FLORENCE COUNTY BUSINESS SURVEY AND WORKSHEET

Please complete the below if you have experienced business loss due to the propane shortage/emergency. Instructions to complete the form are below, if needed.

Florence County Worksheet-pdf fillable
Florence County Worksheet-word filllable
Florence County Worksheet Instructions

When completed, please return to David Gribble at one of the following:

By mail:
Florence County Emergency Management
Attn: David Gribble
P.O. Box 678
Florence, WI 54121

By email:
dgribble@co.florence.wi.us


If you have questions related to this form, please contact David Gribble at 715-528-3410 or Wendy Gehlhoff at 715-528-3294