Recent Club Leader Updates

• March 23
• March 16
• March 9, 2023
• March 2, 2023
• February 23, 2023

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Frequently Used Items

• 4-H Cloverline Newsletters
• 2022-2023 Club Dues & Donation Form
• Leaders Association Income-Expense Form
• Leaders Association Petty Cash Form fillable pdf
• Request Meeting Rooms at the Public Agency Center
• Request Meeting Space at Fair Park

Insurance Resources

*4-H Members Have Accident Policy Coverage
Each member is covered by accident insurance. Clubs are billed for this annually. The American Income Life 4-H annual group accident policy covers individual 4-H clubs and country wide programs.

*If non 4-H members are participating in the event, or if the event is out-of-county or a downhill winter sport, then you will need additional Special Risk Division insurance.

• You can determine what type of insurance you will need for your event using the AIL Choosing Coverage Flowchart PDF
•  Special Risk Division Activity Report Form: https://www.ailife.com/specialriskdivision/activityreport Submit this report to American Income Life before holding the event.
• You will receive the bill after the event.

High-Risk Injuries & Incidents

1. Quickly intervene to prevent or minimize harm.
2. Contact relevant emergency authorities if necessary.
3. Document relevant details of incident.
4. Call John de Montmollin at 920-517-4819
5. Complete the Non-Employee Injury/Incident Report and submit it to john.demontmollin@wisc.edu ASAP. The report needs to be submitted to Risk Management by the Extension 4-H Staff Member within 48 hours.
6. In addition, a claim form needs to be completed and submitted through American Income Life at   https://www.ailife.com/SpecialRiskDivision/Claims.

In the case of a Mental Health Emergency contact Washington County’s Department of Health Services (DHS) emergency line at 262-365-6565.

In the case of reporting suspected Child Abuse or Neglect contact local authorities immediately by phone or in person. Then contact the UW-Madison Police Department at (608) 264-2677.

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=Forms and Resources

• Care to Share – fillable
• Experiential Learning Model
• Ladder of Youth Participation
• Life Skills Wheel

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Questions or Concerns? Contact 4-H Youth Development Staff