441.09 (1) (d), a registered nurse
14practicing for compensation shall, on or before the applicable renewal date specified
15under s. 440.08 (2) (a), submit to the board on furnished forms a statement giving
16name, residence, and other facts that the board requires, with the nursing workforce
17survey and fee required under s. 441.01 (7) and the applicable renewal fee
18determined by the department under s. 440.03 (9) (a).
SB249,89 19Section 89 . 441.06 (4) of the statutes is amended to read:
SB249,40,320 441.06 (4) Except as provided in s. 257.03, no person may practice or attempt
21to practice professional nursing, nor use the title, letters, or anything else to indicate
22that he or she is a registered or professional nurse unless he or she is licensed under
23this section. Except as provided in s. 257.03, no person not so licensed may use in
24connection with his or her nursing employment or vocation any title or anything else
25to indicate that he or she is a trained, certified or graduate nurse. This subsection

1does not apply to any registered nurse who holds a multistate license, as defined in
2s. 441.51 (2) (h), issued by a jurisdiction, other than this state, that has adopted the
3enhanced nurse licensure compact under s. 441.51.
SB249,90 4Section 90. 441.06 (7) of the statutes is renumbered 441.09 (7) and amended
5to read:
SB249,40,86 441.09 (7) Civil liability. No person certified licensed as an advanced practice
7registered nurse prescriber under s. 441.16 (2) this section is liable for civil damages
8for any of the following:
SB249,40,139 (a) Reporting in good faith to the department of transportation under s. 146.82
10(3) a patient's name and other information relevant to a physical or mental condition
11of the patient that in the advanced practice nurse prescriber's registered nurse's
12judgment impairs the patient's ability to exercise reasonable and ordinary control
13over a motor vehicle.
SB249,40,1814 (b) In good faith, not reporting to the department of transportation under s.
15146.82 (3) a patient's name and other information relevant to a physical or mental
16condition of the patient that in the advanced practice nurse prescriber's registered
17nurse's
judgment does not impair the patient's ability to exercise reasonable and
18ordinary control over a motor vehicle.
SB249,91 19Section 91. 441.07 (1g) (intro.), (a), (c) and (e) of the statutes are amended to
20read:
SB249,41,421 441.07 (1g) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
22board may deny an initial license or revoke, limit, suspend, or deny the renewal of
23a license of a registered nurse, nurse-midwife advanced practice registered nurse,
24or licensed practical nurse; deny an initial certificate permit to issue prescription
25orders under s. 441.09 (2)
or revoke, limit, suspend, or deny the renewal of a

1certificate permit to prescribe drugs or devices granted under s. 441.16 issue
2prescription orders
; or reprimand a registered nurse, nurse-midwife advanced
3practice registered nurse
, or licensed practical nurse, if the board finds that the
4applicant or licensee committed any of the following:
SB249,41,55 (a) Fraud in the procuring or renewal of the certificate permit or license.
SB249,41,86 (c) Acts which that show the registered nurse, nurse-midwife advanced
7practice registered nurse,
or licensed practical nurse to be unfit or incompetent by
8reason of negligence, abuse of alcohol or other drugs, or mental incompetency.
SB249,41,119 (e) A violation of any state or federal law that regulates prescribing or
10dispensing drugs or devices, if the person has holds a certificate permit to prescribe
11drugs or devices under s. 441.16
issue prescription orders under s. 441.09 (2).
SB249,92 12Section 92. 441.09 of the statutes is created to read:
SB249,41,16 13441.09 Advanced practice registered nurses; civil liability exemption.
14(1)
License. (a) An applicant who satisfies all of the following requirements may
15apply to the board for initial licensure by the board as an advanced practice
16registered nurse:
SB249,41,1717 1. The applicant satisfies one of the following criteria:
SB249,41,1918 a. The applicant holds a valid license to practice as a registered nurse issued
19under s. 441.06 (1), (1c), or (1m).
SB249,41,2120 b. The applicant applies concurrently for a license under s. 441.06 (1), (1c), or
21(1m) with the application for a license under this paragraph.
SB249,41,2422 c. The applicant is a registered nurse who holds a multistate license, as defined
23in s. 441.51 (2) (h), issued by a jurisdiction, other than this state, that has adopted
24the nurse licensure compact.
SB249,42,2
12. The applicant provides evidence satisfactory to the board that he or she
2satisfies one of the following criteria:
SB249,42,73 a. The applicant has completed a graduate-level or postgraduate-level
4education program that is approved by the board and that prepares the applicant for
5the practice of advanced practice registered nursing in one of the 4 recognized roles,
6and the applicant holds a current certification by a national certifying body approved
7by the board.
SB249,42,118 b. On January 1, 2017, the applicant was licensed as a registered nurse in this
9state and was practicing in a recognized role, and the applicant satisfies additional
10criteria established by the board by rule under this subd. 2. b. relating to practice,
11education, or certification.
SB249,42,1212 3. The applicant pays the fee specified under s. 440.05 (1).
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