CR-210B, 05/17 Appointment of Special Prosecutor under Chapter 978 247978.045, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Appointment of Special Prosecutor under Chapter 978 The district attorney for County requested the appointment of a special pros ecutor under 247978.045, Wis. Stat s. An affidavit was fil ed with the Department of Administration. The court on its own motion is appointing a special pros ecutor under 247978.045, Wis. Stat s. THE COURT FINDS: 1. Attorney is appointed special prosecutor for: The period to , plus reasonable preparation tim e. The matter of: State of Wisconsin Other: vs. , Case No. . 2. The reason for the appointment: A. There is no district attorney for the county. B. The district attorney is absent from the county. C. The district attorney, or a deputy or assistant district att orney, is on parental leave. D. The district attorney has acted as an attorney for a party accused in relation to the matter of which the accused stands charged and for which the accused is to be tried. E. The district attorney is near of kin to the party to be tried on a criminal charge. F. The district attorney is unable to attend to duties due to a health issue or has a mental incapacity that impairs ability to perform duties. G. The district attorney is serving in the U.S. armed forces. H. The district attorney is charged with a crime and the governor has not acted under 24717.11, Wis. Stats. I. The district attorney determines that a conflict of interest exists regarding the district attorney or the district attorney staff. 3. Compensation is set at the following rate: A. No compensation is to be paid because this person is from another prosecutorial unit or an assistant attorney general. B. Hourly rate specified in 247977.08(4m)(b), Wis. Stats. C. Other: 4. Disbursements may be submitted to County for payment, if incurred. 5. The Department of Administration shall pay the compensation ordered by the court. > Send a copy of this Appointment to: 1. Director State Department of Administration P.O. Box 7869 Madison, WI 53707 - 7869 Telephone: (608)267 - 2700 2. Agency responsible for paying d isbursements. American LegalNet, Inc. www.FormsWorkFlow.com