STATE OF WISCONSIN CIRCUIT COURT MILWAUKEE COUNTY
CITY OF MILWAUKEE,
a municipal corporation,
Plaintiff,
v. Case No.
Code No. 30703
Name of Noncomplaint
Individual(s) or Entity(ies),
Defendant(s).
AFFIDAVIT OF DISEASE CONTROL OFFICER IN SUPPORT OF
COMPLAINT FOR ENFORCEMENT OF
ORDER SUSPENDING SCHOOL AND CHILD CARE OPERATIONS
AND FOR INJUNCTIVE RELIEF
STATE OF WISCONSIN )
) ss.
MILWAUKEE COUNTY )
I, name, being first duly sworn upon oath, depose and state as follows:
1. I am an adult resident of ______County, Wisconsin. Unless otherwise specifically stated, I have personal knowledge of the matters set forth herein.
2. I am a licensed physician in the State of Wisconsin and have been engaged by the City of Milwaukee Health Department (the “Department”) in the capacity of nature of position, role, etc.
3. My duties on behalf of the Department include investigation of reportable diseases, disease outbreaks, and other illnesses affecting the population, assessment of the nature and extent of health risks, and responsibility for implementing disease control and prevention measures.
4. Attached as Exhibit 1 and incorporated herein by reference is a true and accurate copy of an Order Suspending School and Child Care Operations issued by the Commissioner of the Health Department pursuant to Wis. Stat. §§ 166.03(1)[1] and (4)*, 166.23*, 250.042(1)*, 251.05(3)(e)*, 251.06(3)(a)-(c), 252.03; Milwaukee City Charter §§ 6-07-2*, 6-09-3-a* and 3-c*, 6-09-4-a*, 6-17-1*, 17-06, 17-07, 17-10, 17-14; § 59-3-2 Milwaukee Code of Ordinances (“MCO”) and other pertinent provisions of law.
5. It is my medical judgment that the suspension of school and child care operations through the City of Milwaukee (“City”) is necessary to prevent a serious or imminent risk to the health and safety of others and of the general population of the City in light of the serious and ongoing outbreak of name of communicable disease within the City. I reached that conclusion based on the following information:
FURTHER AFFIANT SAYETH NAUGHT.
______
Signature
Subscribed and sworn to before me this
____ day of ______, 20___.
______
NOTARY PUBLIC, State of Wisconsin
My Commission:______
2
[1] Applicable only following declaration of a state of emergency by the Governor (statutes) or by the Common Council or Mayor (Charter provisions).