The Docket · Government Meeting · DKT-2026-001858

On the agenda: Wadena meeting — Automated license plate (Jul 21)

Past ⚠ Agenda Watch Wadena, Minnesota · Tuesday, July 21, 2026 — 3 months ago

About this record

The published agenda for the July 21, 2026 meeting contains: "Automated license plate", "ALPR". The meeting has passed. The agenda stays here as a permanent public record.

WhenTuesday, July 21, 2026
Check the agenda document for the meeting time.

WhereWadena, Minnesota

Money$174,075.16 was at stake

On the record“Automated license plate”“ALPR”

The agenda — from the public record

Government public record — the text of the published document (large document; partial archive — read the original for the complete record), archived October 5, 2026. Gold highlighting of key terms is ours, not the original’s. Read the original document ↗

234 pages · scroll to read

Page 1 of 234

Wadena County Board of Commissioners
Agenda for July 21, 2026 @ 9:00 a.m.
Wadena County Courthouse, Small Courtroom
415 Jefferson St. S, Wadena, MN 56482
One or More of Our Commissioners May Be Joining Remotely
To View the Zoom Webinar:
https://us06web.zoom.us/j/88572462352
1.

9:00 A.M. Call To Order

2. Pledge Of Allegiance
3. Amendments To The Agenda/Approval Of Agenda
4. Citizen's Comments
Please limit comments to 3 minutes per person. Items brought before the County Board will be referred for
consideration. County Board may ask questions for clarification or explanation, but no Board action or
discussion will be held on these items.

5. CONSENT AGENDA ITEMS
A. Auditor Warrants For Approval 07-21-2026
Documents:
AUDITOR WARRANTS FOR APPROVAL 07-21-2026.PDF
B. Human Services Warrants 07-21-2026
Documents:
HUMAN SERVICES WARRANTS 07-21-26.PDF
C. FY27 Vets Services Grant Agreement
Documents:
FY27 VETS SERVICES GRANT AGREEMENT.PDF
D. Financial Report June 2026
Documents:
FINANCIAL REPORT JUNE 2026.PDF
E. Month End Cash And Investments Balance June 2026
Documents:
MONTH END CASH AND INVESTMENTS BALANCE JUNE
2026.PDF

Page 2 of 234

E. Month End Cash And Investments Balance June 2026
Documents:
MONTH END CASH AND INVESTMENTS BALANCE JUNE
2026.PDF
F. Revenues And Expenditures Budget Report June YTD 2026
Documents:
REVENUES AND EXPENDITURES BUDGET REPORT JUNE
YTD 2026.PDF
G. Approve Credit Card Authorization For W.C. Extension Employee
Documents:
APPROVE CREDIT CARD AUTHORIZATION FOR W.C.
EXTENSION EMPLOYY.PDF
H. 2026 Todd Wadena Community Corrections Subsidy Request
Documents:
2026 TODD WADENA COMMUNITY CORRECTIONS SUBSIDY
REQUEST.PDF
I. 2026 Inventory Of Not Public Data On Individuals
Documents:
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS.PDF
J. City Of Verndale 2025 TIF Report
Documents:
CITY OF VERNDALE 2025 TIF REPORT.PDF
K. Lamson Family Charitable Trust Donation
Documents:
LAMSON FAMILY CHARITABLE TRUST DONATION 07-2126.PDF
L. Miss Wadena Scholarship Pageant Donation
Documents:
MISS WADENA SCHOLARSHIP PAGEANT DONATION 07-2126.PDF
M. Employment Update 07-21-2026
Documents:
EMPLOYMENT UPDATE 7-21-26.PDF
6. REGULAR AGENDA ITEMS
A. Carl Newbanks Initiative Foundation Presentation
Documents:
CARL NEWBANKS INITIATIVE FOUNDATION
PRESENTATION.PDF

Page 3 of 234

A. Carl Newbanks Initiative Foundation Presentation
Documents:
CARL NEWBANKS INITIATIVE FOUNDATION
PRESENTATION.PDF
B. 9:15 Am Public Hearing On Tax Abatement For Parcel 02-537-0100
Documents:
915 AM PUBLIC HEARING ON TAX ABATEMENT FOR PARCEL
02-537-0100.PDF
C. Introduction Of TWCC Interim Director Michael Schommer
Documents:
INTRODUCTION OF TWCC INTERIM DIRECTOR MICHAEL
SCHOMMER.PDF
D. Human Services Statistical Reports 07-21-2026
Documents:
HUMAN SERVICES STATISTICAL REPORTS 07-21-26.PDF
E. 2026 DDA Annual Maintenance Agreement Review
Documents:
2026 DDA ANNUAL MAINTENANCE AGREEMENT
REVIEW.PDF
F. Housing Tax Abatement For Parcel 02-537-0100
Documents:
HOUSING TAX ABATEMENT FOR PARCEL 02-537-0100.PDF
G. Courthouse Cleaning Correction
Documents:
COURTHOUSE CLEANING CORRECTION.PDF
7. County Administrator Report
8. Commissioner/Committee Reports
9. Adjourn

Page 4 of 234

Auditor Warrants for approval on 07/21/2026
Warrants paid on 07/17/2026

$174,075.16

Warrants paid on

US Bank paid on

$174,075.16
Motion to approve payment of Auditor Warrants made by Commissioner:

Seconded by Commissioner:

I, Ron Noon, Chair of the Wadena County Board of Commissioners,
hereby certify to the Board of Commissioners of Wadena County, the above
disbursements of
$174,075.16

Board Chair

Vice Board Chair

Page 5 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK
Auditor's Warrants

WARRANT REGISTER
Auditor Warrants

Vendor # Vendor Name

Amount

Description
OBO#

105105 ASTERA HEALTH

215.79

Inmate Medical-Shrf

Warrant #

Approved
Pay Date

Page 1
07/17/2026

Account Number
On-Behalf-of-Name
11-251-000-0000-6430

Invoice #
From Date

PO # Tx
To Date

806268511

Total...

215.79

102708 BENNING PRINTING AND PUBLISHING INC

141.75

Publication for Subdivision Or

01-103-000-0000-6240

6/4/26

300.00

Advertising June

17-403-100-0000-6240

6/30/2026

59440

102708
Warrant #

59441

Total...

441.75

102060 CONTACT RADIO COMMUNICATIONS

340.50

Door Security for SO South Dis

01-111-000-0000-6803

11263

102060

45.00

Punch Block Consultation for D

01-111-000-0000-6803

11249

2026 May Cama

01-101-101-0000-6824

3802

Water Cooler and Softener

55-391-000-0000-6281

267-09287616-3

Inmate Prescriptions-Jail

11-251-000-0000-6430

IN001580696

Insurance - Life COBRA

01-000-000-0000-2055

July

Warrant #

59442

Total...

385.50

103871 COUNTIES PROVIDING TECHNOLOGY
Warrant #

59443

387.00

Total...

387.00

100038 CULLIGAN
Warrant #

46.60
59444

Total...

46.60

Total...

565.18

105870 DIAMOND DRUGS INC
Warrant #

59445

565.18

105390 HARTFORD LIFE AND ACCIDENT INSURANCE CO

5.04

105390

1,229.74

Insurance - Life

01-000-000-0000-2057

July

105390

219.76

Insurance - Life

09-000-000-0000-2057

July

105390

1,113.68

Insurance - Life

11-000-000-0000-2057

July

105390

515.28

Insurance - Life

13-000-000-0000-2057

July

105390

1,589.72

Insurance - Life

15-000-000-0000-2057

July

105390

309.42

Insurance - Life

17-000-000-0000-2057

July

105390

23.86

Insurance - Life

55-000-000-0000-2057

July

Advertising June

17-403-100-0000-6240

IN-1260650133

Warrant #

59446

Total...

102737 HBI RADIO BRAINERD WADENA LLC
Warrant #

59447

Total...

5,006.50
300.00
300.00

102536 JOHN'S CAR CARE

75.68

Oil change bus 18

17-403-100-0000-6310

10945

102536

74.36

oil change bus 19

17-403-100-0000-6310

10953

Page 6 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK
Auditor's Warrants

WARRANT REGISTER
Auditor Warrants

Approved
Pay Date

Page 2
07/17/2026

April oil change bus 17

17-403-100-0000-6310

11038

PO # Tx
To Date
N

89.33

Oil change bus 17

17-403-100-0000-6310

11812

102536

71.33

Oil change bus 14

17-403-100-0000-6310

11945

102536

87.73

April oil change bus 15

17-403-100-0000-6310

10919

102536

199.15

Trans flush bus 15

17-403-100-0000-6310

10919

102536

88.11

oil change bus 15

17-403-100-0000-6310

11961

Vendor # Vendor Name

Amount

102536 JOHN'S CAR CARE

78.10

102536

Warrant #

59448

Total...

Description
OBO#

Account Number
On-Behalf-of-Name

Invoice #
From Date

763.79

106281 KAMCO INC

26,067.36

Roadway Striping

13-314-000-0000-6523

202212

106281

18,018.18

Roadway Striping

13-324-000-0000-6606

202212

Warrant #

59449

Total...

44,085.54

105700 LIFE INSURANCE CO OF NORTH AMERICA - LTD

368.02

Insurance - LTD

01-000-000-0000-2059

July

105700

71.52

Insurance - LTD

09-000-000-0000-2059

July

105700

277.54

Insurance - LTD

11-000-000-0000-2059

July

105700

172.46

Insurance - LTD

13-000-000-0000-2059

July

105700

329.20

Insurance - LTD

15-000-000-0000-2059

July

105700

37.88

Insurance - LTD

17-000-000-0000-2059

July

105700

13.70

Insurance - LTD

55-000-000-0000-2059

July

Class 5 Gravel

13-314-000-0000-6520

310516

396.31

Insurance Billing - COBRA

01-000-000-0000-2055

July

106588

2,053.22

Insurance Billing - Dental

01-000-000-0000-2056

July

106588

77.48

Insurance - STD

01-000-000-0000-2058

July

106588

360.96

Insurance Billing - Dental

09-000-000-0000-2056

July

106588

47.90

Insurance - STD

09-000-000-0000-2058

July

106588

1,874.83

Insurance Billing - Dental

11-000-000-0000-2056

July

106588

104.36

Insurance - STD

11-000-000-0000-2058

July

106588

854.94

Insurance Billing - Dental

13-000-000-0000-2056

July

106588

11.66

Insurance - STD

13-000-000-0000-2058

July

Warrant #

59450

Total...

101175 MENAHGA CONCRETE PRODUCTS INC
Warrant #

59451

Total...

106588 METROPOLITAN LIFE INSURANCE COMPANY

1,270.32
756.24
756.24

Page 7 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK
Auditor's Warrants

WARRANT REGISTER
Auditor Warrants

Approved
Pay Date

Page 3
07/17/2026

Amount

Description
OBO#

3,394.40

Insurance Billing - Dental

15-000-000-0000-2056

July

PO # Tx
To Date
N

173.40

Insurance - STD

15-000-000-0000-2058

July

106588

386.44

Insurance Billing - Dental

17-000-000-0000-2056

July

106588

70.76

Insurance Billing - Dental

55-000-000-0000-2056

July

106588

24.96

Insurance - STD

55-000-000-0000-2058

July

MnCare Provider Tax (Qtr2 - 26

09-481-450-4130-6378

41526

Vendor # Vendor Name
106588 METROPOLITAN LIFE INSURANCE COMPANY
106588

Warrant #

Account Number
On-Behalf-of-Name

Invoice #
From Date

Total...

9,831.62

100845 MINNESOTA DEPARTMENT OF REVENUE

20.55

100845

15.12

MnCare Provider Tax (Qtr2 - 26

09-481-450-4910-6378

41526

100845

39.23

MnCare Provider Tax (Qtr2 - 26

09-481-450-4925-6378

41526

100845

5.04

MnCare Provider Tax (Qtr2 - 26

09-481-450-4928-6378

41526

100845

6.96

MnCare Provider Tax (Qtr2 - 26

09-481-455-5920-6378

41526

100845

1.63

MnCare Provider Tax (Qtr2 - 26

09-481-465-7000-6378

41526

243.72

MnCare Provider Tax (Qtr2 - 26

09-481-481-9300-6378

41526

59452

100845
Warrant #

59453

Total...

332.25

103034 MINNESOTA ENERGY RESOURCES CORPORATION

48.89

Natural Gas/Heating

13-330-000-0000-6250

0505172398

103034

19.33

Natural Gas/Heating

13-330-000-0000-6250

0507120627

103034

53.69

Natural Gas/Heating

13-330-000-0000-6250

0507706843

Warrant #

59454

Total...

121.91

100374 MINNESOTA TEAMSTERS NO. 320

882.50

Union Dues

01-000-000-0000-2042

July-023021600

100374

305.00

Union Dues

09-000-000-0000-2042

July-023021600

100374

114.50

Union Dues

11-000-000-0000-2042

July-023021600

100374

61.00

Union Dues

13-000-000-0000-2042

July-023021600

100374

53.00

Union Dues

55-000-000-0000-2042

July-023021600

Warrant #

59455

Total...

1,416.00

100600 MINNESOTA UI FUND

3,254.08

Unemployment Insurance

09-481-000-0000-6177

Doc ID: 19667801

100600

3,052.78

Unemployment Insurance

13-310-000-0000-6177

Doc ID: 19667801

Warrant #

Total...

6,306.86

103998 NORTH CENTRAL BUS & EQUIPMENT INC

392.00

replace wheel chair tie downs

17-403-100-0000-6313

335382

103998

179.00

Repair lift bus 18

17-403-100-0000-6313

816606

59456

Page 8 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK
Auditor's Warrants

Vendor # Vendor Name
Warrant #

WARRANT REGISTER
Auditor Warrants

Amount
Total...

571.00

100493 TODD WADENA ELECTRIC COOPERATIVE

368.95

59457

Description
OBO#

Approved
Pay Date

Page 4
07/17/2026

Account Number
On-Behalf-of-Name

Invoice #
From Date

PO # Tx
To Date

Electric Service

55-391-000-0000-6250

18947001

227.04

New Sign-911

11-293-000-0000-6803

06262026

101588

75.68

New Sign-911

11-293-000-0000-6803

07062026

101588

227.04

New Sign-911

11-293-000-0000-6803

07132026

VAR-Diana Pihlaja

01-103-000-0000-6264

202600000160

100652 WEX BANK

41.56 - WEX rebate for courthouse

01-062-000-0000-5992

unallocated

100652

48.27

Gas - 2014 Explorer

01-102-000-0000-6566

Assessor

100652

150.52

01-103-000-0000-6566

Zoning

100652

113.71

01-111-000-0000-6566

Custodial

100652

833.34

01-521-000-0000-6566

Parks

100652

7,187.18

11-201-000-0000-6566

Sheriff

Warrant #

59458

Total...

101588 WADENA COUNTY GIS DEPARTMENT

Warrant #

59459

Total...

101659 WADENA COUNTY RECORDER
Warrant #

59460

368.95

529.76
46.00

Total...

46.00

100652

79.40 -

11-201-000-0000-6566

Sheriff

100652

349.72

11-281-000-0000-6566

Sheriff

100652

3,761.23

Gas - June

13-314-000-0000-6566

Highway

100652

10,193.43

Fuel purchases June

17-403-100-0000-6411

Transit

100652

24.70

55-391-000-0000-6566

Solid Waste

Warrant #

59461

Total...

22,541.14

Warrant Form

CHEK

Total...

96,289.70

84 Transactions

Page 9 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK-ACH
Auditor's Warrants

Vendor # Vendor Name
105807 ADVANCED CORRECTIONAL HEALTHCARE INC
Warrant #

21798

Total...

103187 ANOKA COUNTY TREASURY OFFICE

WARRANT REGISTER
Auditor Warrants

Approved
Pay Date

Page 5
07/17/2026

Amount

Description
OBO#

Account Number
On-Behalf-of-Name

Invoice #
From Date

PO # Tx
To Date

7,978.72

On Site Medical Contract-Jail

11-251-000-0000-6430

RINV010301

Autopsy-Genetic Testing-Corone

11-204-000-0000-6260

CINV26011156

11-204-000-0000-6260

CINV26011261

7,978.72
299.00

103187

1,100.00

Cardiac Pathology-Coroner

103187

5,000.00

Complete Autopsies-Coroner

11-204-000-0000-6260

CINV26010712

103187

2,500.00

Complete Autopsy-Coroner

11-204-000-0000-6260

CINV26010713

261.72

Data Charges

01-061-000-0000-6340

3019140

282.08

Telephone-Shrf

11-201-000-0000-6340

1115077

Conduct Driver ride along Stap

17-403-100-0000-6330

7/8/2026

Cicuit Account-Shrf

01-062-000-0000-6202

333847874

Warrant #

21799

Total...

102617 ARVIG ENTERPRISES INC
102617
Warrant #

21800

Total...

104813 BEHL/GEORGE
Warrant #

543.80
29.00

21801

Total...

100987 CENTURYLINK QC
Warrant #

8,899.00

29.00
261.00

21802

Total...

261.00

101804 CORBIN EXCAVATING INC

1,872.23

Chloride Application

13-314-000-0000-6516

C00310-R

101804

4,164.18

Chloride Application

13-324-000-0000-6606

C00310-R

Advertising June

17-403-100-0000-6240

26060394

Process Recycling Loads

55-391-000-0000-6280

9274

Pre marked Test deck

01-063-000-0000-6401

14111

Tabulator, Media & Publication

01-063-000-0000-6401

CD2156182

Background Checks-Shrf

11-201-000-0000-6419

101420

Warrant #

21803

Total...

105643 DE LA HUNT MEDIA
Warrant #

21804

300.00
Total...

102257 DEM-CON MATERIALS RECOVERY LLC
Warrant #

21805

Total...

102248 DS SOLUTIONS INC
Warrant #

300.00
1,501.03
1,501.03
672.00

21806

Total...

101943 ELECTION SYSTEMS & SOFTWARE LLC
Warrant #

6,036.41

21807

101076 EMPLOYEE RELATIONS INC

Total...

672.00
4,136.81
4,136.81
16.00

Page 10 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK-ACH
Auditor's Warrants

Vendor # Vendor Name
Warrant #

21808

Total...

101234 FORUM COMMUNICATIONS COMPANY
101234
Warrant #

21810

Total...

Page 6
07/17/2026

Account Number
On-Behalf-of-Name

Invoice #
From Date

PO # Tx
To Date

ArcGIS Subscription

13-324-000-0000-6348

900288358

200.00

Online Jobs Adverstising

01-032-000-0000-6240

MP1229390626

327.00

Advertising June

17-403-100-0000-6240

MP1196650626

16.00
700.00

21809

Approved
Pay Date

Description
OBO#

Amount

100321 ESRI
Warrant #

WARRANT REGISTER
Auditor Warrants

700.00

527.00

105704 HESS/BENJAMIN A

175.00

Medical Consulting Services

09-481-481-9150-6260

July

105704

175.00

Medical Consulting Services

09-481-481-9300-6260

July

Rug Rental

55-391-000-0000-6292

Solid Waste

Mileage June 2026

01-002-000-0000-6334

Mileage Jun26

Milage to training

01-063-000-0000-6334

70926

design/architecture/engineerin

17-000-000-0000-2773

17781

Warrant #

21811

Total...

100068 HOCKERT INC
Warrant #

50.88
21812

Total...

100336 KANGAS/JONATHAN
Warrant #

21813

21814

Total...

465.45
95.70

Total...

106509 KLJ ENGINEERING LLC
Warrant #

50.88
465.45

106031 KEMPENICH/CHRISTINE
Warrant #

350.00

95.70
7,511.51

Total...

7,511.51

104066 LAW ENFORCEMENT LABOR SERVICES INC

711.26

Union Dues - Jailer/Dispatcher

11-000-000-0000-2042

July

104066

730.00

Union Dues - Licensed

11-000-000-0000-2042

July

104066

146.00

Union Dues - Supervisory

11-000-000-0000-2042

July

MSW and Recycling Transport

55-391-000-0000-6292

16396

Warrant #

21815

21816

Total...

106585 LAYMAN EXCAVATING
Warrant #

21817

1,587.26
3,173.55

Total...

3,173.55

100136 LEAF RIVER AG SERVICE

2,016.30

Diesel Fuel

13-314-000-0000-6564

180311

100136

1,319.76

Diesel Fuel

13-314-000-0000-6564

180327

100136

1,539.72

Diesel Fuel

13-314-000-0000-6564

183312

Warrant #

21818

Total...

4,875.78

Page 11 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK-ACH
Auditor's Warrants

WARRANT REGISTER
Auditor Warrants

Approved
Pay Date

Page 7
07/17/2026

Amount

Description
OBO#

Account Number
On-Behalf-of-Name

1,206.25

Recycling Curbside

55-391-000-0000-6252

6/30/2026

PO # Tx
To Date
N

52.91

24"x30" Speed Limit Sign

13-324-000-0000-6606

231663

100246

298.80

30"x30" Curve Right Sign

13-324-000-0000-6606

231663

100246

1,973.25

8' 3# Posts

13-324-000-0000-6606

231663

100246

298.80

30"x30" Turn Right Sign

13-324-000-0000-6606

231663

100246

533.05

30"x30" Stop Ahead Sign

13-324-000-0000-6606

231663

100246

239.04

30"x30" Curve Left Sign

13-324-000-0000-6606

231663

100246

1,096.50

8' 2.5# Posts

13-324-000-0000-6606

231663

100246

315.25

30"x30" Stop Sign

13-324-000-0000-6606

231663

100246

298.80

30"x30" Reverse Curve Right Si

13-324-000-0000-6606

231663

100246

829.80

48"x24" Large Single Arrow Sig

13-324-000-0000-6606

231663

100246

616.75

9' 2.5# Posts

13-324-000-0000-6606

231663

100246

298.80

30"x30" Side Road 90 Sign

13-324-000-0000-6606

231663

100246

155.30

36"x30" Min Maint Rd Sign

13-324-000-0000-6606

231663

100246

331.92

48"x24" Large Double Arrow Sig

13-324-000-0000-6606

231663

100246

152.20

18"x24" Share the Road Sign

13-324-000-0000-6606

231663

100246

239.04

30"x30" Pedestrian Xing Sign

13-324-000-0000-6606

231663

100246

59.76

30"x30" Winding Road Right Sig

13-324-000-0000-6606

231663

100246

358.56

30"x30" Cross Road Sign

13-324-000-0000-6606

231663

100246

2,084.40

18"x24" Chevron Alignment Sign

13-324-000-0000-6606

231663

100246

239.04

30"x30" Turn Left Sign

13-324-000-0000-6606

231663

100246

249.46

48"x64" No Passing Zone Sign

13-324-000-0000-6606

231663

Printer Contract CN201551-03

01-061-000-0000-6340

INV15433914

Add S.O. Drone to MCIT coverag

11-201-000-0000-6179

17201

Vent Cap

55-391-000-0000-6413

637331

Vendor # Vendor Name
101226 LONG PRAIRIE SANITATION INC
Warrant #

21819

Total...

100246 M-R SIGN COMPANY INC

Warrant #

21820

Total...

106594 MARCO TECHNOLOGIES LLC
Warrant #

21821

102505 MCIT
Warrant #

1,206.25

10,721.43
1,271.48

Total...

1,271.48
183.00

21822

104098 MERICKEL LUMBER MILLS INC

Total...

Invoice #
From Date

183.00
33.99

Page 12 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK-ACH
Auditor's Warrants

Vendor # Vendor Name
Warrant #

WARRANT REGISTER
Auditor Warrants

Amount
21823

Total...

Description
OBO#

Approved
Pay Date

Page 8
07/17/2026

Account Number
On-Behalf-of-Name

Invoice #
From Date

PO # Tx
To Date

33.99

100326 MINNESOTA COMPUTER SYSTEMS INC

24.00

Tosh/Estudia4525AC

01-101-000-0000-6340

456049

100326

99.67

Copier Maintenance

01-102-000-0000-6340

456053

SSL WCMN.US

01-061-000-0000-6409

20776

Qtr 3 2026 Rotating Admin

09-481-481-9300-6260

1143

Def Tank Cap

55-391-000-0000-6303

PSO310104-1

Tech support for ArcGIS Pro

01-104-000-0000-6348

3677

replace broken mirror buss 14

17-403-100-0000-6313

9630

17-403-100-0000-6313

9630

Warrant #

21824

Total...

123.67

Total...

899.98

100346 MORRIS ELECTRONICS INC
Warrant #

21825

899.98

102470 MORRISON COUNTY HEALTH AND HUMAN SERVICE
Warrant #

21826

Total...

101937 NUSS TRUCK & EQUIPMENT
Warrant #

21827

21828

250.00
73.96

Total...

101384 PROWEST & ASSOCIATES INC
Warrant #

250.00

73.96
193.73

Total...

193.73

104965 QUALITY AUTO BODY & GLASS LLC

408.22

104965

23.53 - TAX EXEMPT
Warrant #

21829

Total...

384.69

106496 RELAYT CHURCH

32.50

Clinic Rent

09-481-450-4100-6340

July

106496

32.50

Clinic Rent

09-481-470-3110-6340

July

Professional Services

01-032-000-0000-6271

184

Janitorial Services

55-391-000-0000-6281

1799

Electric

13-330-000-0000-6250

22-0430-01

Warrant #

21830

Total...

106619 RESOLUTE LAW LLC
Warrant #

21831

812.00
Total...

103287 RISING PHOENIX/THE
Warrant #

21832

65.00

812.00
92.71

Total...

92.71

100367 TREASURER CITY OF WADENA

691.17

100367

125.31

Water and sewer

13-330-000-0000-6250

22-0430-01

100367

80.65

Electric/Water June

17-403-100-0000-6210

22-0450-04

Cleaning May

17-403-100-0000-6370

25690

Warrant #

21833

105275 WADENA COUNTY DAC

Total...

897.13
169.20

Page 13 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK-ACH
Auditor's Warrants

Vendor # Vendor Name
Warrant #

Amount
Total...

21834

100155 WASTE MANAGEMENT OF MINNESOTA INC
Warrant #

WARRANT REGISTER
Auditor Warrants

Total...

21835

100266 WEST CENTRAL TELEPHONE ASSN

Approved
Pay Date

Page 9
07/17/2026

Description
OBO#

Account Number
On-Behalf-of-Name

Invoice #
From Date

PO # Tx
To Date

Disposal to Landfill

55-391-000-0000-6280

0006179-0010-5

Telephone

01-061-000-0000-6340

1360100

Motorola Project-Shrf

11-293-000-0000-6803

1395800

Fax to email

17-403-100-0000-6210

1379300

169.20
7,956.32
7,956.32
1,956.72

100266

499.80

100266

9.95

100266

188.60

hook up fees temp location

17-403-100-0000-6370

4982

100266

84.95

Internet Service

55-391-000-0000-6202

1428700

Warrant #

21836

Total...

2,740.02

Warrant Form

CHEK-ACH

Total...

77,785.46

79 Transactions

Final Total...

174,075.16

163 Transactions

Page 14 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK-ACH
Auditor's Warrants

WARRANT RUN
INFORMATION

22
39

WARRANT
FORM

STARTING
WARRANT NO.

WARRANT REGISTER
Auditor Warrants

ENDING
WARRANT NO.

DATE OF
PAYMENT

96,289.70

CHEK

59440

59461

07/17/2026

77,785.46

CHEK-ACH

21798

21836

07/17/2026

174,075.16

TOTAL

Approved
Pay Date

DATE OF
APPROVAL

Page 10
07/17/2026

PPD
COUNT

AMOUNT

844.45

CTX
COUNT
AMOUNT

76,941.01

Page 15 of 234

kmalone
07/16/2026

*** W A D E N A C O U N T Y ***

12:43PM
Warrant Form CHEK-ACH
Auditor's Warrants

WARRANT REGISTER
Auditor Warrants

Approved
Pay Date

Page 11
07/17/2026

RECAP BY FUND

FUND

AMOUNT

NAME

18,427.10

General Revenue Fund

5,256.47

Public Health Fund

31,699.00

ACH AMOUNT

NON-ACH AMOUNT

11,350.26

7,076.84

665.00

4,591.47

Sheriff

19,445.86

12,253.14

76,543.14

Road And Bridge Fund

23,150.10

53,393.04

5,486.72

Social Services Fund

21,862.56

Friendly Rider's Transit

9,000.60

12,861.96

14,800.17

Solid Waste Fund

14,173.64

626.53

174,075.16

TOTAL

77,785.46

5,486.72

TOTAL ACH

96,289.70

TOTAL NON-ACH

Page 16 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item
Consent Agenda Item

Report
Resolution
Other

Human Services Warrants
Date of Meeting: 7/21/2026
Department Requesting Action: Human Services
Presenting Board Action/Discussion at Meeting:
Background
Supporting Documentation enclosed

Total time requested: Consent

ACH direct deposit forms for warrants dated 7/2/26, 7/10/26, 7/17/26, and two warrant registers.
Options

Supporting Documentation enclosed

Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

ACH and non- ACH Human Services payments in the amount of $20,973.17.
Financial Implications: $20,973.17
Funding Source: State, Federal, Local
Budgeted: Yes No

Comments

Action
Motion:
Second:
Passed
Failed
Tabled
Signatures

Voting in Favor
Noon
Winkels
Stearns
Kreklau
Kangas

Voting Against
Noon
Winkels
Stearns
Kreklau
Kangas

STATE OF MINNESOTA}
COUNTY OF Wadena}
I, Colleen Winter, County Administrator, Wadena County, Minnesota hereby certify that I have compared the foregoing copy of the proceedings of the County
Board of said County with the original record thereof on file in the Administration Office of Wadena County in Wadena, Minnesota as stated in the minutes of
the proceedings of said board and that the same is a true and correct copy of said original record and of the whole thereof, and that said motion was duly
passed by said board at said meeting. Witness my hand and seal:

Revised 04/07/26

Page 17 of 234

ACH-EFT transactions for approval on 7/21/2026
Warrants paid:

MA ACH 7/2/2026

1,244.09

Admin ACH 7/2/26

1,173.06

SSIS ACH 7/10/2026

2,496.60

MA ACH 7/10/2026

2,095.82

Admin ACH 7/10/26

1,601.52

SSIS ACH 7/17/2026

2,546.00

Total: $11,157.09
Motion to approve payment of Human Services ACH-EFT transactions
made by Commissioner:

Seconded by Commissioner:
Chair of the Wadena County Board of Commissioners,
hereby certify to the Board of Commissioners of Wadena County, the above
disbursements of
$11,157.09

Board Chair
Vice Board Chair

Page 18 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item

Report
Resolution
Other

Consent Agenda Item

2026-2027 State Grant for Veterans Services
Date of Meeting: 07/21/2026
Department Requesting Action: Veterans Services
Presenting Board Action/Discussion at Meeting:
Background
Supporting Documentation enclosed

Total time requested:

MDVA Yearly Grant Acceptance
Options

Supporting Documentation enclosed

None
Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

Approve Acceptance of the 2026-2027 State Grant for Veterans Services
Financial Implications: $7500
Funding Source:

Budgeted:
Action
Motion:
Second:
Passed
Failed
Tabled
Signatures

Yes

Comments

Noon
Winkels

Voting Against
Noon
Winkels

Stearns
Kreklau
Kangas

Voting in Favor

STATE OF MINNESOTA}
COUNTY OF Wadena}
I, Colleen Winter, Administrator, Wadena County, Minnesota hereby certify that I have compared the foregoing copy of the proceedings of the County Board of said
County with the original record thereof on file in the Administration Office of Wadena County in Wadena, Minnesota as stated in the minutes of the proceedings of said
board and that the same is a true and correct copy of said original record and of the whole thereof, and that said motion was duly passed by said board at said meeting.
Witness my hand and seal:

Seal

Page 19 of 234

STATE OF MINNESOTA
GRANT CONTRACT AGREEMENT
Swift Contract & PO Number: ____________________

This Grant Contract Agreement is between the State of Minnesota, acting through its Commissioner of the Minnesota
Department of Veteran Affairs ("State" or “MDVA”) and County of «Grantee», on behalf of «Grantee» Veteran
Service Office, «Address», «City», «State» «ZIP Postal Code» ("Grantee").

Recitals
1. Under Minnesota Statutes 197.608, Subd. 4(c)(1) the State is empowered to enter into this Grant Contract
Agreement.
2. The State is in need of services that enhance the operations of the County Veterans Service Offices (CVSO).
3. The Grantee represents that it is duly qualified and agrees to perform all services described in this Grant
Contract Agreement to the satisfaction of the State.

Grant Contract Agreement
1

Term of Grant Contract Agreement

1.1 Effective Date. July 1, 2026, or the date the State obtains all required signatures, whichever is later.
Per Minnesota Statutes § 16B.98, Subd. 5, the Grantee must not begin work until this Grant Contract
Agreement is fully executed and the State's Authorized Representative has notified the Grantee that work may
commence.
Per Minnesota Statute § 16B.98, Subd. 11 agencies may permit a specifically appropriated, noncompetitive
grant receipt to incur eligible expenses based on agreed upon work plan and budget for up to 60 days prior to
encumbrance being established in the accounting system.
Per Minnesota Statutes § 16B.98 Subd. 7, no payments will be made to the Grantee until this Grant Contract
Agreement is fully executed. The Grantee must not begin work under this grant agreement until this agreement
is fully executed and the Grantee has been notified by the State’s Authorized Representative to begin the work.
1.2 Expiration Date. June 30, 2027, or until all obligations have been satisfactorily fulfilled, whichever occurs first.
1.3 Survival of Terms. The following clauses survive the expiration or cancellation of this Grant Contract
Agreement: Liability; State Audits; Government Data Practices and Intellectual Property; Publicity and
Endorsement; Governing Law, Jurisdiction, and Venue; and Data Disclosure.
2

Specifications, Duties, and Scope of Work
Grantee’s Duties
The Grantee, who is not a state employee will:

FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
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Page 20 of 234

2.1 Adhere to the statutory requirements for this grant pursuant to Minn. Stat. §197.608.
2.2 Abide by the approved CVSO Budget Spreadsheet, Exhibit A, which is attached and incorporated into this Grant
Contract Agreement.
2.2.1 Ensure grant funds are not used to supplant any existing funding.
2.2.2 Ensure grant funds are not used to duplicate any programs or services available to Veterans from other
agencies or organizations.
2.2.3 Ensure expenditures abide by the CVSO Grant - Items Approved List - FY2027, which is incorporated by
reference into this Grant Contract Agreement, and which is available on the MDVA SharePoint site –
Grant Page.
2.3 Comply with required grants management policies and procedures set forth through Minnesota Statute
§16B.97, Subd. 4
2.4 Comply with the requirements as specified in the most recent version of the MDVA Grants Manual which is
incorporated into this grant agreement by reference and available on the MDVA SharePoint site – Grant Page
and also on the MDVA Website – Grants Page: http://mn.gov/mdva/resources/federalresources/grants/.
2.5 If at any time throughout the duration of this Grant Agreement, an individual or organizational conflict of
interest becomes apparent, the Grantee shall disclose that conflict immediately to the State’s Authorized
Representative in writing, as provided for in the MDVA Grants Manual.
2.6 Use the LinkVet logo or on-air credit as required, for all marketing and promotional items (e.g., display boards,
radio airtime, t-shirts, brochures). The smaller, modified logo may be used for small promotional items (e.g.,
pen). Publicity item expenditures allowed up to a maximum of 15% of the total CVSO grant amount.
2.7 Account for all funds expended under this grant contract agreement.
2.8 Maintain documentation of all funding for travel outside Minnesota with a thorough explanation of the purpose
of the travel, the final destination, and documentation or brochure of any conferences attended.
2.9 Allow the State, at any time, to conduct periodic site visits, inspections, and audits to ensure progress as
specified in the MDVA Grants Manual, including a final inspection upon program completion pursuant to MDVA
Grants Manual.
2.10 Complete the closeout of this Grant pursuant to and as specified in the MDVA Grants Manual along with the
following documents as required pursuant this Grant Contact Agreement:
2.10.1 An Account Statement (report generated by the bank or other accounting program which itemizes all
the CVSO Office expenditures under this grant) with grant-related expenditures highlighted.
2.10.2 A completed CVSO Closeout Spreadsheet, Exhibit B which is attached and incorporated into this
document, which will be provided to Grantee in excel format.
2.10.3 A Travel Log when applicable (lists all travel-related expenditures including mileage, airfare, lodging
etc.) if applicable. The Travel Log is available for download on the MDVA SharePoint site – Grant Page
and the MDVA Website – Grants Page: http://mn.gov/mdva/resources/federalresources/grants/.
2.10.4 Documentation for any grant funding used for travel outside the State of Minnesota.
2.11 The State and Grantee may exchange Veteran confidential information (e.g. social security number, Veteran’s
address etc.) as necessary in order to meet the contractual obligations of this grant agreement. The Grantee
and State must comply with the Minnesota Government Data Practices Act, Minnesota Statute Ch. 13, as
provided in section 10 of this grant agreement.
2.11.1 The State and Grantee must retain on file a Release of Information signed by the Veteran prior to
sharing confidential Veteran data.
FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 21 of 234

2.11.2 When sharing private or protected information, the sender of the information will take all appropriate
measures to send the information through a secure method. If a party is sending protected or private
information through electronic mail, then the electronic mail must be encrypted.
3

Time
The Grantee must comply with all the time requirements described in this Grant Contract Agreement. In the
performance of this Grant Contract Agreement, time is of the essence and failure to meet a deadline date may
be a basis for a determination by the State’s Authorized Representative that the Grantee has not complied with
the terms of the Grant Contract Agreement. The Grantee is required to perform all the duties cited within clause
two “Specifications, Duties, and Scope of Work” within the grant period. The State is not obligated to extend the
grant period.

Consideration and Terms of Payment
The consideration for all services performed by the Grantee pursuant to this Grant Contract Agreement shall be
paid by the State as follows:

4.1 Compensation. The total obligation of the State under this Grant Contract Agreement, including all
compensation and reimbursements, is not to exceed «FY2027_Total_»., which shall be paid in an Advanced
Payment lump sum as described in the MDVA Grants Manual.
4.2 Administrative Costs. Grantee administrative costs must be necessary and reasonable. Grantee must minimize
administrative costs pursuant to Minn. Stat. §16B.98, Subd.1.
4.3 Travel Expenses. Reimbursement for travel and subsistence expenses actually and necessarily incurred by the
Grantee as a result of this grant agreement is an allowable expense. The total travel budget may comprise all
or a portion of the Total Obligation. The Grantee will report all travel-related expense on the Travel Log in no
greater amount than provided in the current Commissioner’s Plan promulgated by the Commissioner of
Minnesota Management and Budget (MMB).
Travel and subsistence expenses incurred outside Minnesota is allowed, when necessary for the
accomplishment of routine tasks (e.g., transporting Veterans to medical appointments, attending conferences
etc.) related to the CVSO work. Documentation is required to validate the use of grant funding for this purpose.
4.4 Invoices. State will promptly pay the Grantee an Advance Payment lump sum payment upon execution of this
grant agreement.
4.4.1 Grantee must account for all funds expended under this grant contract agreement.
4.5 Unexpended Funds. The Grantee must promptly return to the State any unexpended funds that have not been
accounted for in a financial report to the State. Any and all advance payments from the grant must be
reconciled within 12 months of issuance or 20 business days from the expiration date of the grant agreement,
whichever comes first.
5

Conditions of Payment

5.1 All services provided by the Grantee under this Grant Contract Agreement must be performed to the State’s
satisfaction, as determined at the sole discretion of the State’s Authorized Representative and in accordance
FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 22 of 234

with all applicable federal, state, and local laws, ordinances, rules, and regulations. The Grantee will not receive
payment for work found by the State to be unsatisfactory or performed in violation of federal, state, or local la
5.1.1 Grantee must retain grant expenditure supporting documentation (e.g., invoices, receipts, service
contracts).
5.1.2 Grantee must produce supporting documentation when requested by the State.
6

Contracting and Bidding Requirements
The Grantee is required to comply with Minnesota Statutes § 471.345, Uniform Municipal Contracting Law.

6.1 The Grantee and any subrecipients must comply with prevailing wage rules per Minnesota Statutes §§ 177.41
through 177.50, as applicable.
6.2 The Grantee and any subrecipients must not contract with vendors who are suspended or debarred by the
State of Minnesota or the federal government: Suspended and Debarred Vendors, Minnesota Office of State
Procurement.
6.3 The Grantee must maintain written standards of conduct covering conflicts of interest and governing the
actions of its employees engaged in the selection, award and administration of contracts.
7

Authorized Representatives

7.1 The State’s Authorized Representative is Heather Darby, Grant Specialist Coordinator, Minnesota Department
of Veteran Affairs, Veterans Service Building, 20 West 12th Street, St. Paul, MN 55155, 651-201-8235,
[email protected], or their successor, and has the responsibility to monitor the Grantee’s
performance and the authority to accept the services provided under this Grant Contract Agreement. If the
services are satisfactory, the State’s Authorized Representative will certify acceptance on each invoice
submitted for payment.
7.2 The Grantee’s Authorized Representative is «First_Name» «Last_Name», CVSO, «Company1»,
«Address», «City», «State» «ZIPPostal_Code», «Phone», «Email_Address», or their successor. If the
Grantee’s Authorized Representative changes at any time during this Grant Contract Agreement, the Grantee
must immediately notify the state.
7.3 The Grantee must clearly post on the Grantee’s website the names of, and contact information for, the
Grantee’s leadership and the employee or other person who directly manages and oversees this Grant Contract
Agreement on behalf of the Grantee.
7.4 For awards greater than $25,000, a grantee performance evaluation will be posted publicly at
https://osp.admin.mn.gov/granteval/grant-eval-uploader, per Minnesota Statutes § 16B.98, Subdivision 12 and
OGM Policy 08-13.
8

Assignment, Amendments, Waiver, and Contract Complete

8.1 Assignment. The Grantee may neither assign nor transfer any rights or obligations under this Grant Contract
Agreement without the prior consent of the State and a fully executed agreement, executed and approved by
the authorized parties or their successors.

FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 23 of 234

8.2 Amendments. Any amendment to this Grant Contract Agreement must be in writing and will not be effective
until it has been executed and approved by the same parties who executed and approved the original Grant
Contract Agreement or their successors.
8.3 Waiver. If the State fails to enforce any provision of this Grant Contract Agreement, that failure does not waive
the provision or its right to enforce it.
8.4 Contract Complete. This Grant Contract Agreement contains all negotiations and agreements between the
State and the Grantee. No other understanding regarding this Grant Contract Agreement, whether written or
oral, may be used to bind either party.
9

Subcontracting and Subcontract Payment

9.1 A subrecipient is a person or entity that has been awarded a portion of the work authorized by this Grant
Contract Agreement by Grantee. The Grantee must document any subaward through a formal legal agreement.
The Grantee must provide timely notice to the State of any subrecipient(s) prior to the subrecipient(s)
performing work under this Grant Contract Agreement.
9.2 The Grantee must monitor the activities of the subrecipient(s) to ensure the subaward is used for authorized
purposes; is in compliance with the terms and conditions of the subaward, Minnesota Statutes § 16B.97, Subd.4
(a) (1) and other relevant statutes and regulations; and that subaward performance goals are achieved.
9.3 During this Grant Contract Agreement, if a subrecipient is determined to be performing unsatisfactorily by the
State’s Authorized Representative, the Grantee will receive written notification that the subrecipient can no
longer be used for this Grant Contract Agreement.
9.4 No subagreement shall serve to terminate or in any way affect the primary legal responsibility of the Grantee
for timely and satisfactory performances of the obligations contemplated by the Grant Contract Agreement.
9.5 The Grantee must pay any subrecipient in accordance with Minnesota Statutes § 16A.1245.
9.6 The Grantee and any subrecipients must not contract with vendors who are suspended or debarred by the
State of Minnesota or the federal government.
10 Liability
The Grantee must indemnify, save, and hold the State, its agents, and employees harmless from any claims or
causes of action, including attorney’s fees incurred by the State, arising from performance of this Grant Contract
Agreement by the Grantee or the Grantee’s agents or employees. This clause will not be construed to bar any
legal remedies the Grantee may have for the State’s failure to fulfill its obligations under this Grant Contract
Agreement.
11 State Audits
Under Minnesota Statutes § 16B.98, Subd. 8, the Grantee’s books, records, documents, and accounting
procedures and practices relevant to this Grant Contract Agreement are subject to examination by the
Commissioner of Administration, the State granting agency, the State Auditor, the Attorney General, and the
Legislative Auditor, as appropriate, for a minimum of six years from the expiration or termination of this Grant
Contract Agreement, receipt and approval of all final reports, or the required period of time to satisfy all State
and program retention requirements, whichever is later.
FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

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Page 24 of 234

12 Government Data Practices and Intellectual Property Rights
12.1 Government Data Practices. The Grantee and State must comply with the Minnesota Government Data
Practices Act, Minnesota Statutes Chapter 13, as it applies to all data provided by the State under this grant
contract, and as it applies to all data created, collected, received, stored, used, maintained, or disseminated by
the Grantee under this grant contract. The civil remedies of Minnesota Statutes § 13.08 apply to the release of
the data referred to in this clause by either the Grantee or the State.
If the Grantee receives a request to release the data referred to in this Clause, the Grantee must immediately
notify the State. The State will give the Grantee instructions concerning the release of the data to the requesting
party before the data is released. The Grantee’s response to the request shall comply with applicable law.
12.2 Intellectual Property Rights. The State owns all rights, title, and interest in all of the intellectual property
rights, including copyrights, patents, trade secrets, trademarks, and service marks in the works and documents
created and paid for under this grant agreement. The Grantee assigns all right, title, and interest it may have in
the works and the documents to the State. The Grantee must, at the request of the State, execute all papers and
perform all other acts necessary to transfer or record the State’s ownership interest in the works and
documents.
13 Workers Compensation
The Grantee certifies that it is in compliance with Minnesota Statutes § 176.181, Subd. 2, pertaining to workers’
compensation insurance coverage. The Grantee’s employees and agents will not be considered State employees.
Any claims that may arise under the Minnesota Workers’ Compensation Act on behalf of these employees and
any claims made by any third party as a consequence of any act or omission on the part of these employees are
in no way the State’s obligation or responsibility.
14 Governing Law, Jurisdiction, Venue
Venue for all legal proceedings out of this Grant Contract Agreement, or its breach, must be in the appropriate
state or federal court with competent jurisdiction in Ramsey County, Minnesota.
15 Termination
15.1 Termination by the State.
A. Without Cause.
The State may terminate this Grant Contract Agreement without cause, upon 30 days’ written notice to the
Grantee. Upon termination, the Grantee will be entitled to payment, determined on a pro rata basis, for
services satisfactorily performed.
B. With Cause.
The State may immediately terminate this Grant Contract Agreement if the State finds that there has been a
failure to comply with the provisions of this grant contract that reasonable progress has not been made, or
that the purposes for which the funds were granted have not been or will not be fulfilled. The State may take
action to protect the interests of the State of Minnesota, including the refusal to disburse additional funds and
requiring the return of all or part of the funds already disbursed.
15.2 Termination by the Commissioner of Administration.
FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
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Page 25 of 234

The Commissioner of Administration may immediately and unilaterally terminate this Grant Contract
Agreement if further performance under the agreement would not serve agency purposes or performance
under the Grant Contract Agreement is not in the best interest of the State.
15.3 Termination for Insufficient Funding.
The State may immediately terminate this Grant Contract Agreement if it does not obtain funding from the
Minnesota Legislature, or other funding source; or if funding cannot be continued at a level sufficient to allow
for the payment of the services addressed within this Grant Contract Agreement. Termination must be by
written notice to the Grantee. The State is not obligated to pay for any services that are provided after notice
and effective date of termination. However, the Grantee will be entitled to payment, determined on a pro rata
basis, for services satisfactorily performed to the extent that dedicated funds are available.
In the event of temporary lack of funding or appropriation, the State may pause its obligations under this Grant
Contract Agreement without terminating it. This pause will be for the duration of the lack of funding or
appropriation and shall not be considered a termination of the Grant Contract Agreement. The Grantee will be
notified in writing of the temporary pause, and the Grantee’s ability to provide services may be temporarily
suspended during this period. The State will provide reasonable notice to the Grantee of the lack of funding or
appropriation and shall notify the Grantee once funding is restored or appropriated, at which point the
provision of services under the Grant Contract Agreement may resume.
The State will not be assessed any penalty if the Grant Contract Agreement is terminated due to insufficient
funding. The State must provide the Grantee notice of the lack of funding within a reasonable time of the
State’s receiving notice.
16 Publicity and Endorsement
16.1 Publicity. Any publicity pertaining to the services resulting from this Grant Contract Agreement shall identify
the State as the sponsoring agency. Publicity includes, but is not limited to: websites, social media platforms,
notices, informational pamphlets, press releases, research, reports, signs, and similar public notices prepared
by or for the Grantee or its employees individually or jointly with others or any subcontractors. All projects
primarily funded by state grant appropriations must publicly credit the State, including on the grantee’s
website, when practicable.
16.2 Endorsement. The Grantee must not claim that the State endorses its products or services.
17 Data Disclosure
Under Minnesota Statutes § 270C.65, Subd. 3, and other applicable law, the Grantee consents to disclosure of
its social security number, federal employer tax identification number, and/or Minnesota tax identification
number, already provided to the State, to federal and state tax agencies and state personnel involved in the
payment of state obligations. These identification numbers may be used in the enforcement of federal and state
tax laws which could result in action requiring the Grantee to file state tax returns and pay delinquent state tax
liabilities, if any.

FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 26 of 234

Exhibits
The following Exhibits are attached and incorporated into this Grant Contract Agreement. In the event of a conflict
between the terms of this Grant Contract Agreement and its Exhibits, or between Exhibits, the order of precedence is
first the Grant Contract Agreement, and then in the following order:
1. This Grant Contract Agreement
2. CVSO Grant Items Approved List – FY2027
3. CVSO FY2027 Budget Spreadsheet, Exhibit A
4. Most recent version of the MDVA Grants Manual, currently version 11

FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 27 of 234

Exhibit A
CVSO FY2027 Budget Spreadsheet

FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 28 of 234

Exhibit B
CVSO Closeout Spreadsheet

FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 29 of 234

Grant Contract Agreement Signature Page

State Encumbrance Verification

Individual certifies that funds have been encumbered as
required by Minnesota Statutes §§ 16A.15

Signed: _______________________________________
Date: _________________________________________
SWIFT Contract /PO No. __________________________

State Agency

With delegated authority

By: ___________________________________________
Title: _________________________________________
Date: _________________________________________

Grantee – «Company1»
With delegated authority
The Grantee certifies that the appropriate person(s) have
executed the grant contract on behalf of the Grantee as
required by applicable articles, bylaws, resolutions, or
ordinances.

By: ___________________________________________
Title: _________________________________________
Date: _________________________________________
By: ___________________________________________
Title: _________________________________________
Date: _________________________________________

FY27 CVSO LEGISLATIVELY NAMED GRANT AGREEMENT
REV. 7.10.2025

MDVA

Page 30 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item

Financial Report June 2026

Consent Agenda Item

Report
Resolution
Other

Date of Meeting: July 21st, 2026
Total time requested:
Department Requesting Action: Auditor/Treasurer
Presenting Board Action/Discussion at Meeting: Heather Olson, Auditor/Treasurer
Background
Supporting Documentation enclosed
Options

Supporting Documentation enclosed

Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

Financial Implications: $
Funding Source:

Comments

Action
Motion:
Second:

Voting in Favor

Budgeted:

Passed
Failed
Tabled
Signatures

Yes

Noon
Kreklau

Stearns
Winkels
Kangas

Voting Against
Noon
Kreklau
Stearns
Winkels
Kangas

STATE OF MINNESOTA}
COUNTY OF Wadena}
I, Colleen Winter, County Administrator, Wadena County, Minnesota hereby certify that I have compared the foregoing copy of the proceedings of the County Board of
said County with the original record thereof on file in the Administration Office of Wadena County in Wadena, Minnesota as stated in the minutes of the proceedings of
said board and that the same is a true and correct copy of said original record and of the whole thereof, and that said motion was duly passed by said board at said
meeting. Witness my hand and seal:

Seal

Page 31 of 234

Wadena County
Date
12/31/2024
8/12/2025
11/19/2025
12/31/2025
Future
Date
12/31/2024
3/31/2025
6/27/2025
6/30/2025
9/30/2025
12/31/2025
12/31/2025
2/6/2026
3/31/2026
6/30/2026
Future
Date
12/31/2024
1/1/2025
3/31/2025
6/13/2025
6/30/2025
8/8/2025
9/30/2025
11/7/2025
11/18/2025
12/31/2025
2/27/2025
3/3/2026
3/31/2026
4/30/2026
6/22/2026
6/22/2026
6/30/2026
Date
12/31/2024
8/19/2025
12/31/2025
4/10/2026
Future
Future

As of 06/30/2026
****Pending Final Total

MCIT Dividends/Dept 003
Description
Addition
Deduction
Starting Balance
$
25,756.00
Sheriff Building Insulation
$
9,466.00
Dividends
$
10,025.00
Comprehensive Plan
$
2,000.00
Human Services (Tenative Amount)
Levied Building Fund/Fund 003
Description
Addition
Deduction
Starting Balance
$
2,864.90
Settlements
$
5,800.00
Hammers for Wensman Plans
$
72,363.28
Settlements
$
295.65
Settlements
$ 300,000.00
HS HVAC System
$
50,794.88
Settlements
$
265.00
HS HVAC System
$
1,469.26
Settlements
$
72,245.45
Settlements
$ 174,661.15
Transit Building
Non-Levied Building/Dept 115
Description
Addition
Deduction
Balance Forward
Bunk Beds
$
15,298.47
Rents
$
13,187.34
$
2,142.60
Johnson Control for Maintenance
$
13,187.34
Rents
$
378.51
Sheriff's Building Fairgrounds
$
13,187.34
Rents
$
21,118.00
Fairgrounds Water Service
$
3,700.00
Bell Hill Winterization
$
13,187.34
Rents
$
12,216.00
Hot Water Heater
$
5,431.53
Utilities for 4H Building
$
13,187.34
Rents
$
40,000.00
Administrator Office Suite****
$
3,403.00
Clearview Solutions-Window Cleaning
$
2,792.50
Building Maintenance & Restoration
$
13,187.34
Rents
SCHA Payout-Not A Fund Nor Restricted
Description
Addition
Deduction
Starting Balance
Wensman Wall
$ 184,700.00
HS HVAC System
$
80,516.79
$
62,001.47
Access Controls
$
17,683.21
HS HVAC System
$ 150,000.00
HS Vehicles
Pending Items
Approved Fair Grounds Fund
Friends of 4H Project

$
$
$
$
$

Balance
270,696.17
244,940.17
244,940.17
234,915.17
232,915.17

$
$
$
$
$
$
$
$
$
$
$

Balance
319,351.46
322,216.36
316,416.36
388,779.64
389,075.29
89,075.29
139,870.17
139,605.17
141,074.43
213,319.88
38,658.73

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

Balance
579,292.00
563,993.53
577,180.87
575,038.27
588,225.61
587,847.10
601,034.44
579,916.44
576,216.44
589,403.78
577,187.78
571,756.25
584,943.59
544,943.59
541,540.59
538,748.09
551,935.43

$
$
$
$
$
$

Balance
1,710,832.74
1,526,132.74
1,445,615.95
1,383,614.48
1,365,931.27
1,215,931.27

160,000.00

Page 32 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item

Consent Agenda Item

Report
Resolution
Other

Month End Cash & Investments Balance June 2026

Supporting Documentation enclosed

Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

Financial Implications: $
Funding Source:

Comments

Action
Motion:
Second:

Voting in Favor

Budgeted:

Passed
Failed
Tabled
Signatures

Yes

Noon
Kreklau

Stearns
Winkels
Kangas

Voting Against
Noon
Kreklau
Stearns
Winkels
Kangas

STATE OF MINNESOTA}
COUNTY OF Wadena}
I, Colleen Winter, County Administrator, Wadena County, Minnesota hereby certify that I have compared the foregoing copy of the proceedings of the County Board of
said County with the original record thereof on file in the Administration Office of Wadena County in Wadena, Minnesota as stated in the minutes of the proceedings of
said board and that the same is a true and correct copy of said original record and of the whole thereof, and that said motion was duly passed by said board at said
meeting. Witness my hand and seal:

Seal

Page 33 of 234

Heather Olson
Wadena County Auditor Treasurer Office
415 Jefferson St S, Wadena, MN 56482
Ph. (218) 631-7784
[email protected]
co.wadena.mn.us

Auditor/Treasurer

I, the undersigned do solemnly swear that I am in possession of the following
Wadena County funds on the close of business June 30, 2026
Wadena State Bank Checking Acct 2.02%
Wadena State Bank Family Service Collaborative Account 1.51%
Wadena State Bank Transit Savings 1.51%
Wadena State Bank Savings Solid Waste .30%
Wadena State Bank HRA Acct .30%
Magnifi Financial Checking#xx5710/90 .20%
Magnifi Financial Savings Account - Enhance 911 1.25%
MAGIC - General Fund 3.63%
MAGIC - 8 CD's @ 4.10%-4.35% 365 Days (8-26-2026)
MAGIC - 2 CD's @ 3.80%-3.85% 91 Days (9-11-2026)
MAGIC - Term 8 Mo @ 3.67% (9-21-2026)
MAGIC - 2 CD's @ 3.80%-3.95% (12-15-2026)
MAGIC - 5 CD's @ 4.10-3.95% 546 Days (3-8-2027)
MAGIC - Term 365 Days @ 3.81% (4-9-2027)
US Bank 3.57%
US Bank CD 18 Mo @ 3.85% (9-13-2027)
US Bank CD 2 Yrs @ 3.65% (10-15-2027)
US Bank CD 2 yrs @ 4.00% (1-18-2028)
US Bank CD 2 yrs @ 3.95% (4-3-2028)
US Bank CD 3 Yrs @ 3.80% (10-15-2028)
US Bank CD 3 Yrs @ 3.75% (10-16-2028)

Treasurer's Balance
Cash Fund:
By: Tammy Lupkes 7-9-2026

$
$
$
$
$

918,788.56
303,828.44
1,225,245.55
111,289.96

$
$

440,937.25
368,587.95

$ 11,765,810.27
$ 1,912,000.00
$
484,000.00
$ 2,000,000.00
$
480,000.00
$ 1,175,000.00
$ 1,000,000.00
$
$
$
$
$
$
$

527,945.95
245,000.00
198,000.00
245,000.00
245,000.00
247,000.00
249,000.00

$ 24,142,433.93
$
1,600.00
$ 24,144,033.93

Page 34 of 234

June
2019
Co Treas
Revenue
Fair Grounds
Bldg Reserve
Forfeited Land
Public Health
Sheriff
Road & Bridge
County Ditch
Human Services
Family Service
Transit
Family Wise
Opioids
Solid Waste
Health Reimb
Governmental
Tax & Penalty

tkl
7/9/2026

2020

2021

2022

2023

2024

$18,928,662.69
$6,630,839.26
$182,130.37
$627,438.69
$4,275.02
$1,862,983.60
$1,451,361.39
$3,196,528.39
$1,000.00
$2,400,831.62
$289,483.40
$747,696.99
$22,716.99
$149,874.74
$870,413.70
$141,859.48
$21,002.42
$328,226.63

$21,229,809.30
$7,239,123.31
$160,487.50
$388,779.64
$3,975.02
$2,121,138.37
$1,222,298.99
$4,247,705.10
$1,000.00
$2,427,963.30
$331,205.26
$1,051,524.54
$27,543.32
$280,123.52
$1,125,620.85
$131,075.61
$70,399.94
$399,845.03

$24,142,433.93
$7,565,059.75
$160,487.50
$213,319.88
$263,793.07
$2,375,063.38
$1,191,560.23
$5,965,598.90
$1,000.00
$2,592,832.23
$312,078.82
$1,173,642.55
$34,286.67
$260,737.20
$1,351,123.31
$111,289.96
$131,632.38
$438,928.10

$18,928,662.69

$21,229,809.30

$24,142,433.93

$15,600,722.56 $12,828,446.61
$3,956,936.33 $4,675,426.61
$214,713.36
$214,713.36
$186,716.54
$264,724.51
$39,932.67
$0.10
$823,608.39
$828,580.06

$14,852,263.18
$5,644,971.21
$214,713.36
$381,191.26
$8,000.11
$982,733.39

$17,361,721.45
$7,634,028.10
$214,713.36
$496,967.02
$13,900.02
$1,288,809.86

$6,067,029.57

$2,998,061.04

$2,006,362.81
$299,525.11
$311,952.32

$1,758,490.63
$295,675.81
$328,292.76

$3,448,805.21
$2,200.00
$1,678,153.33
$268,283.04
$748,199.18

$3,067,384.67
$1,400.00
$1,982,161.21
$267,808.60
$557,487.70
$21,941.89

$762,042.89
$231,506.75
$7,939.02
$692,456.80

$823,252.28
$209,459.85
$8,699.57
$423,070.03

$951,859.56
$203,106.65
$9,812.92
$310,233.96

$1,128,677.18
$194,810.83
$22,587.02
$469,043.99

$21,606,197.95
$7,440,203.21
$185,459.15
$620,423.65
$1,350.02
$1,669,729.54
$1,579,186.32
$5,504,791.76
$1,000.00
$1,834,592.50
$263,165.08
$637,512.63
$22,859.76
$111,923.20
$1,189,234.66
$161,430.54
$21,107.97
$362,227.96

$15,600,722.56 $12,828,446.61

$14,852,263.18

$17,361,721.45

$21,606,197.95

2025

2026

Page 35 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item

Consent Agenda Item

Report
Resolution
Other

Revenues and Expenditures Budget Report June YTD 2026
Date of Meeting: July 21st, 2026
Total time requested:
Department Requesting Action: Auditor/Treasurer
Presenting Board Action/Discussion at Meeting: Heather Olson, Auditor/Treasurer
Background
Supporting Documentation enclosed
Options

Supporting Documentation enclosed

Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

Financial Implications: $
Funding Source:

Comments

Action
Motion:
Second:

Voting in Favor

Budgeted:

Passed
Failed
Tabled
Signatures

Yes

Noon
Kreklau

Stearns
Winkels
Kangas

Voting Against
Noon
Kreklau
Stearns
Winkels
Kangas

STATE OF MINNESOTA}
COUNTY OF Wadena}
I, Colleen Winter, County Administrator, Wadena County, Minnesota hereby certify that I have compared the foregoing copy of the proceedings of the County Board of
said County with the original record thereof on file in the Administration Office of Wadena County in Wadena, Minnesota as stated in the minutes of the proceedings of
said board and that the same is a true and correct copy of said original record and of the whole thereof, and that said motion was duly passed by said board at said
meeting. Witness my hand and seal:

Seal

Page 36 of 234

IFSHWY
07/14/2026

*** W A D E N A C O U N T Y ***

9:15AM

Page Break Option:

Specific G/L Months:
Revenue Sort Option:
Expend Sort Option:

Page 1

REVENUES & EXPENDITURES BUDGET REPORT
2

1 - Page Break by FUND
2 - Page Break by DEPT
3 - Page Break by PROGRAM

From: 01/2026
Thru: 06/2026
1
1 - List as appears in G/L Chart of Accounts
2 - List by OBJECT within FUND
1
3 - List by OBJECT within DEPT
4 - List by OBJECT within PROGRAM

Report Basis:
Subtotal for Services
Subtotal for Programs
Subtotal For Objects:

1 - None
2 - Detail and Subtotals by OBJECT Range
3 - Subtotals only by OBJECT Range
4 - DEPT Totals and Subtotals by DEPT Range
5 - Subtotals only by DEPT Range
Modified Accrual
N
N
N

FUND
X Include/eXclude

73, 18, 28, 16

Budget for Report: 2026 AMENDED BUDGET
Include on Report: 1

Print on Report:

Revenue Range Subtotal:2
Expend Range Subtotal: 2

Include Zero Dollars:N
Save Options:
Comment:

1 - All G/L Accounts
2 - Only G/L Accounts with Budget
Amounts
3 - Only G/L Accounts without Budget
Amounts
1 - Monthly Tot. "thru" G/L Month
2 - Variance Amt. (Budget - Ytd Amt.)
3 - Current/Prior Yr. Budget, % Change
4 - Current/Prior Yr. Budget, $ Change

Page 37 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
000 Dept
Balance Sheet
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Expenditures --01-000-000-0000-6905
Transfers Out
TOTALS 6900-6999 TRANSFERS
000 Dept

Page 2

TOTALS Balance Sheet

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

.00
.00

250,000.00
250,000.00

250,000.00 250,000.00 -

0
0

.00
.00
.00

250,000.00
250,000.00

250,000.00 250,000.00 -

0
0
0

Variance

% Of
Budget

Page 38 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
002 Dept
County Commissioners
Account Number

*** W A D E N A C O U N T Y ***
Page 3

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

--- Expenditures --01-002-000-0000-6103
Salaries & Wages - Permanent
01-002-000-0000-6151
Hra Employer Cont-Co Share
01-002-000-0000-6152
Wages-Cafeteria
01-002-000-0000-6162
Paid Family Medical Leave
01-002-000-0000-6163
Pera - County Share
01-002-000-0000-6175
Fica - County Share
01-002-000-0000-6176
Medicare - County Share
TOTALS 6100-6199 PERSONAL SERVICES

200,000.00
6,250.00
55,370.00
790.00
10,000.00
4,688.00
2,816.00

96,581.10
3,073.08
27,118.59
381.38
4,829.29
3,575.76
1,322.83

103,418.90
3,176.92
28,251.41
408.62
5,170.71
1,112.24
1,493.17

279,914.00

136,882.03

143,031.97

48
49
49
48
48
76
47
49

01-002-000-0000-6241
Conference, Training, Registration, Dues
01-002-000-0000-6330
Travel Exp-Room,Board,Meals
01-002-000-0000-6334
Travel Expenses - Mileage
TOTALS 6200-6399 SERVICES AND CHARGES

5,000.00
4,000.00
11,500.00
20,500.00

850.00
498.40
3,916.51
5,264.91

4,150.00
3,501.60
7,583.49
15,235.09

17
12
34
26

300.00
300.00

0.00
.00

300.00
300.00

.00
300,714.00
300,714.00

142,146.94
142,146.94

158,567.06
158,567.06

0
47
47

01-002-000-0000-6401
TOTALS

Office Supplies

6400-6599 SUPPLIES AND MATERIALS

002 Dept

TOTALS County Commissioners

Revenue
Expend.
Net

Page 39 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
003 Dept
MCIT Dividends
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Expenditures --01-003-000-0000-6302
Building Repair And Maintenance
TOTALS 6200-6399 SERVICES AND CHARGES
003 Dept

Page 4

TOTALS MCIT Dividends

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

.00
.00

25,756.00
25,756.00

25,756.00 25,756.00 -

0
0

.00
.00
.00

25,756.00
25,756.00

25,756.00 25,756.00 -

0
0
0

Variance

% Of
Budget

Page 40 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
013 Dept
Court Administrator
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Expenditures --01-013-000-0000-6260
Prof & Tech Services
TOTALS 6200-6399 SERVICES AND CHARGES
013 Dept

Page 5

TOTALS Court Administrator

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

.00
.00

108.00
108.00

108.00 108.00 -

0
0

.00
.00
.00

108.00
108.00

108.00 108.00 -

0
0
0

Variance

% Of
Budget

Page 41 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
020 Dept
Law Library
Account Number
--- Revenues --01-020-000-0000-5515
TOTALS

TOTALS

Status

Description

Law Library Fee

Fines

Prof & Tech Services

6200-6399 SERVICES AND CHARGES

01-020-000-0000-6452
TOTALS

Reference Books & Materials

6400-6599 SUPPLIES AND MATERIALS

020 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5600-5699 GIFTS AND CONTRIBUTIONS

--- Expenditures --01-020-000-0000-6260

Page 6

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5500-5599 OTHER REVENUES

01-020-000-0000-5615
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS Law Library

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

5,000.00 -

2,475.00 -

2,525.00 -

5,000.00 -

2,475.00 -

2,525.00 -

13,000.00 -

4,860.00 -

8,140.00 -

13,000.00 -

4,860.00 -

8,140.00 -

6,000.00

0.00

6,000.00

.00

6,000.00

300.00

0.00

300.00

.00

300.00

10,665.00 6,300.00
4,365.00 -

41
0
63

18,000.00 6,300.00
11,700.00 -

7,335.00 .00
7,335.00 -

Page 42 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
032 Dept
County HR
Account Number
--- Revenues --01-032-000-0000-5992
TOTALS

TOTALS

Refunds And Reimbursements

Salaries & Wages - Permanent
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share

Employee Engagement
Advertising, Legal Notices & Subscript
Conference, Training, Registration, Dues
Prof & Tech Services
Labor Attny-Contract & Grievance
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements
Computer Support

Office Supplies
Professional Subscriptions
Small Equipment

6400-6599 SUPPLIES AND MATERIALS

01-032-000-0000-6803
TOTALS

Status

Description

6200-6399 SERVICES AND CHARGES

01-032-000-0000-6401
01-032-000-0000-6452
01-032-000-0000-6480

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

032 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6100-6199 PERSONAL SERVICES

01-032-000-0000-6237
01-032-000-0000-6240
01-032-000-0000-6241
01-032-000-0000-6260
01-032-000-0000-6271
01-032-000-0000-6330
01-032-000-0000-6334
01-032-000-0000-6340
01-032-000-0000-6348

Page 7

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --01-032-000-0000-6103
01-032-000-0000-6152
01-032-000-0000-6162
01-032-000-0000-6163
01-032-000-0000-6175
01-032-000-0000-6176
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS County HR

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00

15.00 -

15.00

.00

15.00 -

15.00

150,468.00
45,948.00
594.00
10,812.00
9,048.00
2,116.00

73,719.64
22,974.00
291.22
5,528.97
4,117.65
963.00

76,748.36
22,974.00
302.78
5,283.03
4,930.35
1,153.00

49
50
49
51
46
46

218,986.00

107,594.48

111,391.52

300.00
7,000.00
2,800.00
25,000.00
19,000.00
1,500.00
750.00
2,500.00
65,000.00

0.00
1,382.46
1,065.98
25.00
7,231.00
0.00
35.13
1,172.70
58,111.90

300.00
5,617.54
1,734.02
24,975.00
11,769.00
1,500.00
714.87
1,327.30
6,888.10

0
20
38
0
38
0
5
47
89

123,850.00

69,024.17

54,825.83

700.00
200.00
250.00

190.16
0.00
0.00

509.84
200.00
250.00

27
0
0

1,150.00

190.16

959.84

200.00

0.00

200.00

.00

200.00

15.00
167,377.19
167,392.19

0
51
51

.00
344,186.00
344,186.00

15.00 176,808.81
176,793.81

Page 43 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
033 Dept
County Administrator
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Description

Status

01-033-000-0000-6241
Conference, Training, Registration, Dues
01-033-000-0000-6242
Fees,Dues,Memberships
01-033-000-0000-6260
Prof Services
01-033-000-0000-6330
Travel Exp-Room,Board,Meals
01-033-000-0000-6334
Travel Expenses - Mileage
01-033-000-0000-6340
Rentals & Service Agreements
TOTALS 6200-6399 SERVICES AND CHARGES
01-033-000-0000-6401

Office Supplies

6400-6599 SUPPLIES AND MATERIALS

033 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Expenditures --01-033-000-0000-6103
Salaries & Wages - Permanent
01-033-000-0000-6152
Wages-Cafeteria
01-033-000-0000-6162
Paid Family Medical Leave
01-033-000-0000-6163
Pera - County Share
01-033-000-0000-6175
Fica - County Share
01-033-000-0000-6176
Medicare -County Share
TOTALS 6100-6199 PERSONAL SERVICES

TOTALS

Page 8

TOTALS County Administrator

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

200,781.00
39,840.00
793.00
15,059.00
12,421.00
2,904.00

63,122.21
10,949.00
249.35
4,734.18
3,805.88
890.11

137,658.79
28,891.00
543.65
10,324.82
8,615.12
2,013.89

271,798.00

83,750.73

188,047.27

31
27
31
31
31
31
31

2,500.00
1,000.00
.00
2,000.00
500.00
.00
6,000.00

771.00
120.00
20,788.39
1,024.67
123.25
776.62
23,603.93

1,729.00
880.00
20,788.39 975.33
376.75
776.62 17,603.93 -

31
12
0
51
25
0
393

300.00
300.00

1,211.47
1,211.47

911.47 911.47 -

404

.00
278,098.00
278,098.00

108,566.13
108,566.13

169,531.87
169,531.87

0
39
39

% Of
Budget

404

Page 44 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
041 Dept
County Auditor/Treasurer
Account Number
--- Revenues --01-041-000-0000-5101
01-041-000-0000-5105
01-041-000-0000-5106
TOTALS

TOTALS

Auctioneer Licenses
Beer Licenses And Wine License
Liquor License

Fees For Service
Admin Fee-Forf Land
Auditor's Certificate

Refunds And Reimbursements

Salaries & Wages - Permanent
Cell Phone
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

6100-6199 PERSONAL SERVICES

01-041-000-0000-6240
01-041-000-0000-6241
01-041-000-0000-6260
01-041-000-0000-6265
01-041-000-0000-6330
01-041-000-0000-6334
01-041-000-0000-6340
01-041-000-0000-6348
TOTALS

Status

Description

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --01-041-000-0000-6103
01-041-000-0000-6113
01-041-000-0000-6152
01-041-000-0000-6162
01-041-000-0000-6163
01-041-000-0000-6175
01-041-000-0000-6176

Advertising, Legal Notices & Subscript
Conference, Training, Registration, Dues
Prof & Tech Services
Independent Auditing
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements
Computer Support

6200-6399 SERVICES AND CHARGES

01-041-000-0000-6401
01-041-000-0000-6480

Page 9
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5500-5599 OTHER REVENUES

01-041-000-0000-5992
TOTALS

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5100-5299 FEES AND SERVICE CHARGES

01-041-000-0000-5501
01-041-000-0000-5504
01-041-000-0000-5573
TOTALS

*** W A D E N A C O U N T Y ***

Office Supplies
Small Equipment

2026
Amend
Budget

Selected
Months

Variance

50.00 40.00 6,500.00 6,590.00 -

20.00 0.00
4,200.00 4,220.00 -

30.00 40.00 2,300.00 2,370.00 -

3,000.00 500.00 1,000.00 4,500.00 -

1,240.03 800.00 600.00 2,640.03 -

1,759.97 300.00
400.00 1,859.97 -

% Of
Budget
40
0
65
64
41
160
60
59

300.00 -

4,751.26 -

4,451.26

1584

300.00 -

4,751.26 -

4,451.26

1584

378,023.00
.00
58,110.00
1,493.00
28,352.00
23,591.00
5,517.00

187,789.27
420.00
29,886.67
743.43
14,115.74
11,175.89
2,613.76

190,233.73
420.00 28,223.33
749.57
14,236.26
12,415.11
2,903.24

50
0
51
50
50
47
47

495,086.00

246,744.76

248,341.24

12,000.00
2,000.00
2,000.00
65,000.00
1,000.00
750.00
6,000.00
75,000.00
163,750.00

13,450.75
550.00
0.00
0.00
0.00
34.80
1,861.97
45,385.00
61,282.52

1,450.75 1,450.00
2,000.00
65,000.00
1,000.00
715.20
4,138.03
29,615.00
102,467.48

112
28
0
0
0
5
31
61

5,500.00
3,000.00

5,069.93
0.00

430.07
3,000.00

92
0

Page 45 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
041 Dept
County Auditor/Treasurer
Account Number

*** W A D E N A C O U N T Y ***
Page 10

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Selected
Months

Variance

% Of
Budget

6400-6599 SUPPLIES AND MATERIALS

2026
Amend
Budget
8,500.00

5,069.93

3,430.07

01-041-000-0000-6803
Miscellaneous Expense
TOTALS 6800-6899 OTHER EXPENDITURES

500.00
500.00

0.00
.00

500.00
500.00

0
0

221.29
354,738.79
354,960.08

102
47
46

TOTALS

041 Dept

Description

TOTALS County Auditor/Treasurer

Status

Revenue
Expend.
Net

11,390.00 667,836.00
656,446.00

11,611.29 313,097.21
301,485.92

Page 46 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
061 Dept
Information Technology
Account Number
--- Revenues --01-061-000-0000-5501
TOTALS

01-061-000-0000-6107
01-061-000-0000-6113
01-061-000-0000-6152
01-061-000-0000-6162
01-061-000-0000-6163
01-061-000-0000-6175
01-061-000-0000-6176
TOTALS

TOTALS

Refunds And Reimbursements

Salaries & Wages - Permanent
Salaries & Wages - Overtime
Cell Phone
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

Conference, Training, Registration, Dues
Prof & Tech Services
Machinery Repair And Installation
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements
Other Misc Charges
Physical Security

Office Supplies
Data Processing Supplies
Computer Software Expense
Small Equipment

6400-6599 SUPPLIES AND MATERIALS

01-061-000-0000-6661
TOTALS

Fees For Service

6200-6399 SERVICES AND CHARGES

01-061-000-0000-6401
01-061-000-0000-6402
01-061-000-0000-6409
01-061-000-0000-6480
TOTALS

Status

Description

6100-6199 PERSONAL SERVICES

01-061-000-0000-6241
01-061-000-0000-6260
01-061-000-0000-6311
01-061-000-0000-6330
01-061-000-0000-6334
01-061-000-0000-6340
01-061-000-0000-6369
01-061-000-0000-6398

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --01-061-000-0000-6103

Page 11

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5500-5599 OTHER REVENUES

01-061-000-0000-5992
TOTALS

*** W A D E N A C O U N T Y ***

Computer Hardware

6600-6699 CAPITAL EXPENDITURES

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

14,000.00 -

61.19 -

13,938.81 -

14,000.00 -

61.19 -

13,938.81 -

.00

443.63 -

443.63

.00

443.63 -

443.63

148,244.00
.00
2,520.00
28,812.00
586.00
11,118.00
9,528.00
2,228.00

75,205.90
92.46
80.28
14,406.00
297.69
5,653.40
4,735.96
1,107.59

73,038.10
92.46 2,439.72
14,406.00
288.31
5,464.60
4,792.04
1,120.41

203,036.00

101,579.28

101,456.72

4,000.00
60,000.00
.00
1,000.00
1,000.00
80,000.00
.00
5,000.00

6,658.72
18,288.18
10.91
0.00
301.60
35,980.41
51.27
0.00

2,658.72 41,711.82
10.91 1,000.00
698.40
44,019.59
51.27 5,000.00

166
30
0
0
30
45
0
0

151,000.00

61,291.09

89,708.91

600.00
16,000.00
100,000.00
1,000.00
117,600.00

59.90
0.00
21,609.54
528.93
22,198.37

540.10
16,000.00
78,390.46
471.07
95,401.63

10
0
22
53
19

70,000.00
70,000.00

4,185.56
4,185.56

65,814.44
65,814.44

0
3
50
51
51
50
50

Page 47 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
061 Dept
Information Technology
Account Number
061 Dept

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 12
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Information Technology

Status
Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

14,000.00 541,636.00
527,636.00

504.82 189,254.30
188,749.48

Variance
13,495.18 352,381.70
338,886.52

% Of
Budget
4
35
36

Page 48 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
062 Dept
Central Service/Unallocated
Account Number
--- Revenues --01-062-000-0000-5992
01-062-000-0000-5995
01-062-000-0000-5996
TOTALS

Status

Description

Refunds And Reimbursements
Reimbursement Postage
Reimbursement Xerox

2026
Amend
Budget

Selected
Months

.00
3,500.00 .00
3,500.00 -

80.57 2,756.09 2.50 2,839.16 -

Variance
80.57
743.91 2.50
660.84 -

% Of
Budget
0
79
0
81

1,000.00

420.00

580.00

1,000.00

420.00

580.00

3,500.00
40,000.00
15,000.00
500.00
4,500.00

1,566.00
20,002.74
14,750.00
89.90
1,767.00

1,934.00
19,997.26
250.00
410.10
2,733.00

45
50
98
18
39

63,500.00

38,175.64

25,324.36

Telephone
Postage
Naco,Amc,Ncsc Membership Dues
Travel Expenses - Mileage
Rentals & Service Agreements-Postage

6200-6399 SERVICES AND CHARGES
Copier Supplies

5,000.00

1,974.24

3,025.76

6400-6599 SUPPLIES AND MATERIALS

5,000.00

1,974.24

3,025.76

01-062-000-0000-6803
TOTALS

Percent of Year: 50%

Per Diems

01-062-000-0000-6403
TOTALS

From: 01/2026 Thru: 06/2026

6100-6199 PERSONAL SERVICES

01-062-000-0000-6202
01-062-000-0000-6204
01-062-000-0000-6244
01-062-000-0000-6334
01-062-000-0000-6340
TOTALS

Page 13

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --01-062-000-0000-6111
TOTALS

*** W A D E N A C O U N T Y ***

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

062 Dept

TOTALS Central Service/Unallocated

Revenue
Expend.
Net

1,000.00

481.03

518.97

1,000.00

481.03

518.97

3,500.00 70,500.00
67,000.00

2,839.16 41,050.91
38,211.75

660.84 29,449.09
28,788.25

81
58
57

Page 49 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
063 Dept
Elections
Account Number
--- Revenues --01-063-000-0000-5816
01-063-000-0000-5833
TOTALS

TOTALS

Rent-Voting Machine
Filing Fees

Refunds And Reimbursements

Postage
Advertising, Legal Notices & Subscript
Conference, Training, Registration, Dues
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Computer Support

Office Supplies
Small Equipment

6400-6599 SUPPLIES AND MATERIALS

01-063-000-0000-6660
TOTALS

Status

Description

6200-6399 SERVICES AND CHARGES

01-063-000-0000-6401
01-063-000-0000-6480

Equipment,Machinery & Vehicles-Capital

6600-6699 CAPITAL EXPENDITURES

063 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --01-063-000-0000-6204
01-063-000-0000-6240
01-063-000-0000-6241
01-063-000-0000-6330
01-063-000-0000-6334
01-063-000-0000-6348

Page 14

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

01-063-000-0000-5992
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS Elections

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

500.00 .00
500.00 -

0.00
610.00 610.00 -

Variance

% Of
Budget

500.00 610.00

0
0

110.00

122

5,000.00 -

785.70 -

4,214.30 -

5,000.00 -

785.70 -

4,214.30 -

750.00
2,000.00
500.00
500.00
250.00
20,000.00
24,000.00

0.00
4,279.76
2,897.42
0.00
203.83
0.00
7,381.01

750.00
2,279.76 2,397.42 500.00
46.17
20,000.00
16,618.99

0
214
579
0
82
0

7,500.00
3,000.00
10,500.00

2,491.77
0.00
2,491.77

5,008.23
3,000.00
8,008.23

33
0
24

7,500.00
7,500.00

0.00
.00

7,500.00
7,500.00

4,104.30 32,127.22
28,022.92

25
24
23

5,500.00 42,000.00
36,500.00

1,395.70 9,872.78
8,477.08

Page 50 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
064 Dept
Voter Registration
Account Number

*** W A D E N A C O U N T Y ***
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Expenditures --01-064-000-0000-6401
Office Supplies
TOTALS 6400-6599 SUPPLIES AND MATERIALS
064 Dept

Page 15

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS Voter Registration

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

500.00
500.00

0.00
.00

500.00
500.00

0
0

.00
500.00
500.00

.00
.00

500.00
500.00

0
0
0

Page 51 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
091 Dept
County Attorney
Account Number
--- Revenues --01-091-000-0000-5501
01-091-000-0000-5548
01-091-000-0000-5550
01-091-000-0000-5552
TOTALS

TOTALS

Salaries & Wages
Cell phone stipend
Hra Employer Cont-Co Share
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

Conference, Training, Registration, Dues
Prof & Tech Services
Contingent County Attorney
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements
Process Serving

Office Supplies
Reference Books/Materials

Equipment & Machinery

6600-6699 CAPITAL EXPENDITURES

01-091-000-0000-6803
TOTALS

Fees For Service
Forfeiture Revenue
DWI Assessment Revenue
Municipal Prosecution Contracts

6400-6599 SUPPLIES AND MATERIALS

01-091-000-0000-6660
TOTALS

Status

Description

6200-6399 SERVICES AND CHARGES

01-091-000-0000-6401
01-091-000-0000-6452

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6100-6199 PERSONAL SERVICES

01-091-000-0000-6241
01-091-000-0000-6260
01-091-000-0000-6285
01-091-000-0000-6330
01-091-000-0000-6334
01-091-000-0000-6340
01-091-000-0000-6382

Page 16

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5500-5599 OTHER REVENUES

--- Expenditures --01-091-000-0000-6103
01-091-000-0000-6113
01-091-000-0000-6151
01-091-000-0000-6152
01-091-000-0000-6162
01-091-000-0000-6163
01-091-000-0000-6175
01-091-000-0000-6176
TOTALS

*** W A D E N A C O U N T Y ***

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

2026
Amend
Budget

Selected
Months

Variance

30,000.00 10,000.00 10,000.00 26,400.00 76,400.00 -

6,544.00 785.56 5,044.82 12,500.00 24,874.38 -

23,456.00 9,214.44 4,955.18 13,900.00 51,525.62 -

753,938.00
1,680.00
3,750.00
159,774.00
2,978.00
56,545.00
45,849.00
10,723.00

263,369.67
677.52
1,875.12
45,501.12
1,042.98
19,803.53
15,525.55
3,631.00

490,568.33
1,002.48
1,874.88
114,272.88
1,935.02
36,741.47
30,323.45
7,092.00

35
40
50
28
35
35
34
34

1,035,237.00

351,426.49

683,810.51

5,000.00
25,000.00
7,500.00
2,000.00
2,500.00
4,800.00
5,000.00

4,437.37
4,117.68
0.00
30.23
1,419.55
2,852.76
2,155.55

562.63
20,882.32
7,500.00
1,969.77
1,080.45
1,947.24
2,844.45

89
16
0
2
57
59
43

51,800.00

15,013.14

36,786.86

2,000.00
300.00

438.83
0.00

1,561.17
300.00

22
0

2,300.00

438.83

1,861.17

1,000.00
1,000.00

0.00
.00

1,000.00
1,000.00

6,000.00
6,000.00

140.00
140.00

5,860.00
5,860.00

% Of
Budget
22
8
50
47

Page 52 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
091 Dept
County Attorney
Account Number
091 Dept

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 17
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS County Attorney

Status
Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

76,400.00 1,096,337.00
1,019,937.00

24,874.38 367,018.46
342,144.08

Variance
51,525.62 729,318.54
677,792.92

% Of
Budget
33
33
34

Page 53 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
092 Dept
Court Appointed Attorney
Account Number

*** W A D E N A C O U N T Y ***
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Expenditures --01-092-000-0000-6260
Civil Comm/Child Support Contract
01-092-000-0000-6275
Chips-Attorney Fees
01-092-000-0000-6276
Guardianship Attorney Fee
01-092-000-0000-6294
Special Committment-SDP/SPP
TOTALS 6200-6399 SERVICES AND CHARGES
01-092-000-0000-6803
Miscellaneous Expense
6800-6899 OTHER EXPENDITURES

TOTALS

092 Dept

Page 18

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS Court Appointed Attorney

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

20,000.00
60,000.00
3,000.00
5,000.00
88,000.00

7,500.00
21,500.00
0.00
0.00
29,000.00

12,500.00
38,500.00
3,000.00
5,000.00
59,000.00

38
36
0
0
33

500.00
500.00

0.00
.00

500.00
500.00

.00
88,500.00
88,500.00

29,000.00
29,000.00

59,500.00
59,500.00

0
33
33

Page 54 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
101 Dept
County Recorder
Account Number
--- Expenditures --01-101-000-0000-6103
01-101-000-0000-6152
01-101-000-0000-6162
01-101-000-0000-6163
01-101-000-0000-6175
01-101-000-0000-6176
TOTALS

TOTALS

Office Supplies
Small Equipment

Recorders Compliance Fees

Recorder's Compliance Fund

Land Shark Registration Fee
Land Shark Mo Dept Fee
Land Shark Flat Fee/Levels

5500-5599 OTHER REVENUES

01-101-102-0000-5842
TOTALS

Conference, Training, Registration, Dues
Fees,Dues,Memberships
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements

6800-6899 OTHER EXPENDITURES

--- Revenues --01-101-102-0000-5520
01-101-102-0000-5530
01-101-102-0000-5532
TOTALS

Salaries & Wages - Permanent
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --01-101-101-0000-6824
TOTALS

Status

Description

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --01-101-101-0000-5854

Page 19
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

01-101-000-0000-6401
01-101-000-0000-6480
TOTALS

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6100-6199 PERSONAL SERVICES

01-101-000-0000-6241
01-101-000-0000-6242
01-101-000-0000-6330
01-101-000-0000-6334
01-101-000-0000-6340
TOTALS

*** W A D E N A C O U N T Y ***

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

189,474.00
33,696.00
748.00
14,211.00
12,043.00
2,817.00

92,744.91
16,847.99
366.38
6,955.84
5,584.16
1,306.02

96,729.09
16,848.01
381.62
7,255.16
6,458.84
1,510.98

49
50
49
49
46
46

252,989.00

123,805.30

129,183.70

750.00
575.00
1,000.00
1,100.00
12,800.00

350.00
540.00
378.25
610.16
2,799.91

400.00
35.00
621.75
489.84
10,000.09

47
94
38
55
22

16,225.00

4,678.32

11,546.68

3,200.00
500.00

1,140.22
30.37

2,059.78
469.63

36
6

3,700.00

1,170.59

2,529.41

26,000.00 -

14,234.00 -

11,766.00 -

26,000.00 -

14,234.00 -

11,766.00 -

26,000.00

1,935.00

24,065.00

26,000.00

1,935.00

24,065.00

50.00 10,000.00 18,000.00 28,050.00 -

0.00
5,400.00 11,700.00 17,100.00 -

50.00 4,600.00 6,300.00 10,950.00 -

0
54
65
61

Recorder's Technology Fund

24,000.00 -

12,940.00 -

11,060.00 -

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

24,000.00 -

12,940.00 -

11,060.00 -

--- Expenditures ---

Page 55 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
101 Dept
County Recorder
Account Number
01-101-102-0000-6820
TOTALS

TOTALS

Status

Description
Recorder's Equip/Technolody Fund

Fees For Serv-Fax/Appl Ext/Non-Cert/Sear
Fees-Notary/Well/Gen Abstract/Ucc

Miscellaneous Expense

Fees-Misc Geneology Search
Children's Srch
Death Surcharge
Marr Lic Fee
Photos

5500-5599 OTHER REVENUES

101 Dept

TOTALS County Recorder

2026
Amend
Budget

Revenue
Expend.
Net

Selected
Months

Variance

% Of
Budget

27,000.00

3,887.50

23,112.50

27,000.00

3,887.50

23,112.50

6,000.00 38,000.00 44,000.00 -

5,091.25 19,705.50 24,796.75 -

908.75 18,294.50 19,203.25 -

85
52
56

100.00
100.00

6800-6899 OTHER EXPENDITURES

--- Revenues --01-101-104-0000-5507
01-101-104-0000-5508
01-101-104-0000-5510
01-101-104-0000-5512
01-101-104-0000-5516

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5500-5599 OTHER REVENUES

--- Expenditures --01-101-103-0000-6803

Page 20

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6800-6899 OTHER EXPENDITURES

--- Revenues --01-101-103-0000-5501
01-101-103-0000-5526
TOTALS

*** W A D E N A C O U N T Y ***

0.00
.00

25.00 8,000.00 7,000.00 5,000.00 9,000.00 29,025.00 -

0.00
4,637.00 4,896.00 3,465.00 5,838.00 18,836.00 -

25.00 3,363.00 2,104.00 1,535.00 3,162.00 10,189.00 -

151,075.00 326,014.00
174,939.00

87,906.75 135,476.71
47,569.96

63,168.25 190,537.29
127,369.04

58
42
27

0
58
70
69
65

Page 56 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
102 Dept
County Assessor
Account Number
--- Revenues --01-102-000-0000-5992
TOTALS

TOTALS

Refunds And Reimbursements

Salaries & Wages - Permanent
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

Advertising, Legal Notices & Subscript
Conference, Training, Registration, Dues
Prof & Tech Services
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements

Office Supplies
Computer Software Expense
Notices-Assr
Reference Books & Materials
Small Equipment
Automotive Repairs
Gas

6400-6599 SUPPLIES AND MATERIALS

01-102-000-0000-6803
TOTALS

Status

Description

6200-6399 SERVICES AND CHARGES

01-102-000-0000-6401
01-102-000-0000-6409
01-102-000-0000-6418
01-102-000-0000-6452
01-102-000-0000-6480
01-102-000-0000-6560
01-102-000-0000-6566

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

102 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6100-6199 PERSONAL SERVICES

01-102-000-0000-6240
01-102-000-0000-6241
01-102-000-0000-6260
01-102-000-0000-6330
01-102-000-0000-6334
01-102-000-0000-6340

Page 21

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --01-102-000-0000-6103
01-102-000-0000-6152
01-102-000-0000-6162
01-102-000-0000-6163
01-102-000-0000-6175
01-102-000-0000-6176
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS County Assessor

2026
Amend
Budget

Variance

% Of
Budget

.00

585.32 -

585.32

.00

585.32 -

585.32

345,235.00
97,656.00
1,364.00
25,893.00
21,268.00
4,974.00

157,437.08
34,286.00
618.07
11,736.38
9,331.44
2,182.39

187,797.92
63,370.00
745.93
14,156.62
11,936.56
2,791.61

46
35
45
45
44
44

496,390.00

215,591.36

280,798.64

1,500.00
4,500.00
2,500.00
6,500.00
4,000.00
9,000.00

218.38
2,809.74
0.00
1,452.61
957.51
3,359.08

1,281.62
1,690.26
2,500.00
5,047.39
3,042.49
5,640.92

15
62
0
22
24
37

28,000.00

8,797.32

19,202.68

2,000.00
1,800.00
2,400.00
500.00
1,800.00
3,200.00
3,000.00

508.16
0.00
2,523.87
0.00
376.88
789.75
495.54

1,491.84
1,800.00
123.87 500.00
1,423.12
2,410.25
2,504.46

25
0
105
0
21
25
17

14,700.00

4,694.20

10,005.80

400.00

0.00
.00

400.00

585.32
310,407.12
310,992.44

0
42
42

400.00
Revenue
Expend.
Net

Selected
Months

.00
539,490.00
539,490.00

585.32 229,082.88
228,497.56

Page 57 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
103 Dept
Planning And Zoning
Account Number
--- Revenues --01-103-000-0000-5114
TOTALS

TOTALS

Individual Sewage Treatment System
Shoreland
Septic Inventory

Low Income

Fees For Service - Plat Book Production
Passports

Reserve/Rollover-Transfers

Salaries & Wages - Permanent
Per Diems
Hra Employer Cont-Co Share
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

6100-6199 PERSONAL SERVICES

01-103-000-0000-6204
01-103-000-0000-6240
01-103-000-0000-6241
01-103-000-0000-6264
01-103-000-0000-6330
01-103-000-0000-6334
01-103-000-0000-6340

From: 01/2026 Thru: 06/2026

2026
Amend
Budget

Selected
Months

25,000.00 25,000.00 -

16,900.00 16,900.00 -

8,100.00 8,100.00 -

21,200.00 3,084.00 5,000.00 29,284.00 -

21,200.00 3,084.00 0.00
24,284.00 -

0.00
0.00
5,000.00 5,000.00 -

27,633.00 27,633.00 -

27,633.00
27,633.00

89.00 9,555.00 9,644.00 -

211.00 4,445.00 4,656.00 -

5,000.00 5,000.00 -

5,000.00
5,000.00

.00
.00

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --01-103-000-0000-6103
01-103-000-0000-6111
01-103-000-0000-6151
01-103-000-0000-6152
01-103-000-0000-6162
01-103-000-0000-6163
01-103-000-0000-6175
01-103-000-0000-6176
TOTALS

Zoning Permits

5500-5599 OTHER REVENUES

01-103-000-0000-5848
TOTALS

Status

Description

5400-5499 LICENSES AND PERMITS

01-103-000-0000-5501
01-103-000-0000-5514

Page 22
Percent of Year: 50%

5300-5399 FINES AND FORFEITURES

01-103-000-0000-5440
TOTALS

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5100-5299 FEES AND SERVICE CHARGES

01-103-000-0000-5339
01-103-000-0000-5340
01-103-000-0000-5344
TOTALS

*** W A D E N A C O U N T Y ***

Postage
Advertising, Legal Notices & Subscript
Conference, Training, Registration, Dues
Recording Conditional Use Permits
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements

300.00 14,000.00 14,300.00 .00
.00

Variance

% Of
Budget
68
68
100
100
0
83
0
0
30
68

158,414.00
3,600.00
2,500.00
17,480.00
656.00
11,881.00
9,502.00
2,222.00
206,255.00

78,376.07
2,820.00
1,250.04
21,724.08
309.55
5,878.20
4,509.74
1,054.70
115,922.38

80,037.93
780.00
1,249.96
4,244.08 346.45
6,002.80
4,992.26
1,167.30
90,332.62

49
78
50
124
47
49
47
47

3,600.00
1,500.00
600.00
300.00
300.00
1,000.00
3,355.00

1,300.54
888.05
205.00
276.00
0.00
885.71
1,466.88

2,299.46
611.95
395.00
24.00
300.00
114.29
1,888.12

36
59
34
92
0
89
44

Page 58 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
103 Dept
Planning And Zoning
Account Number

*** W A D E N A C O U N T Y ***
Page 23

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

01-103-000-0000-6356
Reserve/Roll Over Expenses
TOTALS 6200-6399 SERVICES AND CHARGES

.00

149,806.34 -

149,806.34

10,655.00

144,784.16 -

155,439.16

0
-1359

01-103-000-0000-6401
Office Supplies
01-103-000-0000-6560
Automotive Repairs
01-103-000-0000-6566
Gas
TOTALS 6400-6599 SUPPLIES AND MATERIALS

1,000.00
1,500.00
1,000.00
3,500.00

256.17
0.00
369.11
625.28

743.83
1,500.00
630.89
2,874.72

26
0
37
18

.00
.00

0.17
.17

0.17 .17 -

14,877.00
248,646.33
263,523.33

122
-13
-74

01-103-000-0000-6803
TOTALS

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

103 Dept

TOTALS Planning And Zoning

Revenue
Expend.
Net

68,584.00 220,410.00
151,826.00

83,461.00 28,236.33 111,697.33 -

Page 59 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
104 Dept
Gis And Gps
Account Number
--- Revenues --01-104-000-0000-5217
TOTALS

TOTALS

Fees For Service

Reimb Signs And House #'s

Salaries & Wages - Permanent
Hra Employer Cont-Co Share
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share

Conference, Training, Registration, Dues
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Computer Support

6200-6399 SERVICES AND CHARGES

01-104-000-0000-6401
TOTALS

Riparian Protection Aid

6100-6199 PERSONAL SERVICES

01-104-000-0000-6241
01-104-000-0000-6330
01-104-000-0000-6334
01-104-000-0000-6348
TOTALS

Status

Description

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --01-104-000-0000-6103
01-104-000-0000-6151
01-104-000-0000-6152
01-104-000-0000-6162
01-104-000-0000-6163
01-104-000-0000-6175
01-104-000-0000-6176

Office Supplies

6400-6599 SUPPLIES AND MATERIALS

104 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5500-5599 OTHER REVENUES

01-104-000-0000-5811
TOTALS

Page 24

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5100-5299 FEES AND SERVICE CHARGES

01-104-000-0000-5501
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS Gis And Gps

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

20,000.00 -

10,000.00 -

20,000.00 -

10,000.00 -

2,500.00 -

1,260.88 -

1,239.12 -

2,500.00 -

1,260.88 -

1,239.12 -

1,000.00 -

0.00

1,000.00 -

.00

1,000.00 -

78,707.00
1,250.00
10,618.00
311.00
5,903.00
4,866.00
1,138.00

39,193.44
625.08
5,309.04
154.84
2,939.51
2,459.96
575.33

39,513.56
624.92
5,308.96
156.16
2,963.49
2,406.04
562.67

50
50
50
50
50
51
51

102,793.00

51,257.20

51,535.80

700.00
500.00
300.00
16,000.00

0.00
0.00
20.30
14,360.85

700.00
500.00
279.70
1,639.15

0
0
7
90

17,500.00

14,381.15

3,118.85

1,200.00

901.65

298.35

1,200.00

901.65

298.35

23,500.00 121,493.00
97,993.00

11,260.88 66,540.00
55,279.12

12,239.12 54,953.00
42,713.88

48
55
56

Page 60 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
111 Dept
Building And Grounds
Account Number

*** W A D E N A C O U N T Y ***
Page 25

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

2026
Amend
Budget

Selected
Months

Variance

--- Revenues --01-111-000-0000-5501
Fees For Service
TOTALS 5500-5599 OTHER REVENUES

24,600.00 24,600.00 -

13,100.00 13,100.00 -

11,500.00 11,500.00 -

53
53

--- Expenditures --01-111-000-0000-6103
Salaries & Wages - Permanent
01-111-000-0000-6113
Cellphone stipend
01-111-000-0000-6151
Hra Employer Cont-Co Share
01-111-000-0000-6152
Wages-Cafeteria
01-111-000-0000-6162
Paid Family Medical Leave
01-111-000-0000-6163
Pera - County Share
01-111-000-0000-6175
Fica - County Share
01-111-000-0000-6176
Medicare - County Share
01-111-000-0000-6182
Uniform Allowance
TOTALS 6100-6199 PERSONAL SERVICES

191,587.00
1,780.00
2,500.00
66,220.00
756.00
14,369.00
11,399.00
2,666.00
1,000.00
292,277.00

81,816.98
548.00
1,250.04
25,210.78
323.52
6,089.85
4,776.65
1,117.14
545.30
121,678.26

109,770.02
1,232.00
1,249.96
41,009.22
432.48
8,279.15
6,622.35
1,548.86
454.70
170,598.74

43
31
50
38
43
42
42
42
55
42

115,000.00
25,000.00
4,600.00
10,000.00
.00
2,600.00
27,900.00
185,100.00

44,200.98
12,852.69
2,021.08
7,746.67
545.00
1,646.67
0.00
69,013.09

70,799.02
12,147.31
2,578.92
2,253.33
545.00 953.33
27,900.00
116,086.91

38
51
44
77
0
63
0
37

01-111-000-0000-6410
Custodial/Building Supplies
01-111-000-0000-6414
Fire Alarm Maint.
01-111-000-0000-6415
Natural Gas-Workforce
01-111-000-0000-6420
Natural Gas-Annex
01-111-000-0000-6480
Small Equipment
01-111-000-0000-6560
Automotive & Equipment Repair
01-111-000-0000-6566
Gas
TOTALS 6400-6599 SUPPLIES AND MATERIALS

23,000.00
2,300.00
7,500.00
14,000.00
1,000.00
5,000.00
2,500.00
55,300.00

5,714.97
757.00
3,655.33
10,067.68
0.00
2,650.06
1,468.49
24,313.53

17,285.03
1,543.00
3,844.67
3,932.32
1,000.00
2,349.94
1,031.51
30,986.47

25
33
49
72
0
53
59
44

01-111-000-0000-6660
Equipment & Machinery
TOTALS 6600-6699 CAPITAL EXPENDITURES

4,000.00
4,000.00

0.00
.00

4,000.00
4,000.00

0
0

01-111-000-0000-6250
01-111-000-0000-6251
01-111-000-0000-6254
01-111-000-0000-6302
01-111-000-0000-6314
01-111-000-0000-6341
01-111-000-0000-6342
TOTALS

Description

Status

Electricity, Sewer And Water
Elec,Sew,Water-Wrkfrce
Refuse Removal
Building Repair
Cleaning Services
Maint. Agreement Elevator
Maint Agreement Air Conditioner

6200-6399 SERVICES AND CHARGES

% Of
Budget

Page 61 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
111 Dept
Building And Grounds
Account Number
111 Dept

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 26
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Building And Grounds

Status
Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

24,600.00 536,677.00
512,077.00

13,100.00 215,004.88
201,904.88

Variance
11,500.00 321,672.12
310,172.12

% Of
Budget
53
40
39

Page 62 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

01 Fund
General Revenue Fund
112 Dept
County Buildings/Repair And Maintence
Account Number
Description

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Status

--- Expenditures --01-112-000-0000-6302
Building Repair And Maintenance
TOTALS 6200-6399 SERVICES AND CHARGES
112 Dept

Page 27

TOTALS County Buildings/Repair And
Maintence

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

.00
.00

2,860.27
2,860.27

2,860.27 2,860.27 -

0
0

.00
.00
.00

2,860.27
2,860.27

2,860.27 2,860.27 -

0
0
0

% Of
Budget

Page 63 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

01 Fund
General Revenue Fund
115 Dept
Non Levy-Building & Equipment Fund
Account Number
Description

TOTALS

Status

Building Repair And Maintenance
Electricity, Sewer And Water

6200-6399 SERVICES AND CHARGES

115 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --01-115-000-0000-5812
Building Rents
TOTALS 5800-5899 HUMAN SERVICE INTERGOVERNMENTAL
--- Expenditures --01-115-000-0000-6302
01-115-116-0000-6250

Page 28

TOTALS Non Levy-Building & Equipment
Fund

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

50,000.00 50,000.00 -

26,374.68 26,374.68 -

23,625.32 23,625.32 -

53
53

25,000.00
.00
25,000.00

78,760.16
5,431.53
84,191.69

53,760.16 5,431.53 59,191.69 -

315
0
337

50,000.00 25,000.00
25,000.00 -

26,374.68 84,191.69
57,817.01

23,625.32 59,191.69 82,817.01 -

53
337
-231

% Of
Budget

Page 64 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
121 Dept
Veteran Services
Account Number
--- Revenues --01-121-000-0000-5301
TOTALS

TOTALS

Status

Description

State Grants - Co Vet Serv

Salaries & Wages - Permanent
Cellphone Stipend
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

Conference, Training, Registration, Dues
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Computer Grant Expense
Computer Support

6200-6399 SERVICES AND CHARGES

01-121-000-0000-6401
TOTALS

Office Supplies

6400-6599 SUPPLIES AND MATERIALS

121 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6100-6199 PERSONAL SERVICES

01-121-000-0000-6241
01-121-000-0000-6330
01-121-000-0000-6334
01-121-000-0000-6344
01-121-000-0000-6348

Page 29

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5300-5399 FINES AND FORFEITURES

--- Expenditures --01-121-000-0000-6103
01-121-000-0000-6113
01-121-000-0000-6152
01-121-000-0000-6162
01-121-000-0000-6163
01-121-000-0000-6175
01-121-000-0000-6176
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS Veteran Services

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

7,500.00 -

0.00

7,500.00 -

.00

7,500.00 -

63,752.00
840.00
60.00
252.00
4,779.00
3,955.00
925.00
74,563.00

31,449.12
420.00
30.24
125.90
2,390.23
1,975.89
462.10
36,853.48

32,302.88
420.00
29.76
126.10
2,388.77
1,979.11
462.90
37,709.52

49
50
50
50
50
50
50

1,700.00
700.00
1,000.00
7,500.00
500.00
11,400.00

1,105.96
235.74
386.57
1,052.55
0.00
2,780.82

594.04
464.26
613.43
6,447.45
500.00
8,619.18

800.00
800.00

0.00
.00

800.00
800.00

.00
39,634.30
39,634.30

7,500.00 47,128.70
39,628.70

0
46
50

7,500.00 86,763.00
79,263.00

Variance

% Of
Budget

49
65
34
39
14
0

Page 65 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
201 Dept
County Sheriff
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Revenues --01-201-000-0000-5992
Refunds And Reimbursements
TOTALS 5900-5999 OTHER FINANCING REVENUE SERVICES
201 Dept

Page 30

TOTALS County Sheriff

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00
.00

3,056.00 3,056.00 -

3,056.00
3,056.00

0
0

.00
.00
.00

3,056.00 -

3,056.00

3,056.00 -

3,056.00

0
0
0

Page 66 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
207 Dept
House #'s And Signs
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Revenues --01-207-000-0000-5811
Reimb Signs And House #'s
TOTALS 5800-5899 HUMAN SERVICE INTERGOVERNMENTAL
207 Dept

Page 31

TOTALS House #'s And Signs

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00
.00

3,400.00 3,400.00 -

3,400.00
3,400.00

0
0

.00
.00
.00

3,400.00 -

3,400.00

3,400.00 -

3,400.00

0
0
0

Page 67 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
252 Dept
Corrections
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Expenditures --01-252-000-0000-6808
Wadena Co Share Corrections
TOTALS 6800-6899 OTHER EXPENDITURES
252 Dept

Page 32

TOTALS Corrections

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

692,889.00
692,889.00

346,444.50
346,444.50

50
50

.00
692,889.00
692,889.00

346,444.50
346,444.50

0
50
50

Page 68 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
521 Dept
County Parks
Account Number
--- Revenues --01-521-000-0000-5120
TOTALS

Status

Description

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

22,000.00 -

7,928.00 -

14,072.00 -

7,928.00 -

14,072.00 -

27,133.00
500.00
5,934.00
107.00
2,035.00
1,758.00
411.00

10,422.49
240.00
2,472.50
41.16
781.69
660.01
154.36

16,710.51
260.00
3,461.50
65.84
1,253.31
1,097.99
256.64

38
48
42
38
38
38
38

37,878.00

14,772.21

23,105.79

100.00
3,000.00
2,000.00
1,000.00
200.00
.00
1,700.00

34.66
185.88
0.00
241.42
126.63
1,237.02
2,526.00

65.34
2,814.12
2,000.00
758.58
73.37
1,237.02 826.00 -

35
6
0
24
63
0
149

8,000.00

4,351.61

3,648.39

6,000.00
500.00
3,000.00
1,800.00
3,200.00

1,482.06
7.99
1,950.00
62.13
1,293.41

4,517.94
492.01
1,050.00
1,737.87
1,906.59

25
2
65
3
40

14,500.00

4,795.59

9,704.41

Salaries & Wages - Permanent
Per Diems
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

6100-6199 PERSONAL SERVICES
Advertising,Legal Notices & Subscript
Refuse Removal
Well Repair/Toilets And Pits
Equipment Repair And Maint.
Travel Expenses - Mileage
Reserve/Roll Over Expenses
Other Misc Charges(Lic Fees)

6200-6399 SERVICES AND CHARGES
Recreational Supplies
Small Equipment
Road Maintenance (Campground)
Automotive Repairs
Gas

6400-6599 SUPPLIES AND MATERIALS

01-521-000-0000-6803
TOTALS

Percent of Year: 50%

22,000.00 -

01-521-000-0000-6451
01-521-000-0000-6480
01-521-000-0000-6518
01-521-000-0000-6560
01-521-000-0000-6566
TOTALS

From: 01/2026 Thru: 06/2026

Camping Permits

01-521-000-0000-6240
01-521-000-0000-6254
01-521-000-0000-6304
01-521-000-0000-6310
01-521-000-0000-6334
01-521-000-0000-6356
01-521-000-0000-6369
TOTALS

Page 33

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5100-5299 FEES AND SERVICE CHARGES

--- Expenditures --01-521-000-0000-6103
01-521-000-0000-6111
01-521-000-0000-6152
01-521-000-0000-6162
01-521-000-0000-6163
01-521-000-0000-6175
01-521-000-0000-6176
TOTALS

*** W A D E N A C O U N T Y ***

Misc Expense(Sales Tax-Camping)

6800-6899 OTHER EXPENDITURES

521 Dept

TOTALS County Parks

Revenue
Expend.
Net

1,500.00

352.69

1,147.31

1,500.00

352.69

1,147.31

22,000.00 61,878.00
39,878.00

7,928.00 24,272.10
16,344.10

14,072.00 37,605.90
23,533.90

36
39
41

Page 69 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
602 Dept
County Extension
Account Number
--- Revenues --01-602-000-0000-5843
TOTALS

TOTALS

Status

Description

Private Pesticide Manuals

Salaries & Wages - Permanent
Salaries & Wages - Part Time
Salaries & Wages - Other(4-H Coord)
Per Diems
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

Postage
Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

01-602-000-0000-6401
01-602-000-0000-6410
01-602-000-0000-6480

Office Supplies
Custodial/Building Supplies
Small Equipment

6400-6599 SUPPLIES AND MATERIALS

602 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6100-6199 PERSONAL SERVICES

01-602-000-0000-6204
01-602-000-0000-6334

Page 34

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --01-602-000-0000-6103
01-602-000-0000-6105
01-602-000-0000-6109
01-602-000-0000-6111
01-602-000-0000-6152
01-602-000-0000-6162
01-602-000-0000-6163
01-602-000-0000-6175
01-602-000-0000-6176
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS County Extension

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00

30.00 -

30.00

.00

30.00 -

30.00

30,821.00
.00
103,000.00
1,000.00
13,014.00
122.00
2,312.00
1,766.00
413.00
152,448.00

13,819.84
3,441.24 25,750.00
240.00
5,675.33
54.60
1,036.49
772.96
180.77
44,088.75

17,001.16
3,441.24
77,250.00
760.00
7,338.67
67.40
1,275.51
993.04
232.23
108,359.25

45
0
25
24
44
45
45
44
44

1,500.00
200.00
1,700.00

868.62
72.50
941.12

631.38
127.50
758.88

2,400.00
.00
2,200.00
4,600.00

1,008.67
147.25
0.00
1,155.92

1,391.33
147.25 2,200.00
3,444.08

.00
158,748.00
158,748.00

30.00 46,185.79
46,155.79

30.00
112,562.21
112,592.21

0
29
29

29
58
36
55
42
0
0

Page 70 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
701 Dept
Economic Development
Account Number

*** W A D E N A C O U N T Y ***
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Expenditures --01-701-000-0000-6260
Prof & Tech Services
TOTALS 6200-6399 SERVICES AND CHARGES
701 Dept

Page 35

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS Economic Development

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

30,000.00
30,000.00

0.00
.00

30,000.00
30,000.00

0
0

.00
30,000.00
30,000.00

.00
.00

30,000.00
30,000.00

0
0
0

Page 71 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
801 Dept
Non-Departmental
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Description

Status

01-801-000-0000-5215
Aquatic Invasive Species Aid
01-801-000-0000-5216
Mh Mv/Ag Market Value Credits
01-801-000-0000-5217
Riparian Protection Aid
01-801-000-0000-5218
County Program Aid
01-801-000-0000-5234
Disparity Reduction Aid
01-801-000-0000-5270
Payments in Liew of Taxes - Fair Oaks
01-801-000-0000-5271
In Lieu Of Tax Commercial Apt
01-801-000-0000-5272
Payments In Lieu Of Taxes-Dnr
01-801-000-0000-5273
Payments In Lieu Of Taxes-Hump
TOTALS 5100-5299 FEES AND SERVICE CHARGES

TOTALS

State Grants - Trailbreaker
A-87 Refugee & Entrant 93.566
Feed Lot
Water Conservation Act
Local Water Management

5300-5399 FINES AND FORFEITURES

01-801-000-0000-5405
01-801-000-0000-5413
01-801-000-0000-5415
01-801-000-0000-5416
01-801-000-0000-5417

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --01-801-000-0000-5001
Property Taxes-Current
01-801-000-0000-5003
Light And Power Tax
01-801-000-0000-5004
Property Taxes -Delinquent
01-801-000-0000-5005
Penalties And Interest
01-801-000-0000-5007
Mobile Homes-Current
01-801-000-0000-5011
Mineral Tax Current
01-801-000-0000-5013
Mortgage Registry Tax
01-801-000-0000-5014
County Deed Tax
01-801-000-0000-5015
Sales Tax
TOTALS 5000-5099 PROPERTY TAXES AND PENALTIES

01-801-000-0000-5301
01-801-000-0000-5329
01-801-000-0000-5338
01-801-000-0000-5341
01-801-000-0000-5342

Page 36

Iveincomeadmine Foster Care Title 93.658
A-87 Child Support 93563
A-87 State Admin Match10561
A-98 Medical asst 93778
A-87 93558

2026
Amend
Budget

Selected
Months

4,719,952.00 22,000.00 110,000.00 22,000.00 2,500.00 1,000.00 3,000.00 6,000.00 100.00 4,886,552.00 -

2,696,342.43 66,406.48 99,241.28 6,200.17 468.33 0.00
3,484.66 4,090.79 8.84 2,876,242.98 -

Variance
2,023,609.57 44,406.48
10,758.72 15,799.83 2,031.67 1,000.00 484.66
1,909.21 91.16 2,010,309.02 -

57
302
90
28
19
0
116
68
9
59

35,000.00 100,000.00 25,000.00 246,260.00 32,000.00 2,500.00 1,000.00 125,000.00 3,200.00 569,960.00 -

0.00
3,695.16 7,275.86 -

54.82
25.88
125,000.00 495.16
562,684.14 -

70,000.00 .00
10,000.00 27,179.00 21,010.00 128,189.00 -

34,713.80 20.00 8,883.87 19,909.00 15,390.00 78,916.67 -

35,286.20 20.00
1,116.13 7,270.00 5,620.00 49,272.33 -

5,000.00 20,000.00 20,000.00 .00
50,000.00 -

2,482.00 4,713.00 11,114.00 20,615.00 2,023.00 -

2,518.00 15,287.00 8,886.00 20,615.00
47,977.00 -

50
24
56
0
4

0.00
0.00
0.00
0.00
0.00
2,554.82 1,025.88 -

35,000.00 100,000.00 25,000.00 246,260.00 32,000.00 -

% Of
Budget

0
0
0
0
0
102
103
0
115
1
50
0
89
73
73

Page 72 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
801 Dept
Non-Departmental
Account Number
TOTALS

TOTALS

Timber Sales
Wadena County Property Sales
Refunds And Reimbursements

Workers Comp, Liability & Other Co Ins

2026
Amend
Budget

Selected
Months

Variance

95,000.00 -

40,947.00 -

54,053.00 -

% Of
Budget
43

50.00 -

0.00

50.00 -

.00

50.00 -

400,000.00 -

199,353.46 -

200,646.54 -

400,000.00 -

199,353.46 -

200,646.54 -

.00
50.00 7,000.00 200.00 7,250.00 -

3,950.00 0.00
5,024.23 48.00 9,022.23 -

3,950.00
50.00 1,975.77 152.00 -

0
0
72
24

1,772.23

124

10,000.00 .00
5,000.00 15,000.00 -

0.00
201,000.00 24,991.26 225,991.26 -

10,000.00 201,000.00
19,991.26

0
0
500

210,991.26

1507

102,224.00

96,671.00

5,553.00

102,224.00

96,671.00

5,553.00

Prof Services

35,000.00

665.00

34,335.00

6200-6399 SERVICES AND CHARGES

35,000.00

665.00

34,335.00

5,000.00
.00
4,500.00
7,000.00

13,527.27 10.95
4,183.00
8,106.64
1,226.68 -

18,527.27
10.95 317.00
1,106.64 -

-271
0
93
116

17,726.68

-7

63,116.00
0.00
73,959.00
60,200.00
0.00
0.00

6,884.00
60,000.00
73,959.00
22,500.00 15,000.00
1,000.00

90
0
50
160
0
0

01-801-000-0000-6803
01-801-000-0000-6804
01-801-000-0000-6811
01-801-000-0000-6812
TOTALS

Building Rents
Royalties
Misc Other Revenues
Sales Of Platbooks

6100-6199 PERSONAL SERVICES

01-801-000-0000-6260
TOTALS

Interest Income

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --01-801-000-0000-6179
TOTALS

Dangerous Dog Fee

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

01-801-000-0000-5922
01-801-000-0000-5971
01-801-000-0000-5992
TOTALS

Status

Description

5700-5799 INTERGOVERNMENTAL REVENUE

01-801-000-0000-5812
01-801-000-0000-5817
01-801-000-0000-5832
01-801-000-0000-5834

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5500-5599 OTHER REVENUES

01-801-000-0000-5711
TOTALS

Page 37

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5400-5499 LICENSES AND PERMITS

01-801-000-0000-5528
TOTALS

*** W A D E N A C O U N T Y ***

Miscellaneous Expense
Refunds And Reimbursements
Solid Waste Assessment
Special Assessment

6800-6899 OTHER EXPENDITURES

01-801-000-0000-6906
01-801-000-0000-6908
01-801-000-0000-6913
01-801-000-0000-6914
01-801-000-0000-6915
01-801-000-0000-6916

16,500.00

Transfer Of Snowmobile Grant To Trlbrks
Misc Pass Thru
Appropration-Kitchigami Library
Appropriation-Soil & Water
Appropriation-Agr Society
Allocation - Sebeka Historical Society

70,000.00
60,000.00
147,918.00
37,700.00
15,000.00
1,000.00

Page 73 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
801 Dept
Non-Departmental
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

01-801-000-0000-6917
Agriculture Inspector
01-801-000-0000-6918
Appropriation-Humane Society
01-801-000-0000-6919
Appropriation-Initiative Fund
01-801-000-0000-6921
Appropriation-County Historical Society
01-801-000-0000-6922
Appropriation-Whelp(Old Wadena)
01-801-000-0000-6924
Appropriation-Council On Aging
01-801-000-0000-6925
Appropriation-Menahga Historical Museum
01-801-000-0000-6926
Appropriation-Feedlot Manager Match
01-801-000-0000-6927
Appropriation-Water Conservation Act Mat
01-801-000-0000-6958
Feedlot
01-801-000-0000-6961
Water Conservation Act
01-801-000-0000-6962
Local Water Management
TOTALS 6900-6999 TRANSFERS
801 Dept

Page 38

TOTALS Non-Departmental

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

15,000.00
5,800.00
2,560.00
24,000.00
2,000.00
1,879.00
3,000.00
7,600.00
19,900.00
7,600.00
19,900.00
22,500.00
463,357.00

15,000.00
0.00
0.00
12,000.00
0.00
1,879.00
0.00
7,600.00
19,900.00
0.00
19,909.00
15,390.00
288,953.00

0.00
5,800.00
2,560.00
12,000.00
2,000.00
0.00
3,000.00
0.00
0.00
7,600.00
9.00 7,110.00
174,404.00

100
0
0
50
0
100
0
100
100
0
100
68
62

6,102,001.00 617,081.00
5,484,920.00 -

3,437,749.46 385,062.32
3,052,687.14 -

2,664,251.54 232,018.68
2,432,232.86 -

56
62
56

Variance

% Of
Budget

Page 74 of 234

IFSHWY
07/14/2026 9:15AM

01 Fund
General Revenue Fund
801 Dept
Non-Departmental
Account Number

01 Fund

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 39
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS General Revenue Fund

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

6,578,050.00 6,853,050.00
275,000.00

3,723,427.44 3,199,198.65
524,228.79 -

Variance

% Of
Budget

2,854,622.56 3,653,851.35
799,228.79

57
47
-191

Page 75 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

03 Fund
Building Fund
114 Dept
Wadena County Building Fund
Account Number
Description

Page 40
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

--- Revenues --03-114-000-0000-5270
In Lieu of Taxes - Fair Oaks Apts
03-114-000-0000-5271
In Lieu Of Tax Commercial Apt
03-114-000-0000-5273
Payments In Lieu Of Taxes-Hump
TOTALS 5100-5299 FEES AND SERVICE CHARGES

.00
.00
.00
.00

67.74 27.20 97.97 192.91 -

67.74
27.20
97.97
192.91

0
0
0
0

--- Expenditures --03-114-000-0000-6611
Building Improvements
TOTALS 6600-6699 CAPITAL EXPENDITURES

.00
.00

265.00
265.00

265.00 265.00 -

.00
.00
.00

192.91 265.00
72.09

192.91
265.00 72.09 -

0
0
0

114 Dept

Status

TOTALS Wadena County Building Fund

Revenue
Expend.
Net

Page 76 of 234

IFSHWY
07/14/2026 9:15AM

03 Fund
Building Fund
801 Dept
Non-Departmental
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Revenues --03-801-000-0000-5001
Property Taxes-Current
03-801-000-0000-5004
Property Taxes -Delinquent
03-801-000-0000-5007
Mobile Homes-Current
03-801-000-0000-5011
Mineral Tax Current
TOTALS 5000-5099 PROPERTY TAXES AND PENALTIES
801 Dept

Page 41

TOTALS Non-Departmental

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

125,000.00 .00
.00
.00
125,000.00 -

71,549.18 1,957.81 8.96 5.85 73,521.80 -

53,450.82 1,957.81
8.96
5.85
51,478.20 -

57
0
0
0
59

125,000.00 .00
125,000.00 -

73,521.80 -

51,478.20 -

73,521.80 -

51,478.20 -

59
0
59

% Of
Budget

Page 77 of 234

IFSHWY
07/14/2026 9:15AM

03 Fund
Building Fund
801 Dept
Non-Departmental
Account Number

03 Fund

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 42
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Building Fund

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

125,000.00 .00
125,000.00 -

73,714.71 265.00
73,449.71 -

51,285.29 265.00 51,550.29 -

% Of
Budget
59
0
59

Page 78 of 234

IFSHWY
07/14/2026 9:15AM

08 Fund
Forfeit Land Fund
831 Dept
Forfeited Land
Account Number

*** W A D E N A C O U N T Y ***

TOTALS

Description

Status

Office Supplies

TOTALS Forfeited Land

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00
.00

106,823.55 106,823.55 -

106,823.55
106,823.55

0
0

10.00 10.00 -

106,823.55
10.00 106,813.55

0
0
0

.00
.00

6400-6599 SUPPLIES AND MATERIALS

831 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --08-831-000-0000-5813
Land Rent
TOTALS 5800-5899 HUMAN SERVICE INTERGOVERNMENTAL
--- Expenditures --08-831-901-0000-6401

Page 43

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Revenue
Expend.
Net

.00
.00
.00

10.00
10.00
106,823.55 10.00
106,813.55 -

Page 79 of 234

IFSHWY
07/14/2026 9:15AM

08 Fund
Forfeit Land Fund
831 Dept
Forfeited Land
Account Number

08 Fund

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 44
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Forfeit Land Fund

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

.00
.00
.00

106,823.55 10.00
106,813.55 -

Variance
106,823.55
10.00 106,813.55

% Of
Budget
0
0
0

Page 80 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 45
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

--- Revenues --09-481-000-0000-5270
In Lieu of Taxes - Fair Oaks Apts
09-481-000-0000-5271
In Lieu Of Tax Commercial Apt
09-481-000-0000-5273
Payments In Lieu Of Taxes-Hump
TOTALS 5100-5299 FEES AND SERVICE CHARGES

.00
.00
.00
.00

54.24 21.78 78.45 154.47 -

54.24
21.78
78.45
154.47

0
0
0
0

09-481-000-0000-5992
Refunds And Reimbursements
TOTALS 5900-5999 OTHER FINANCING REVENUE SERVICES

.00
.00

2,586.68 2,586.68 -

2,586.68
2,586.68

0
0

--- Expenditures --09-481-000-0000-6103
Salaries & Wages - Permanent
09-481-000-0000-6152
Wages-Cafeteria
09-481-000-0000-6162
Paid Family Medical Leave
09-481-000-0000-6163
Pera - County Share
09-481-000-0000-6175
Fica - County Share
09-481-000-0000-6176
Medicare - County Share
09-481-000-0000-6177
Unemployment
09-481-000-0000-6179
Workers Comp,Liability, & Other Co Ins
TOTALS 6100-6199 PERSONAL SERVICES
--- Revenues --09-481-450-4100-5411
TOTALS

--- Expenditures --09-481-450-4100-6231
09-481-450-4100-6334
09-481-450-4100-6340
TOTALS

Medical Supplies

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-450-4130-5539
09-481-450-4130-5580
TOTALS

Copies
Travel Expenses - Mileage
Rentals & Service Agreements

6200-6399 SERVICES AND CHARGES

09-481-450-4100-6430
TOTALS

WIC

5400-5499 LICENSES AND PERMITS

School Contracts - ECS
Medicaid - ECS

5500-5599 OTHER REVENUES

734,146.00
128,710.00
2,900.00
55,061.00
45,058.00
10,538.00
.00
16,709.00
993,122.00

323,534.57
57,736.04
1,240.04
23,348.20
17,883.10
4,182.39
610.14
16,076.00
444,610.48

410,611.43
70,973.96
1,659.96
31,712.80
27,174.90
6,355.61
610.14 633.00
548,511.52

44
45
43
42
40
40
0
96
45

97,000.00 97,000.00 -

26,917.00 26,917.00 -

70,083.00 70,083.00 -

100.00
750.00
390.00
1,240.00

10.37
304.50
195.00
509.87

89.63
445.50
195.00
730.13

300.00
300.00

278.00
278.00

22.00
22.00

9,150.00 .00
9,150.00 -

899.00 1,213.72 2,112.72 -

8,251.00 1,213.72
7,037.28 -

10
41
50

10
0
23

Page 81 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number
--- Expenditures --09-481-450-4130-6231
09-481-450-4130-6334
09-481-450-4130-6340
09-481-450-4130-6378
TOTALS

TOTALS

Medicaid - MCH

Copies
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Mn Care Tax

Evidence Based Home Visiting (SF)

Strong Foundations (SF)

5400-5499 LICENSES AND PERMITS

09-481-450-4925-5580
TOTALS

Title V MCH Grant
Tanf-Target Home Visit Grant
EHDI/CYSHN

5300-5399 FINES AND FORFEITURES

09-481-450-4925-5462
TOTALS

Health Disparities

6200-6399 SERVICES AND CHARGES

--- Revenues --09-481-450-4925-5361
TOTALS

Copies
Travel Expenses - Mileage
Rentals & Service Agreements
Mn Care Tax

5500-5599 OTHER REVENUES

--- Expenditures --09-481-450-4910-6231
09-481-450-4910-6330
09-481-450-4910-6334
09-481-450-4910-6378
TOTALS

Status

Description

5400-5499 LICENSES AND PERMITS

09-481-450-4910-5580
TOTALS

Medicaid - Strong Foundations

5500-5599 OTHER REVENUES

--- Expenditures --09-481-450-4925-6202

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5300-5399 FINES AND FORFEITURES

09-481-450-4910-5402
09-481-450-4910-5414
09-481-450-4910-5458

Page 46

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6200-6399 SERVICES AND CHARGES

--- Revenues --09-481-450-4910-5328
TOTALS

*** W A D E N A C O U N T Y ***

Telephone

2026
Amend
Budget

Selected
Months

200.00
200.00
.00
.00

8.01
34.80
188.00
7.81

191.99
165.20
188.00 7.81 -

4
17
0
0

400.00

238.62

161.38

Variance

% Of
Budget

.00

41.84 -

41.84

.00

41.84 -

41.84

5,225.01 3,303.63 600.00 9,128.64 -

17,917.99 34,309.37 300.00 52,527.36 -

23
9
67

23,143.00 37,613.00 900.00 61,656.00 -

20,000.00 -

1,556.89 -

18,443.11 -

20,000.00 -

1,556.89 -

18,443.11 -

100.00
.00
1,120.00
180.00

17.04
381.20
416.89
75.91

82.96
381.20 703.11
104.09

17
0
37
42

1,400.00

891.04

508.96

.00

15,966.37 -

15,966.37

.00

15,966.37 -

15,966.37

135,000.00 -

0.00

135,000.00 -

.00

135,000.00 -

35,000.00 -

3,060.23 -

31,939.77 -

35,000.00 -

3,060.23 -

31,939.77 -

1,056.00

238.18

817.82

Page 82 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number
09-481-450-4925-6231
09-481-450-4925-6260
09-481-450-4925-6330
09-481-450-4925-6334
09-481-450-4925-6378
TOTALS

TOTALS

% Of
Budget

800.00
4,380.00
2,300.00
3,350.00
630.00

55.13
2,126.28
0.00
287.85
84.30

744.87
2,253.72
2,300.00
3,062.15
545.70

7
49
0
9
13

12,516.00

2,791.74

9,724.26

123.00
3,657.00
540.00

0.00
80.00
0.00

123.00
3,577.00
540.00

0
2
0

4,320.00

80.00

4,240.00

5,000.00 -

465.26 -

4,534.74 -

5,000.00 -

465.26 -

4,534.74 -

.00

10.89

10.89 -

10.89

10.89 -

State Hlth Improvement Plan (Ship)

5300-5399 FINES AND FORFEITURES

Copies
Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

Opioid Settlement

5500-5599 OTHER REVENUES

--- Expenditures --09-481-455-5025-6231
09-481-455-5025-6334
TOTALS

Medicaid - EBHV

Variance

.00

--- Revenues --09-481-455-5025-5590
TOTALS

Office Supplies
Education Program
Medical Supplies

Selected
Months

Mn Care Tax

--- Expenditures --09-481-455-5010-6231
09-481-455-5010-6334
TOTALS

Copies
Prof & Tech Services
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Mn Care Tax

2026
Amend
Budget

6200-6399 SERVICES AND CHARGES

--- Revenues --09-481-455-5010-5343
TOTALS

Status

Description

5500-5599 OTHER REVENUES

--- Expenditures --09-481-450-4928-6378

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-450-4928-5580

Page 47

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6200-6399 SERVICES AND CHARGES

09-481-450-4925-6401
09-481-450-4925-6406
09-481-450-4925-6430
TOTALS

*** W A D E N A C O U N T Y ***

Copies
Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

74,250.00 -

17,561.01 -

56,688.99 -

74,250.00 -

17,561.01 -

56,688.99 -

500.00
400.00

23.59
63.08

476.41
336.92

5
16

900.00

86.67

813.33

10,000.00 -

1,926.25 -

8,073.75 -

10,000.00 -

1,926.25 -

8,073.75 -

14.35 28.28 42.63 -

172
0

20.00
.00
20.00

34.35
28.28
62.63

313

Page 83 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number
--- Revenues --09-481-455-5035-5348
TOTALS

TOTALS

Office Supplies
Education Program

Alzheimer's Association-HBI Grant

Dementia Grant

Copies
Fees,Dues,Memberships
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

09-481-455-5700-6401
09-481-455-5700-6406
TOTALS

Telephone
Copies
Advertising, Legal Notices & Subscript
Fees,Dues,Memberships
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage

5300-5399 FINES AND FORFEITURES

--- Expenditures --09-481-455-5700-6231
09-481-455-5700-6242
09-481-455-5700-6330
09-481-455-5700-6334
TOTALS

MN Suicide Prevention

5400-5499 LICENSES AND PERMITS

09-481-455-5700-5357
TOTALS

Status

Description

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-455-5620-5401

Office Supplies
Education Program

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-455-5800-5363

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

09-481-455-5035-6401
09-481-455-5035-6406

Page 48

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5300-5399 FINES AND FORFEITURES

--- Expenditures --09-481-455-5035-6202
09-481-455-5035-6231
09-481-455-5035-6240
09-481-455-5035-6242
09-481-455-5035-6330
09-481-455-5035-6334
TOTALS

*** W A D E N A C O U N T Y ***

CSUP Grant

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

100,000.00 -

11,974.68 -

88,025.32 -

100,000.00 -

11,974.68 -

88,025.32 -

500.00
50.00
25,350.00
.00
.00
2,000.00

165.70
2.00
27,342.00
218.63
375.16
269.70

334.30
48.00
1,992.00 218.63 375.16 -

33
4
108
0
0
13

27,900.00

28,373.19

473.19 -

102

100.00
100.00

643.76
1,209.69

644
1210

200.00

1,853.45

543.76 1,109.69 1,653.45 -

1,730.30

927

.00

50,000.00 -

50,000.00

.00

50,000.00 -

50,000.00

10,000.00 -

4,018.59 -

5,981.41 -

10,000.00 -

4,018.59 -

5,981.41 -

.00
125.00
.00
.00

5.77
970.00
422.85
10.15

0
776
0
0

125.00

1,408.77

5.77 845.00 422.85 10.15 1,283.77 -

.00
100.00

2,342.89
0.00

100.00

37,500.00 -

1127

2,342.89

2,342.89 100.00
2,242.89 -

0
0
2343

9,797.04 -

27,702.96 -

Page 84 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number
TOTALS

37,500.00 -

9,797.04 -

27,702.96 -

.00
.00
.00
150.00

1.94
3,125.00
559.16
108.75

0
0
0
73

150.00

3,794.85

1.94 3,125.00 559.16 41.25
3,644.85 -

2530

392.50

307.50

Medicaid - Car Seats

5500-5599 OTHER REVENUES

1,000.00 -

538.55 -

461.45 -

1,000.00 -

538.55 -

461.45 -

Mn Care Tax

.00

12.23

12.23 -

6200-6399 SERVICES AND CHARGES

.00

12.23

12.23 -

Healthy Housing Grant

5300-5399 FINES AND FORFEITURES
Private Fee/Contracts - Radon

5500-5599 OTHER REVENUES

Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

09-481-460-8500-6406
TOTALS

% Of
Budget

392.50

--- Expenditures --09-481-460-8500-6334
TOTALS

Variance

700.00

09-481-460-8500-5519
TOTALS

Selected
Months

700.00

--- Revenues --09-481-460-8500-5386
TOTALS

Copies
Advertising, Legal Notices & Subscript
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage

2026
Amend
Budget

Office Supplies

--- Expenditures --09-481-455-5920-6378
TOTALS

Status

Description

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-455-5920-5580
TOTALS

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

09-481-455-5800-6401
TOTALS

Page 49

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5300-5399 FINES AND FORFEITURES

--- Expenditures --09-481-455-5800-6231
09-481-455-5800-6240
09-481-455-5800-6330
09-481-455-5800-6334
TOTALS

*** W A D E N A C O U N T Y ***

Education Program

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-465-7000-5519
09-481-465-7000-5527
09-481-465-7000-5580

Private Fee/Contracts - Immunizations
Private Insurance - Immunizations
Medicaid - Immunizations

12,655.00 -

0.00

12,655.00 -

.00

12,655.00 -

300.00 -

5.00 -

295.00 -

300.00 -

5.00 -

295.00 -

225.00

0.00

225.00

.00

225.00

450.00

0.00

450.00

.00

450.00

1,000.00 4,400.00 2,000.00 -

0.00
35.98 90.78 -

1,000.00 4,364.02 1,909.22 -

0
1
5

Page 85 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number
TOTALS

TOTALS

126.76 -

7,273.24 -

50.00
120.00
.00

12.83
0.00
4.27

37.17
120.00
4.27 -

26
0
0

170.00

17.10

152.90

2,000.00

166.53

1,833.47

2,000.00

166.53

1,833.47

4,639.00 -

13,361.00 -

4,639.00 -

13,361.00 -

LCTS - Federal

20,000.00 -

5,664.00 -

14,336.00 -

20,000.00 -

5,664.00 -

14,336.00 -

.00
109,000.00 26,000.00 234,000.00 369,000.00 -

715.40 0.00
35,162.00 59,860.00 95,737.40 -

715.40
109,000.00 9,162.00
174,140.00 273,262.60 -

0
0
135
26

1,200.00
800.00
300.00
.00
1,200.00

232.13
253.50
0.00
710.00
167.48

967.87
546.50
300.00
710.00 1,032.52

19
32
0
0
14

3,500.00

1,363.11

2,136.89

Office Supplies

200.00

0.00

200.00

6400-6599 SUPPLIES AND MATERIALS

200.00

.00

200.00

5400-5499 LICENSES AND PERMITS
Medicaid - Service Coord
MSHO
MSC+
SNBC

5500-5599 OTHER REVENUES

Telephone
Copies
Fees,Dues,Memberships
Contract Transportation
Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

--- Revenues --09-481-470-3110-5463
TOTALS

% Of
Budget

18,000.00 -

09-481-470-3101-6401
TOTALS

7,400.00 -

Variance

18,000.00 -

--- Expenditures --09-481-470-3101-6202
09-481-470-3101-6231
09-481-470-3101-6242
09-481-470-3101-6297
09-481-470-3101-6334
TOTALS

Medical Supplies

Selected
Months

LCTS - State

09-481-470-3101-5580
09-481-470-3101-5582
09-481-470-3101-5583
09-481-470-3101-5584
TOTALS

Copies
Travel Expenses - Mileage
Mn Care Tax

2026
Amend
Budget

5300-5399 FINES AND FORFEITURES

09-481-470-3101-5450
TOTALS

Status

Description

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-470-3101-5356

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

09-481-465-7000-6430
TOTALS

Page 50

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5500-5599 OTHER REVENUES

--- Expenditures --09-481-465-7000-6231
09-481-465-7000-6334
09-481-465-7000-6378
TOTALS

*** W A D E N A C O U N T Y ***

CTC Outreach

5400-5499 LICENSES AND PERMITS

30,000.00 -

6,154.61 -

23,845.39 -

30,000.00 -

6,154.61 -

23,845.39 -

Page 86 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number

*** W A D E N A C O U N T Y ***
Page 51

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

--- Expenditures --09-481-470-3110-6231
Copies
09-481-470-3110-6242
Fees,Dues, Memberships
09-481-470-3110-6334
Travel Expenses - Mileage
09-481-470-3110-6340
Rentals & Service Agreements
TOTALS 6200-6399 SERVICES AND CHARGES

500.00
400.00
150.00
390.00
1,440.00

4.00
0.00
127.60
195.00
326.60

496.00
400.00
22.40
195.00
1,113.40

1
0
85
50
23

09-481-470-3110-6401
Office Supplies
09-481-470-3110-6406
Education Program
TOTALS 6400-6599 SUPPLIES AND MATERIALS

250.00
950.00
1,200.00

0.00
855.68
855.68

250.00
94.32
344.32

90
71

--- Revenues --09-481-470-3193-5322
Follow Along Project (FAP)
TOTALS 5300-5399 FINES AND FORFEITURES

4,100.00 4,100.00 -

0.00
.00

4,100.00 4,100.00 -

0
0

300.00
300.00

15.84
15.84

284.16
284.16

8,500.00 8,500.00 -

946.62 946.62 -

7,553.38 7,553.38 -

.00
400.00
400.00

15.52
10.15
25.67

15.52 389.85
374.33

10,000.00 10,000.00 -

4,712.89 4,712.89 -

5,287.11 5,287.11 -

100.00
100.00

14.33
14.33

85.67
85.67

.00
.00

596.00
596.00

596.00 596.00 -

--- Expenditures --09-481-470-3193-6231
TOTALS

Family Services Collaborative (FSC)

Copies

6200-6399 SERVICES AND CHARGES

09-481-470-5202-6406
TOTALS

Copies
Travel Expenses - Mileage

5500-5599 OTHER REVENUES

--- Expenditures --09-481-470-5202-6231
TOTALS

School Contracts - School Health

6200-6399 SERVICES AND CHARGES

--- Revenues --09-481-470-5202-5590
TOTALS

Copies

5500-5599 OTHER REVENUES

--- Expenditures --09-481-470-5180-6231
09-481-470-5180-6334
TOTALS

Status

6200-6399 SERVICES AND CHARGES

--- Revenues --09-481-470-5180-5539
TOTALS

Description

Education Program

6400-6599 SUPPLIES AND MATERIALS

0
3

Page 87 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number
--- Revenues --09-481-470-5411-5513
TOTALS

TOTALS

Telephone
Copies
Fees,Dues,Memberships
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage

Office Supplies
Education Program

Emergency Preparedness Grant

Copies
Prof & Tech Services
Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

09-481-480-6310-6401
TOTALS

Response Sustainability Grant

5400-5499 LICENSES AND PERMITS

--- Expenditures --09-481-480-6310-6231
09-481-480-6310-6260
09-481-480-6310-6334
TOTALS

Copies
Prof & Tech Services

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-480-6310-5441
TOTALS

Paternity Testing

6200-6399 SERVICES AND CHARGES

09-481-480-6240-6401
09-481-480-6240-6406
TOTALS

Status

Description

5300-5399 FINES AND FORFEITURES

--- Expenditures --09-481-480-6240-6202
09-481-480-6240-6231
09-481-480-6240-6242
09-481-480-6240-6330
09-481-480-6240-6334

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

--- Revenues --09-481-480-6240-5384

Page 52

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5500-5599 OTHER REVENUES

--- Expenditures --09-481-470-5411-6231
09-481-470-5411-6260
TOTALS

*** W A D E N A C O U N T Y ***

Office Supplies

6400-6599 SUPPLIES AND MATERIALS

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

500.00 -

275.00 -

225.00 -

500.00 -

275.00 -

225.00 -

50.00
.00

11.15
10.91

38.85
10.91 -

22
0

50.00

22.06

27.94

48,000.00 -

9,275.07 -

38,724.93 -

48,000.00 -

9,275.07 -

38,724.93 -

200.00
100.00
500.00
500.00
1,200.00

200.05
2.02
1,157.98
208.42
465.45

0.05 97.98
657.98 291.58
734.55

100
2
232
42
39

2,500.00

2,033.92

466.08

1,000.00
700.00

3,392.74
0.00

339
0

1,700.00

3,392.74

2,392.74 700.00
1,692.74 -

200

25,552.00 -

3,816.17 -

21,735.83 -

25,552.00 -

3,816.17 -

21,735.83 -

.00
1,000.00
1,000.00

9.64
0.00
259.55

9.64 1,000.00
740.45

0
0
26

2,000.00

269.19

1,730.81

.00
.00

235.50
235.50

235.50 235.50 -

Page 88 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number
--- Revenues --09-481-481-9100-5464
TOTALS

TOTALS

Copies
Fees,Dues,Memberships
Prof & Tech Services
Travel Expenses - Mileage

18,000.00 -

0.00

18,000.00 -

.00

18,000.00 -

500.00
.00
100.00

4,127.00
642.11
665.55

825
0
666

600.00

5,434.66

3,627.00 642.11 565.55 4,834.66 -

906

300.00
.00

0.00
75.00

300.00
75.00 -

0
0

300.00

75.00

225.00

Variance

% Of
Budget

73,000.00 -

12,291.45 -

60,708.55 -

73,000.00 -

12,291.45 -

60,708.55 -

100.00
1,000.00
.00
1,500.00

41.28
547.93
1,050.00
369.75

58.72
452.07
1,050.00 1,130.25

41
55
0
25

2,600.00

2,008.96

591.04

450.00

20.00

430.00

450.00

20.00

430.00

Local Public Health Grant

5300-5399 FINES AND FORFEITURES
3-County Administrative Services

5500-5599 OTHER REVENUES

09-481-481-9300-5801
TOTALS

FPHR Grant

Selected
Months

Office Supplies

09-481-481-9300-5501
TOTALS

Office Supplies
Education Program

2026
Amend
Budget

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-481-9300-5331
TOTALS

Fees,Dues,Memberships
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage

6200-6399 SERVICES AND CHARGES

09-481-481-9150-6401
TOTALS

CDC Infrastructure Grant

5300-5399 FINES AND FORFEITURES

--- Expenditures --09-481-481-9150-6231
09-481-481-9150-6242
09-481-481-9150-6260
09-481-481-9150-6334
TOTALS

Status

Description

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --09-481-481-9150-5385

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

09-481-481-9100-6401
09-481-481-9100-6406

Page 53

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5400-5499 LICENSES AND PERMITS

--- Expenditures --09-481-481-9100-6242
09-481-481-9100-6330
09-481-481-9100-6334
TOTALS

*** W A D E N A C O U N T Y ***

Misc Revenue

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

106,563.00 -

26,650.00 -

79,913.00 -

106,563.00 -

26,650.00 -

79,913.00 -

.00

221.00 -

221.00

.00

221.00 -

221.00

500.00 500.00 -

0.00
.00

500.00 500.00 -

--- Expenditures ---

Page 89 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
481 Dept
Public Health Nurse
Account Number

*** W A D E N A C O U N T Y ***
Page 54

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

09-481-481-9300-6111
Per Diems
TOTALS 6100-6199 PERSONAL SERVICES

1,000.00

300.00

700.00

1,000.00

300.00

700.00

09-481-481-9300-6204
Postage
09-481-481-9300-6231
Copies
09-481-481-9300-6240
Advertising, Legal Notices & Subscript
09-481-481-9300-6242
Fees,Dues,Memberships
09-481-481-9300-6260
Prof & Tech Services
09-481-481-9300-6330
Travel Exp-Room,Board,Meals
09-481-481-9300-6334
Travel Expenses - Mileage
09-481-481-9300-6340
Rentals & Service Agreements
09-481-481-9300-6378
Mn Care Tax
TOTALS 6200-6399 SERVICES AND CHARGES

1,200.00
800.00
500.00
30,000.00
37,800.00
.00
2,400.00
.00
.00
72,700.00

1,221.48
306.04
80.00
13,459.22
28,396.50
331.49
886.68
183.00
136.84
45,001.25

21.48 493.96
420.00
16,540.78
9,403.50
331.49 -

27,698.75

102
38
16
45
75
0
37
0
0
62

09-481-481-9300-6401
Office Supplies
09-481-481-9300-6406
Education Program
TOTALS 6400-6599 SUPPLIES AND MATERIALS

1,500.00
.00
1,500.00

532.02
4.42
536.44

967.98
4.42 963.56

35
0
36

1,019,304.81 588,329.60
430,975.21 -

24
48
-106

481 Dept

TOTALS Public Health Nurse

Revenue
Expend.
Net

1,347,626.00 1,138,778.00
208,848.00 -

328,321.19 550,448.40
222,127.21

1,513.32
183.00 136.84 -

30
30

Page 90 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
801 Dept
Non-Departmental
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Revenues --09-801-000-0000-5001
Property Taxes-Current
09-801-000-0000-5004
Property Taxes -Delinquent
09-801-000-0000-5007
Mobile Homes-Current
09-801-000-0000-5011
Mineral Tax Current
TOTALS 5000-5099 PROPERTY TAXES AND PENALTIES
801 Dept

Page 55

TOTALS Non-Departmental

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

100,000.00 .00
.00
.00
100,000.00 -

57,505.62 2,382.70 13.72 6.09 59,908.13 -

42,494.38 2,382.70
13.72
6.09
40,091.87 -

58
0
0
0
60

100,000.00 .00
100,000.00 -

59,908.13 -

40,091.87 -

59,908.13 -

40,091.87 -

60
0
60

% Of
Budget

Page 91 of 234

IFSHWY
07/14/2026 9:15AM

09 Fund
Public Health Fund
801 Dept
Non-Departmental
Account Number

09 Fund

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 56
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Public Health Fund

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

1,447,626.00 1,138,778.00
308,848.00 -

388,229.32 550,448.40
162,219.08

Variance
1,059,396.68 588,329.60
471,067.08 -

% Of
Budget
27
48
-53

Page 92 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
000 Dept
Balance Sheet
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Revenues --11-000-000-0000-5911
Transfers In
TOTALS 5900-5999 OTHER FINANCING REVENUE SERVICES
000 Dept

Page 57

TOTALS Balance Sheet

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00
.00

250,000.00 250,000.00 -

250,000.00
250,000.00

0
0

.00
.00
.00

250,000.00 -

250,000.00

250,000.00 -

250,000.00

0
0
0

Page 93 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
201 Dept
County Sheriff
Account Number
--- Revenues --11-201-000-0000-5501
TOTALS

TOTALS

Status

Description

Fees For Service

Refunds And Reimbursements
Reimbursement Xerox

Salaries & Wages - Permanent
Salaries & Wages - Part Time
Salaries & Wages - Overtime
Cell phone stipend
Hra Employer Cont-Co Share
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share
Workers Comp,Liability, &Other Co Ins
Uniform Allowance

6100-6199 PERSONAL SERVICES

11-201-000-0000-6240
11-201-000-0000-6241
11-201-000-0000-6301
11-201-000-0000-6330
11-201-000-0000-6334
11-201-000-0000-6340

Advertising, Legal Notices & Subscript
Conference, Training, Registration, Dues
Radio Repair
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Rentals & Service Agreements

6200-6399 SERVICES AND CHARGES

11-201-000-0000-6401
11-201-000-0000-6419
11-201-000-0000-6454
11-201-000-0000-6456
11-201-000-0000-6560

Page 58
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --11-201-000-0000-6103
11-201-000-0000-6105
11-201-000-0000-6107
11-201-000-0000-6113
11-201-000-0000-6151
11-201-000-0000-6152
11-201-000-0000-6162
11-201-000-0000-6163
11-201-000-0000-6175
11-201-000-0000-6176
11-201-000-0000-6179
11-201-000-0000-6182
TOTALS

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5500-5599 OTHER REVENUES

11-201-000-0000-5992
11-201-000-0000-5996
TOTALS

*** W A D E N A C O U N T Y ***

Office Supplies
Background Checks
K-9 Expenses
Drone Expenses
Automotive Repairs

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

35,000.00 -

6,765.00 -

28,235.00 -

35,000.00 -

6,765.00 -

28,235.00 -

141,227.69 126.00 141,353.69 -

141,227.69
126.00

0
0

141,353.69

.00
.00
.00

2,131,861.00
.00
30,000.00
3,360.00
2,500.00
383,612.00
8,417.00
299,851.00
57,552.00
13,427.00
98,887.00
23,225.00

1,101,126.93
192.00
42,728.19
1,275.64
1,041.70
174,446.55
4,647.06
167,307.97
3,497.13
16,655.93
98,428.00
12,587.16

1,030,734.07
192.00 12,728.19 2,084.36
1,458.30
209,165.45
3,769.94
132,543.03
54,054.87
3,228.93 459.00
10,637.84

52
0
142
38
42
45
55
56
6
124
100
54

3,052,692.00

1,623,934.26

1,428,757.74

1,400.00
16,720.00
2,500.00
3,500.00
.00
29,675.00

0.00
11,462.88
99.00
4,013.47
79.75
18,004.84

1,400.00
5,257.12
2,401.00
513.47 79.75 11,670.16

0
69
4
115
0
61

53,795.00

33,659.94

20,135.06

7,300.00
200.00
3,000.00
5,100.00
20,652.00

3,005.96
0.00
1,946.00
5,105.00
6,273.68

4,294.04
200.00
1,054.00
5.00 14,378.32

41
0
65
100
30

Page 94 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
201 Dept
County Sheriff
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 59
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

11-201-000-0000-6566
Gas
11-201-000-0000-6576
Ammo/Taser
11-201-000-0000-6577
Swat Equipment
TOTALS 6400-6599 SUPPLIES AND MATERIALS

83,116.00
11,700.00
3,300.00
134,368.00

27,139.66
2,084.60
3,145.42
48,700.32

55,976.34
9,615.40
154.58
85,667.68

33
18
95
36

11-201-000-0000-6660
Equipment & Machinery
TOTALS 6600-6699 CAPITAL EXPENDITURES

150,000.00
150,000.00

96,806.68
96,806.68

53,193.32
53,193.32

65
65

35,000.00 3,390,855.00
3,355,855.00

148,118.69 1,803,101.20
1,654,982.51

113,118.69
1,587,753.80
1,700,872.49

423
53
49

201 Dept

Description

TOTALS County Sheriff

Status

Revenue
Expend.
Net

Page 95 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***

11 Fund
Sheriff
202 Dept
Boat And Water Safety Enforcement
Account Number
Description

Status

--- Expenditures --11-202-000-0000-6103
Salaries & Wages - Permanent
11-202-000-0000-6162
Paid Family Medical Leave
11-202-000-0000-6163
Pera - County Share
11-202-000-0000-6176
Medicare - County Share
TOTALS 6100-6199 PERSONAL SERVICES
11-202-000-0000-6803

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

202 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --11-202-000-0000-5301
State Grants - Boat Grant
TOTALS 5300-5399 FINES AND FORFEITURES

TOTALS

Page 60

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS Boat And Water Safety Enforcement

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

9,409.00 -

0.00

9,409.00 -

.00

9,409.00 -

0
0

.00
.00
.00
.00
.00

373.92
1.48
66.18
5.42
447.00

373.92 1.48 66.18 5.42 447.00 -

0
0
0
0
0

9,409.00
9,409.00

0.00
.00

9,409.00
9,409.00

.00
447.00
447.00

9,409.00 8,962.00
447.00 -

0
5
0

9,409.00 9,409.00
.00

Variance

% Of
Budget

Page 96 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
203 Dept
Sheriff's Contingent
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

--- Revenues --11-203-000-0000-5635
Sheriff's Contingent
TOTALS 5600-5699 GIFTS AND CONTRIBUTIONS
203 Dept

Page 61

TOTALS Sheriff's Contingent

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00
.00

125.00 125.00 -

125.00
125.00

0
0

.00
.00
.00

125.00 -

125.00

125.00 -

125.00

0
0
0

Page 97 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
204 Dept
Coroner
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 62
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

2026
Amend
Budget

Selected
Months

--- Expenditures --11-204-000-0000-6107
Salaries & Wages - Overtime
11-204-000-0000-6152
Wages Cafeteria
11-204-000-0000-6162
Paid Family Medical Leave
11-204-000-0000-6163
Pera - County Share
11-204-000-0000-6176
Medicare -County Share
TOTALS 6100-6199 PERSONAL SERVICES

3,515.00
.00
.00
570.00
51.00
4,136.00

485.12
78.55
1.92
85.86
7.13
658.58

484.14
43.87
3,477.42

14
0
0
15
14
16

11-204-000-0000-6241
Conference, Training, Registration, Dues
11-204-000-0000-6260
Prof & Tech Services
11-204-000-0000-6334
Transport Funeral Home
TOTALS 6200-6399 SERVICES AND CHARGES

2,510.00
18,000.00
5,354.00
25,864.00

0.00
7,250.00
2,153.52
9,403.52

2,510.00
10,750.00
3,200.48
16,460.48

0
40
40
36

204 Dept

.00
30,000.00
30,000.00

10,062.10
10,062.10

19,937.90
19,937.90

0
34
34

TOTALS Coroner

Status

Revenue
Expend.
Net

Variance
3,029.88
78.55 1.92 -

% Of
Budget

Page 98 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***

11 Fund
Sheriff
206 Dept
Snowmobile Safety Enforcement
Account Number
Description

Status

--- Expenditures --11-206-000-0000-6103
Salaries & Wages - Permanent
11-206-000-0000-6162
Paid Family Medical Leave
11-206-000-0000-6163
Pera - County Share
11-206-000-0000-6176
Medicare - County Share
TOTALS 6100-6199 PERSONAL SERVICES
11-206-000-0000-6803

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

206 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --11-206-000-0000-5301
State Grants - Snowmobile
TOTALS 5300-5399 FINES AND FORFEITURES

TOTALS

Page 63

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS Snowmobile Safety Enforcement

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

2,664.00 -

0.00

2,664.00 -

.00

2,664.00 -

0
0

.00
.00
.00
.00
.00

912.24
3.61
161.47
13.23
1,090.55

912.24 3.61 161.47 13.23 1,090.55 -

0
0
0
0
0

2,664.00
2,664.00

0.00
.00

2,664.00
2,664.00

.00
1,090.55
1,090.55

2,664.00 1,573.45
1,090.55 -

0
41
0

2,664.00 2,664.00
.00

Variance

% Of
Budget

Page 99 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
208 Dept
Atv Grant
Account Number

*** W A D E N A C O U N T Y ***

Description

Status

--- Expenditures --11-208-000-0000-6103
Salaries & Wages - Permanent
11-208-000-0000-6162
Paid Family Medical Leave
11-208-000-0000-6163
Pera - County Share
11-208-000-0000-6176
Medicare -County Share
TOTALS 6100-6199 PERSONAL SERVICES
11-208-000-0000-6803

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

208 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --11-208-000-0000-5301
State Grants - Atv
TOTALS 5300-5399 FINES AND FORFEITURES

TOTALS

Page 64

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS Atv Grant

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

4,387.00 -

0.00

4,387.00 -

.00

4,387.00 -

0
0

.00
.00
.00
.00
.00

973.11
3.85
172.24
14.11
1,163.31

973.11 3.85 172.24 14.11 1,163.31 -

0
0
0
0
0

4,387.00
4,387.00

241.53
241.53

4,145.47
4,145.47

4,387.00 4,387.00
.00

.00
1,404.84
1,404.84

4,387.00 2,982.16
1,404.84 -

0
32
0

Variance

% Of
Budget

Page 100 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
209 Dept
Hand Gun Permit Fees
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 65
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

--- Revenues --11-209-000-0000-5992
Refunds And Reimbursements-Gun Permit
TOTALS 5900-5999 OTHER FINANCING REVENUE SERVICES

45,608.00 -

18,605.00 -

27,003.00 -

45,608.00 -

18,605.00 -

27,003.00 -

41
41

--- Expenditures --11-209-000-0000-6103
Salaries & Wages - Permanent
11-209-000-0000-6152
Wages-Cafeteria
11-209-000-0000-6162
Paid Family Medical Leave
11-209-000-0000-6163
Pera - County Share
11-209-000-0000-6175
Fica - County Share
11-209-000-0000-6176
Medicare - County Share
TOTALS 6100-6199 PERSONAL SERVICES

30,860.00
9,960.00
122.00
2,314.00
1,906.00
446.00
45,608.00

15,254.24
4,980.01
60.23
1,144.11
893.42
208.91
22,540.92

15,605.76
4,979.99
61.77
1,169.89
1,012.58
237.09
23,067.08

49
50
49
49
47
47
49

.00
.00

1,698.76
1,698.76

1,698.76 1,698.76 -

18,605.00 24,239.68
5,634.68

27,003.00 21,368.32
5,634.68 -

41
53
0

11-209-000-0000-6803
TOTALS

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

209 Dept

TOTALS Hand Gun Permit Fees

Revenue
Expend.
Net

45,608.00 45,608.00
.00

Page 101 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
210 Dept
Forfeiture Funds-Sheriff
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS

Description

Status

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

210 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --11-210-000-0000-5992
Refunds and Reimbursements
TOTALS 5900-5999 OTHER FINANCING REVENUE SERVICES
--- Expenditures --11-210-000-0000-6803

Page 66

TOTALS Forfeiture Funds-Sheriff

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

.00
.00

17,874.75 17,874.75 -

17,874.75
17,874.75

0
0

.00
.00

15,432.25
15,432.25

15,432.25 15,432.25 -

.00
.00
.00

17,874.75 15,432.25
2,442.50 -

17,874.75
15,432.25 2,442.50

0
0
0

Page 102 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
212 Dept
Safe & Sober
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 67
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

--- Revenues --11-212-000-0000-5401
Federal Grants 20.6
TOTALS 5400-5499 LICENSES AND PERMITS

.00
.00

7,118.51 7,118.51 -

7,118.51
7,118.51

0
0

--- Expenditures --11-212-000-0000-6107
Salaries & Wages - Overtime
11-212-000-0000-6152
Wages-Cafeteria
11-212-000-0000-6162
Paid Family Medical Leave
11-212-000-0000-6163
Pera - County Share
11-212-000-0000-6176
Medicare -County Share
TOTALS 6100-6199 PERSONAL SERVICES

.00
.00
.00
.00
.00
.00

3,141.72
526.95
12.43
556.08
44.90
4,282.08

3,141.72 526.95 12.43 556.08 44.90 4,282.08 -

0
0
0
0
0
0

.00
.00
.00

7,118.51 4,282.08
2,836.43 -

7,118.51
4,282.08 2,836.43

0
0
0

212 Dept

Description

TOTALS Safe & Sober

Status

Revenue
Expend.
Net

Page 103 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
251 Dept
Jail
Account Number
--- Revenues --11-251-000-0000-5509
11-251-000-0000-5554
11-251-000-0000-5562
11-251-000-0000-5572
TOTALS

TOTALS

Prisoner Board Fees
Finger print-public
Booking Fees
Pay For Stay-Jail

Reimb - Supplies/Medical Inmates
Reimb Canteen
Refunds And Reimbursements
Reimbursement Telephone

Conference, Training, Reg,Dues-Jail Trng
Jail Rental
Brd Pris-Out County
Jail Repairs & Small Equip
Dispatch Repair & Small Equip
Travel Exp-Room,Board,Meals
Board Of Prisoners

Medical Supplies
Jail Supplies
Recreational Suppl Pd Fr Jail Tele Reimb

6400-6599 SUPPLIES AND MATERIALS

11-251-000-0000-6660
TOTALS

Status

Description

6200-6399 SERVICES AND CHARGES

11-251-000-0000-6430
11-251-000-0000-6450
11-251-000-0000-6451

Equipment & Machinery

6600-6699 CAPITAL EXPENDITURES

251 Dept

TOTALS Jail

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --11-251-000-0000-6241
11-251-000-0000-6255
11-251-000-0000-6288
11-251-000-0000-6310
11-251-000-0000-6312
11-251-000-0000-6330
11-251-000-0000-6388

Page 68

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5500-5599 OTHER REVENUES

11-251-000-0000-5978
11-251-000-0000-5980
11-251-000-0000-5992
11-251-000-0000-5997
TOTALS

*** W A D E N A C O U N T Y ***

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

28,851.00 .00
4,080.00 6,000.00 38,931.00 -

5,640.00 2,068.00 673.44 2,603.00 10,984.44 -

23,211.00 2,068.00
3,406.56 3,397.00 27,946.56 -

996.00 10,825.00 10,825.00 2,358.00 25,004.00 -

136.81 0.00
8,305.38 4,921.50 13,363.69 -

859.19 10,825.00 2,519.62 2,563.50
11,640.31 -

14
0
77
209

4,000.00
10,350.00
28,570.00
4,000.00
8,400.00
2,500.00
129,458.00
187,278.00

1,095.00
8,009.98
16,769.74
437.72
235.00
2,607.93
48,426.95
77,582.32

2,905.00
2,340.02
11,800.26
3,562.28
8,165.00
107.93 81,031.05
109,695.68

27
77
59
11
3
104
37

106,960.00
12,000.00
.00
118,960.00

65,435.79
2,348.65
1,258.85
69,043.29

41,524.21
9,651.35
1,258.85 49,916.71

61
20
0
58

4,600.00
4,600.00

0.00
.00

4,600.00
4,600.00

39,586.87 164,212.39
124,625.52

38
47
50

63,935.00 310,838.00
246,903.00

24,348.13 146,625.61
122,277.48

% Of
Budget
20
0
17
43
28

Page 104 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***

11 Fund
Sheriff
281 Dept
Civil Defense/Emergency Services
Account Number
Description
--- Revenues --11-281-000-0000-5358
TOTALS

Empg 2006-Grant#2000-10985

Selected
Months

Variance

% Of
Budget

.00

1,000.00 -

1,000.00

.00

1,000.00 -

1,000.00

16,623.00 -

0.00

16,623.00 -

.00

16,623.00 -

87,380.00
.00
60.00
345.00
15,477.00
1,268.00

55,059.47
3,201.28
30.24
230.12
10,312.15
844.78

32,320.53
3,201.28 29.76
114.88
5,164.85
423.22

104,530.00

69,678.04

34,851.96

100.00
250.00
1,400.00
7,803.00
2,148.00
1,284.00
2,538.00
2,000.00

0.00
0.00
0.00
7,316.01
322.12
399.24
1,301.36
0.00

100.00
250.00
1,400.00
486.99
1,825.88
884.76
1,236.64
2,000.00

0
0
0
94
15
31
51
0

17,523.00

9,338.73

8,184.27

Office Supplies
Gas

2,000.00
4,500.00

0.00
1,516.56

2,000.00
2,983.44

0
34

6400-6599 SUPPLIES AND MATERIALS

6,500.00

1,516.56

4,983.44

16,623.00 128,553.00
111,930.00

1,000.00 80,533.33
79,533.33

15,623.00 48,019.67
32,396.67

6
63
71

Salaries & Wages - Permanent
Salaries & Wages - Overtime
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Medicare - County Share

6100-6199 PERSONAL SERVICES

11-281-000-0000-6204
11-281-000-0000-6240
11-281-000-0000-6241
11-281-000-0000-6242
11-281-000-0000-6330
11-281-000-0000-6340
11-281-000-0000-6390
11-281-000-0000-6399

Postage
Advertising, Legal Notices & Subscript
Conference, Training, Registration, Dues
EMS Regional Radio Dues
Travel Exp-Room,Board,Meals
Rentals & Service Agreements
Exercise Expenses
Courthouse Access

6200-6399 SERVICES AND CHARGES

11-281-000-0000-6401
11-281-000-0000-6566
TOTALS

Disaster Grant 97.036

2026
Amend
Budget

16,623.00 -

11-281-000-0000-6107
11-281-000-0000-6152
11-281-000-0000-6162
11-281-000-0000-6163
11-281-000-0000-6176

TOTALS

Status

5400-5499 LICENSES AND PERMITS

--- Expenditures --11-281-000-0000-6103

TOTALS

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5300-5399 FINES AND FORFEITURES

11-281-000-0000-5406
TOTALS

Page 69

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

281 Dept

TOTALS Civil Defense/Emergency Services

Revenue
Expend.
Net

0
50
67
67
67

Page 105 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
293 Dept
Enhanced 911
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Description

Status

11-293-000-0000-5711
Interest Income
TOTALS 5700-5799 INTERGOVERNMENTAL REVENUE

Salaries & Wages - Permanent

11-293-000-0000-6107
Salaries & Wages - Overtime
11-293-000-0000-6152
Wages-Cafeteria
11-293-000-0000-6162
Paid Family Medical Leave
11-293-000-0000-6163
PERA - County Share
11-293-000-0000-6175
FICA - County Share
11-293-000-0000-6176
Medicare - County Share
TOTALS 6100-6199 PERSONAL SERVICES
11-293-000-0000-6803
TOTALS

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

293 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

--- Revenues --11-293-000-0000-5301
State Grants - Enhanced 911
TOTALS 5300-5399 FINES AND FORFEITURES

--- Expenditures --11-293-000-0000-6103

Page 70

TOTALS Enhanced 911

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

174,575.00 -

72,739.50 -

101,835.50 -

174,575.00 -

72,739.50 -

101,835.50 -

% Of
Budget
42
42

.00

2,123.53 -

2,123.53

.00

2,123.53 -

2,123.53

.00
.00
.00
.00
.00
.00
.00
.00

20,691.52
2,319.48
2,785.59
90.88
2,358.61
1,411.22
330.06
29,987.36

20,691.52 2,319.48 2,785.59 90.88 2,358.61 1,411.22 330.06 29,987.36 -

0
0
0
0
0
0
0

90,000.00
90,000.00

39,736.78
39,736.78

50,263.22
50,263.22

174,575.00 90,000.00
84,575.00 -

74,863.03 69,724.14
5,138.89 -

99,711.97 20,275.86
79,436.11 -

43
77
6

0
0

Page 106 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
801 Dept
Non-Departmental
Account Number
--- Revenues --11-801-000-0000-5001
11-801-000-0000-5004
11-801-000-0000-5007
11-801-000-0000-5011
TOTALS

TOTALS

Status

Description

Property Taxes-Current
Property Taxes -Delinquent
Mobile Homes-Current
Mineral Tax Current

Mh Mv/Ag Market Value Credits
County Program Aid
In Lieu of Taxes - Fair Oaks Apts
In lieu of taxes - Commercial Apts
In lieu of taxes - Humphrey Manor
State Deputy Grant

FEES FOR SERVICE

5500-5599 OTHER REVENUES

11-801-000-0000-5987
11-801-000-0000-5992

Pera - Police and Fire
Refunds And Reimbursements

5900-5999 OTHER FINANCING REVENUE SERVICES

801 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5100-5299 FEES AND SERVICE CHARGES

11-801-000-0000-5501
TOTALS

Page 71

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5000-5099 PROPERTY TAXES AND PENALTIES

11-801-000-0000-5216
11-801-000-0000-5218
11-801-000-0000-5270
11-801-000-0000-5271
11-801-000-0000-5273
11-801-000-0000-5275
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS Non-Departmental

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

2,834,697.00 35,000.00 .00
.00
2,869,697.00 -

1,620,187.08 37,705.69 87.82 128.04 1,658,108.63 -

1,214,509.92 2,705.69
87.82
128.04
1,211,588.37 -

57
108
0
0

45,000.00 394,016.00 .00
.00
.00
90,000.00 529,016.00 -

0.00
0.00
1,534.34 616.10 2,219.18 -

45,000.00 394,016.00 1,534.34
616.10
2,219.18
90,000.00 524,646.38 -

0
0
0
0
0
0
1

0.00
4,369.62 -

Variance

% Of
Budget

101,400.00 101,400.00 -

0.00
.00

101,400.00 101,400.00 -

150,000.00 10,000.00 160,000.00 -

0.00
2,236.82
2,236.82

150,000.00 12,236.82 162,236.82 -

0
-22

1,660,241.43 -

1,999,871.57 -

1,660,241.43 -

1,999,871.57 -

45
0
45

3,660,113.00 .00
3,660,113.00 -

-1

Page 107 of 234

IFSHWY
07/14/2026 9:15AM

11 Fund
Sheriff
801 Dept
Non-Departmental
Account Number

11 Fund

TOTALS Sheriff

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 72
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

4,012,314.00 4,012,314.00
.00

2,202,294.54 2,156,942.78
45,351.76 -

Variance
1,810,019.46 1,855,371.22
45,351.76

% Of
Budget
55
54
0

Page 108 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
310 Dept
Highway Expense
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 73
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

--- Expenditures --13-310-000-0000-6103
Salaries & Wages - Permanent
13-310-000-0000-6113
Cellphone stipend
13-310-000-0000-6152
Wages-Cafeteria
13-310-000-0000-6162
Paid Family Medical Leave
13-310-000-0000-6163
Pera - County Share
13-310-000-0000-6175
Fica - County Share
13-310-000-0000-6176
Medicare - County Share
13-310-000-0000-6177
Unemployment
13-310-000-0000-6179
Workers Comp,Liability, &Other Co Ins
TOTALS 6100-6199 PERSONAL SERVICES

260,960.00
420.00
63,924.00
1,031.00
19,572.00
15,818.00
3,699.00
.00
38,673.00

127,369.08
210.00
28,908.00
503.88
9,568.47
7,569.15
1,770.21
8,073.39
36,692.00

133,590.92
210.00
35,016.00
527.12
10,003.53
8,248.85
1,928.79
8,073.39 1,981.00

404,097.00

220,664.18

183,432.82

49
50
45
49
49
48
48
0
95
55

13-310-000-0000-6204
Postage
13-310-000-0000-6240
Advertising, Legal Notices & Subscript
13-310-000-0000-6241
Conference, Training, Registration, Dues
13-310-000-0000-6265
Independent Auditing
13-310-000-0000-6330
Travel Exp-Room,Board,Meals
13-310-000-0000-6334
Travel Expenses - Mileage
13-310-000-0000-6348
Computer Support
13-310-000-0000-6369
Other Misc Charges
TOTALS 6200-6399 SERVICES AND CHARGES

1,000.00
3,000.00
3,250.00
10,000.00
1,100.00
500.00
9,500.00
2,000.00
30,350.00

0.00
1,336.44
2,820.00
0.00
0.00
0.00
0.00
317.73
4,474.17

1,000.00
1,663.56
430.00
10,000.00
1,100.00
500.00
9,500.00
1,682.27
25,875.83

0
45
87
0
0
0
0
16
15

3,000.00
1,000.00
321,721.00
57,401.00
7,000.00
390,122.00

393.85
100.00
297,867.00
50,668.00
2,416.48
351,445.33

2,606.15
900.00
23,854.00
6,733.00
4,583.52
38,676.67

13
10
93
88
35
90

.00
824,569.00
824,569.00

576,583.68
576,583.68

247,985.32
247,985.32

0
70
70

13-310-000-0000-6401
13-310-000-0000-6501
13-310-000-0000-6502
13-310-000-0000-6504
13-310-000-0000-6505
TOTALS

Office Supplies
Road And Bridge Expenditures
Gas Tax Disbursment
Casualty & Liab Ins
Office Equipment & Furnishings

6400-6599 SUPPLIES AND MATERIALS

310 Dept

TOTALS Highway Expense

Revenue
Expend.
Net

Page 109 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
314 Dept
Maintenance
Account Number
--- Expenditures --13-314-000-0000-6103
13-314-000-0000-6107
13-314-000-0000-6113
13-314-000-0000-6152
13-314-000-0000-6162
13-314-000-0000-6163
13-314-000-0000-6175
13-314-000-0000-6176
13-314-000-0000-6182
TOTALS

Status

Description

Salaries & Wages - Permanent
Salaries & Wages - Overtime
Cellphone stipend
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share
Uniform Allowance

Conference, Training, Registration, Dues
Other Misc Charges

Signs
911 Signs
Culverts
Road Salt
Bituminous Patch
Dust Control Chemical
Road Maintenance
Road Sand Winter
Gravel
Crack Seal
Roadway Striping
Road Maint Contract
Intersection Lighting
Diesel Fuel
Gas
Equipment Rental

6400-6599 SUPPLIES AND MATERIALS

13-314-000-0000-6660

Page 74
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

13-314-000-0000-6511
13-314-000-0000-6512
13-314-000-0000-6513
13-314-000-0000-6514
13-314-000-0000-6515
13-314-000-0000-6516
13-314-000-0000-6518
13-314-000-0000-6519
13-314-000-0000-6520
13-314-000-0000-6521
13-314-000-0000-6523
13-314-000-0000-6524
13-314-000-0000-6525
13-314-000-0000-6564
13-314-000-0000-6566
13-314-000-0000-6571
TOTALS

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6100-6199 PERSONAL SERVICES

13-314-000-0000-6241
13-314-000-0000-6369
TOTALS

*** W A D E N A C O U N T Y ***

Equipment,Machinery & Vehicles-Capital

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

655,699.00
30,240.00
3,360.00
157,248.00
2,590.00
46,959.00
40,543.00
9,482.00
4,500.00

292,986.56
2,186.28
1,470.00
78,624.24
1,171.66
22,072.10
16,985.61
3,972.49
4,250.59

362,712.44
28,053.72
1,890.00
78,623.76
1,418.34
24,886.90
23,557.39
5,509.51
249.41

45
7
44
50
45
47
42
42
94

950,621.00

423,719.53

526,901.47

2,500.00
3,000.00

2,193.63
735.16

306.37
2,264.84

88
25

5,500.00

2,928.79

2,571.21

40,000.00
3,500.00
50,000.00
200,000.00
40,000.00
40,000.00
70,000.00
10,000.00
40,000.00
20,000.00
35,000.00
22,000.00
7,500.00
170,000.00
27,000.00
12,000.00

18,723.55
2,729.30
23,092.70
196,571.08
1,110.00
0.00
5,068.03
0.00
5,678.75
0.00
0.00
6,612.51
3,382.18
64,826.57
8,349.90
2,460.00

21,276.45
770.70
26,907.30
3,428.92
38,890.00
40,000.00
64,931.97
10,000.00
34,321.25
20,000.00
35,000.00
15,387.49
4,117.82
105,173.43
18,650.10
9,540.00

47
78
46
98
3
0
7
0
14
0
0
30
45
38
31
21

787,000.00

338,604.57

448,395.43

320,000.00

197,004.52

122,995.48

Page 110 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
314 Dept
Maintenance
Account Number
TOTALS

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

6600-6699 CAPITAL EXPENDITURES

314 Dept

Page 75

TOTALS Maintenance

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

320,000.00

197,004.52

122,995.48

.00
2,063,121.00
2,063,121.00

962,257.41
962,257.41

1,100,863.59
1,100,863.59

0
47
47

Page 111 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
324 Dept
Construction
Account Number
--- Expenditures --13-324-000-0000-6103
13-324-000-0000-6107
13-324-000-0000-6152
13-324-000-0000-6162
13-324-000-0000-6163
13-324-000-0000-6175
13-324-000-0000-6176
13-324-000-0000-6182
TOTALS

TOTALS

Status

Description

Salaries & Wages - Permanent
Salaries & Wages - Overtime
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share
Uniform Allowance

Conference, Training, Registration, Dues
Prof & Tech Services
County Surveyor-Prof Service
Travel Exp-Room,Board,Meals
Travel Expenses - Mileage
Computer Support
Other Misc Charges

Eng & Survey Supply
Surveying Grant

6400-6599 SUPPLIES AND MATERIALS

13-324-000-0000-6603
13-324-000-0000-6604
13-324-000-0000-6606
13-324-000-0000-6660

Infrastructure
Right Of Way
Transportation Tax Project
Equipment,Machinery & Vehicles-Capital

6600-6699 CAPITAL EXPENDITURES

324 Dept

Page 76
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

13-324-000-0000-6509
13-324-000-0000-6510
TOTALS

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6100-6199 PERSONAL SERVICES

13-324-000-0000-6241
13-324-000-0000-6260
13-324-000-0000-6305
13-324-000-0000-6330
13-324-000-0000-6334
13-324-000-0000-6348
13-324-000-0000-6369
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS Construction

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

246,907.00
14,385.00
44,772.00
975.00
18,518.00
15,644.00
3,659.00
1,200.00

123,694.77
7,638.51
22,386.00
518.77
9,598.64
7,727.24
1,807.18
500.00

123,212.23
6,746.49
22,386.00
456.23
8,919.36
7,916.76
1,851.82
700.00

50
53
50
53
52
49
49
42

346,060.00

173,871.11

172,188.89

7,000.00
82,000.00
10,000.00
2,000.00
100.00
15,000.00
500.00
116,600.00

1,215.80
8,163.50
0.00
3,295.42
0.00
3,100.00
100.00
15,874.72

5,784.20
73,836.50
10,000.00
1,295.42 100.00
11,900.00
400.00
100,725.28

17
10
0
165
0
21
20

5,500.00
.00
5,500.00

3,314.65
44,239.09
47,553.74

2,185.35
44,239.09 42,053.74 -

60
0

4,550,000.00
25,000.00
1,000,000.00
1,000.00
5,576,000.00

212,452.72
0.00
0.00
0.00
212,452.72

4,337,547.28
25,000.00
1,000,000.00
1,000.00
5,363,547.28

449,752.29
449,752.29

5,594,407.71
5,594,407.71

0
7
7

.00
6,044,160.00
6,044,160.00

865
5
0
0
0

Page 112 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
330 Dept
Shop
Account Number
--- Expenditures --13-330-000-0000-6103
13-330-000-0000-6107
13-330-000-0000-6152
13-330-000-0000-6162
13-330-000-0000-6163
13-330-000-0000-6175
13-330-000-0000-6176
13-330-000-0000-6182
TOTALS

TOTALS

Status

Description

Salaries & Wages - Permanent
Salaries & Wages - Overtime
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share
Uniform Allowance

Conference, Training, Registration, Dues
Electricity, Sewer And Water
Other Misc Charges

Safety Equipment
Equipment Repair
Equip Routine Replacement
Motor Oil Lubrate
Shop Equipment
Shop Supplies
Building Maintenance

6400-6599 SUPPLIES AND MATERIALS

13-330-000-0000-6611
TOTALS

Building Improvements

6600-6699 CAPITAL EXPENDITURES

330 Dept

TOTALS Shop

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

13-330-000-0000-6460
13-330-000-0000-6562
13-330-000-0000-6563
13-330-000-0000-6567
13-330-000-0000-6568
13-330-000-0000-6569
13-330-000-0000-6570

Page 77

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6100-6199 PERSONAL SERVICES

13-330-000-0000-6241
13-330-000-0000-6250
13-330-000-0000-6369
TOTALS

*** W A D E N A C O U N T Y ***

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

69,475.00
1,980.00
19,920.00
274.00
5,211.00
4,294.00
1,004.00
500.00

34,880.69
1,475.10
9,960.00
143.61
2,726.69
2,112.11
493.96
288.00

34,594.31
504.90
9,960.00
130.39
2,484.31
2,181.89
510.04
212.00

50
75
50
52
52
49
49
58

102,658.00

52,080.16

50,577.84

500.00
45,000.00
8,000.00
53,500.00

150.00
17,929.49
2,978.89
21,058.38

350.00
27,070.51
5,021.11
32,441.62

30
40
37

7,000.00
130,000.00
65,000.00
13,000.00
6,500.00
32,500.00
16,000.00
270,000.00

6,239.73
64,336.91
21,602.82
3,160.80
1,635.68
10,571.67
5,225.44
112,773.05

760.27
65,663.09
43,397.18
9,839.20
4,864.32
21,928.33
10,774.56
157,226.95

25,000.00
25,000.00

0.00
.00

25,000.00
25,000.00

.00
451,158.00
451,158.00

185,911.59
185,911.59

265,246.41
265,246.41

0
41
41

39
89
49
33
24
25
33
33

Page 113 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
801 Dept
Non-Departmental
Account Number
--- Revenues --13-801-000-0000-5001
13-801-000-0000-5004
13-801-000-0000-5007
13-801-000-0000-5011
13-801-000-0000-5015
13-801-000-0000-5018
TOTALS

TOTALS

Mh/Mv Ag Market Value Credits
County Program Aid
Disparity Reduction Aid
State Aid-Regular Construction
State Aid-Regular Maintenance
State Aid Muncipal Construction
State Aid Municipal Maintenance
Other Intergovernmental Revenue
In Lieu of Taxes - Fair Oaks Apts
In Lieu Of Tax Commercial Apt
Payments In Lieu Of Taxes-Hump

Gas Tax Revenues
Bridge Inspection & Sign

Federal Grants 20.205

Misc Other Revenues
Misc Sale-Sales Tax Included

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

13-801-000-0000-5921
13-801-000-0000-5992
TOTALS

Property Taxes-Current
Property Taxes -Delinquent
Mobile Homes-Current
Mineral Tax Current
Sales Tax
Transportation Sales & Use Tax

5400-5499 LICENSES AND PERMITS

13-801-000-0000-5832
13-801-000-0000-5835
TOTALS

Status

Description

5300-5399 FINES AND FORFEITURES

13-801-000-0000-5401
TOTALS

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5100-5299 FEES AND SERVICE CHARGES

13-801-000-0000-5327
13-801-000-0000-5351

Page 78

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5000-5099 PROPERTY TAXES AND PENALTIES

13-801-000-0000-5216
13-801-000-0000-5218
13-801-000-0000-5234
13-801-000-0000-5251
13-801-000-0000-5253
13-801-000-0000-5255
13-801-000-0000-5258
13-801-000-0000-5259
13-801-000-0000-5270
13-801-000-0000-5271
13-801-000-0000-5273
TOTALS

*** W A D E N A C O U N T Y ***

Commodity And Property Sales
Refunds And Reimbursements

5900-5999 OTHER FINANCING REVENUE SERVICES

2026
Amend
Budget

Selected
Months

1,244,753.00 21,000.00 .00
.00
600.00 1,000,000.00 2,266,353.00 -

711,034.18 17,584.29 76.60 52.87 283.31 337,106.41 1,066,137.66 -

533,718.82 3,415.71 76.60
52.87
316.69 662,893.59 1,200,215.34 -

24,000.00 283,199.00 5,700.00 3,472,984.00 1,647,439.00 -

24,000.00 283,199.00 5,700.00 1,211,484.32 795,077.50 -

.00
150,000.00 .00
.00
.00
800.00 5,584,122.00 -

0.00
0.00
0.00
2,261,499.68 852,361.50 11,220.45 119,839.67 198,620.73 673.80 270.56 974.55 3,445,460.94 -

11,220.45
30,160.33 198,620.73
673.80
270.56
174.55
2,138,661.06 -

321,721.00 7,896.00 329,617.00 -

297,867.00 7,798.00 305,665.00 -

23,854.00 98.00 23,952.00 -

Variance

% Of
Budget
57
84
0
0
47
34
47
0
0
0
65
52
0
80
0
0
0
122
62
93
99
93

1,139,016.00 -

0.00

1,139,016.00 -

.00

1,139,016.00 -

0
5
40

23,000.00 8,800.00 31,800.00 -

1,200.00 3,521.93 4,721.93 -

21,800.00 5,278.07 27,078.07 -

23,000.00 9,100.00 32,100.00 -

7,642.55 27,578.33 35,220.88 -

15,357.45 18,478.33
3,120.88

15
33
303
110

Page 114 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
801 Dept
Non-Departmental
Account Number
801 Dept

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 79
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Non-Departmental

Status
Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

9,383,008.00 .00
9,383,008.00 -

4,857,206.41 -

4,525,801.59 -

4,857,206.41 -

4,525,801.59 -

Variance

% Of
Budget
52
0
52

Page 115 of 234

IFSHWY
07/14/2026 9:15AM

13 Fund
Road And Bridge Fund
801 Dept
Non-Departmental
Account Number

13 Fund

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 80
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Road And Bridge Fund

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

9,383,008.00 9,383,008.00
.00

4,857,206.41 2,174,504.97
2,682,701.44 -

Variance
4,525,801.59 7,208,503.03
2,682,701.44

% Of
Budget
52
23
0

Page 116 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

15 Fund
Social Services Fund
420 Dept
Social Service-Income Maintance
Account Number
Description
--- Revenues --15-420-000-0000-5001
15-420-000-0000-5004
15-420-000-0000-5007
15-420-000-0000-5011
TOTALS

TOTALS

State Grants-Maxistate

Federal Grants-children Ins program
Federal Admin-Igr Reimb for Services
Refugee And Entrant Assistance 93.566
4E

Misc Other Revenues
Rr Refund

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

15-420-600-0000-5992
TOTALS

In Lieu of Taxes - Fair Oaks Apts
In Lieu Of Tax Commercial Apt
Payments In Lieu Of Taxes-Hump

5400-5499 LICENSES AND PERMITS

15-420-600-0000-5832
15-420-600-0000-5853
TOTALS

Property Taxes-Current
Property Taxes -Delinquent
Mobile Homes-Current
Mineral Tax Current

5300-5399 FINES AND FORFEITURES

15-420-600-0000-5401
15-420-600-0000-5403
15-420-600-0000-5410
15-420-600-0000-5433
TOTALS

Status

5100-5299 FEES AND SERVICE CHARGES

15-420-600-0000-5301
TOTALS

Refunds And Reimbursements

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --15-420-600-0000-6202
15-420-600-0000-6241
15-420-600-0000-6302
15-420-600-0000-6310
15-420-600-0000-6330
15-420-600-0000-6340
15-420-600-0000-6354
15-420-600-0000-6381

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5000-5099 PROPERTY TAXES AND PENALTIES

15-420-000-0000-5270
15-420-000-0000-5271
15-420-000-0000-5273

Page 81

Telephone
Conference, Training, Registration, Dues
Building Repair
Equipment Repair And Maint.
Travel Exp-Room,Board,Meals
Rentals & Service Agreements
Other General Administration
Data Processing Charges

2026
Amend
Budget

Selected
Months

700,633.00 24,000.00 .00
.00
724,633.00 -

392,463.00 8,942.88 39.49 29.04 401,474.41 -

308,170.00 15,057.12 39.49
29.04
323,158.59 -

371.94 149.35 537.94 1,059.23 -

371.94
149.35
537.94
1,059.23

8,787.00 8,787.00 -

113.35 113.35 -

8,673.65 8,673.65 -

800.00 30,700.00 500.00 6,200.00 38,200.00 -

0.00
9,865.00 91.00 1,171.00 11,127.00 -

800.00 20,835.00 409.00 5,029.00 27,073.00 -

3,000.00 .00
3,000.00 -

661.38 0.00
661.38 -

2,338.62 0.00
2,338.62 -

951.53 951.53 -

951.53
951.53

8,561.48
90.08
5,702.29
1,863.53
7,357.53
659.09
7,768.05
3,000.00

33
86
39
49
2
40
63
0

.00
.00
.00
.00

.00
.00

12,813.00
663.00
9,360.00
3,640.00
7,479.00
1,100.00
21,120.00
3,000.00

4,251.52
572.92
3,657.71
1,776.47
121.47
440.91
13,351.95
0.00

Variance

% Of
Budget
56
37
0
0
55
0
0
0

0
32
18
19
29
22
0

Page 117 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***

15 Fund
Social Services Fund
420 Dept
Social Service-Income Maintance
Account Number
Description
TOTALS

TOTALS

Non-Federal Participation Nfed

Salaries & Wages - Permanent
Severance
Hra Employer Cont-Co Share
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share
Salaries & Wages - Permanent
Salaries & Wages - Overtime
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share

6100-6199 PERSONAL SERVICES

--- Revenues --15-420-610-0000-5832
TOTALS

Equipment,Machinery & Vehicles-Capital

6800-6899 OTHER EXPENDITURES

15-420-600-4810-6103
15-420-600-4810-6114
15-420-600-4810-6151
15-420-600-4810-6152
15-420-600-4810-6162
15-420-600-4810-6163
15-420-600-4810-6175
15-420-600-4810-6176
15-420-600-4820-6103
15-420-600-4820-6107
15-420-600-4820-6152
15-420-600-4820-6162
15-420-600-4820-6163
15-420-600-4820-6175
15-420-600-4820-6176
TOTALS

Office Supplies
Computer Software Expense
Automotive Repairs

6600-6699 CAPITAL EXPENDITURES

15-420-600-0000-6801
TOTALS

Status

6400-6599 SUPPLIES AND MATERIALS

15-420-600-0000-6660
TOTALS

Misc Other Revenue

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --15-420-610-0000-6011

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6200-6399 SERVICES AND CHARGES

15-420-600-0000-6401
15-420-600-0000-6409
15-420-600-0000-6560

Page 82

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Mfip & Ea Claims To State

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

59,175.00

24,172.95

35,002.05

4,290.00
14,244.00
6,240.00
24,774.00

1,024.05
23,531.03
2,069.94
26,625.02

3,265.95
9,287.03 4,170.06
1,851.02 -

24
165
33
107

5,746.00
5,746.00

3,589.40
3,589.40

2,156.60
2,156.60

250.00
250.00

0.00
.00

250.00
250.00

263,299.00
20,000.00
650.00
50,159.00
1,040.00
19,747.00
16,210.00
3,791.00
597,282.00
.00
133,260.00
2,359.00
44,796.00
37,171.00
8,693.00
1,198,457.00

128,917.44
0.00
325.00
25,079.47
509.28
9,661.06
7,537.67
1,762.77
294,317.49
539.92
66,630.00
1,164.58
22,105.85
17,517.51
4,096.87
580,164.91

134,381.56
20,000.00
325.00
25,079.53
530.72
10,085.94
8,672.33
2,028.23
302,964.51
539.92 66,630.00
1,194.42
22,690.15
19,653.49
4,596.13
618,292.09

49
0
50
50
49
49
47
46
49
0
50
49
49
47
47

6,000.00 6,000.00 -

682.00 682.00 -

5,318.00 5,318.00 -

4,500.00

492.75

4,007.25

Page 118 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***

15 Fund
Social Services Fund
420 Dept
Social Service-Income Maintance
Account Number
Description
TOTALS

TOTALS

Federal Grants-93563 Child Support
Federal Admin-Ivdadminv93.563

Fees For Service-Child Support fee

5500-5599 OTHER REVENUES

15-420-640-0000-5832
TOTALS

State Grants-MN dept of Human Services

5400-5499 LICENSES AND PERMITS

15-420-640-0000-5501
TOTALS

Claims To State

5300-5399 FINES AND FORFEITURES

15-420-640-0000-5401
15-420-640-0000-5403
TOTALS

Misc Other Revenues

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-420-640-0000-5301
TOTALS

Federal Admin-Fspfnsadmiv10.561

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --15-420-630-0000-6011
TOTALS

Ge Assist Burials
Claims To State

5400-5499 LICENSES AND PERMITS

15-420-630-0000-5832
TOTALS

Misc Other Revenues

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-420-630-0000-5403
TOTALS

Collection Fee

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --15-420-620-0000-6003
15-420-620-0000-6011
TOTALS

Status

5500-5599 OTHER REVENUES

15-420-620-0000-5832
TOTALS

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-420-620-0000-5576

Page 83

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Misc Other Revenues

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

4,500.00

492.75

4,007.25

.00

7,712.16 -

7,712.16

.00

7,712.16 -

7,712.16

6,000.00 -

0.00

6,000.00 -

.00

6,000.00 -

30,000.00
500.00

7,571.00
0.00

22,429.00
500.00

25
0

30,500.00

7,571.00

22,929.00

193,223.00 -

60,937.00 -

132,286.00 -

193,223.00 -

60,937.00 -

132,286.00 -

8,000.00 -

2,095.00 -

5,905.00 -

8,000.00 -

2,095.00 -

5,905.00 -

6,000.00

911.34

5,088.66

6,000.00

911.34

5,088.66

7,500.00 -

1,581.00 -

5,919.00 -

7,500.00 -

1,581.00 -

5,919.00 -

65,000.00 163,595.00 228,595.00 -

17,019.00 71,151.00 88,170.00 -

47,981.00 92,444.00 140,425.00 -

26
43
39

.00

20.00 -

20.00

.00

20.00 -

20.00

1,800.00 -

1,285.39 -

514.61 -

1,800.00 -

1,285.39 -

514.61 -

--- Expenditures ---

Page 119 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***

15 Fund
Social Services Fund
420 Dept
Social Service-Income Maintance
Account Number
Description

% Of
Budget

141,926.00
2,500.00
40,376.00
561.00
10,644.00
8,403.00
1,965.00

70,527.45
1,250.04
20,188.08
278.53
5,289.55
4,049.11
946.99

71,398.55
1,249.96
20,187.92
282.47
5,354.45
4,353.89
1,018.01

50
50
50
50
50
48
48

206,375.00

102,529.75

103,845.25

600.00
32,000.00
500.00
1,000.00
3,500.00
2,500.00

809.00
4,938.25
1,476.27
0.00
118.82
825.00

209.00 27,061.75
976.27 1,000.00
3,381.18
1,675.00

135
15
295
0
3
33

40,100.00

8,167.34

31,932.66

Office Supplies

1,400.00

0.00

1,400.00

6400-6599 SUPPLIES AND MATERIALS

1,400.00

.00

1,400.00

Contract Processing
Reimb MMIS
MA ACCESS

State Grants-Maincentstate Dept of Human

5300-5399 FINES AND FORFEITURES
Federal Grants-Medical Asst
Federal Admin-Medassadminv93.778
Cost Eff Insurance-Fed Ins Reimb

5400-5499 LICENSES AND PERMITS

15-420-650-0000-5802

MA Recovery

.00

1,272.86

1,272.86 -

.00

1,272.86

1,272.86 -

0.00
6,065.08 82,147.01 88,212.09 -

1,300.00 42,434.92 141,352.99 185,087.91 -

0
13
37

1,300.00 48,500.00 223,500.00 273,300.00 -

5100-5299 FEES AND SERVICE CHARGES

15-420-650-0000-5401
15-420-650-0000-5403
15-420-650-0000-5446
TOTALS

Equipment,Machinery & Vehicles-Capital

6600-6699 CAPITAL EXPENDITURES

15-420-650-0000-5301
TOTALS

Prof & Tech Services
County Attorney Fees
Process Serving
Travel Exp-Room,Board,Meals
Other General Administration
Process Serving

6200-6399 SERVICES AND CHARGES

--- Revenues --15-420-650-0000-5233
15-420-650-0000-5252
15-420-650-0000-5254
TOTALS

Salaries & Wages - Permanent
Hra Employer Cont-Co Share
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare -County Share

6100-6199 PERSONAL SERVICES

15-420-640-0000-6660
TOTALS

Status

Variance

15-420-640-0000-6401
TOTALS

Percent of Year: 50%

Selected
Months

15-420-640-0000-6260
15-420-640-0000-6262
15-420-640-0000-6266
15-420-640-0000-6330
15-420-640-0000-6354
15-420-640-0000-6382
TOTALS

From: 01/2026 Thru: 06/2026

2026
Amend
Budget

15-420-640-0000-6103
15-420-640-0000-6151
15-420-640-0000-6152
15-420-640-0000-6162
15-420-640-0000-6163
15-420-640-0000-6175
15-420-640-0000-6176
TOTALS

Page 84

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

21,000.00 -

6,062.28 -

14,937.72 -

21,000.00 -

6,062.28 -

14,937.72 -

13,500.00 322,039.00 175,000.00 510,539.00 -

3,687.52 129,366.00 71,174.86 204,228.38 -

9,812.48 192,673.00 103,825.14 306,310.62 -

27
40
41
40

250,000.00 -

226,757.05 -

23,242.95 -

Page 120 of 234

IFSHWY
07/14/2026 9:15AM

*** W A D E N A C O U N T Y ***

15 Fund
Social Services Fund
420 Dept
Social Service-Income Maintance
Account Number
Description
15-420-650-0000-5832
TOTALS

TOTALS

Med Care Expense
Medical Assist Trans
Managed Care-U Care
Managed Care-Medica
Managed Care-Blue Plus
Insurance Premiums Paid For Clients
MA Asst Trans

Non-Federal Participation
MA Recovery Expense

GRH Recoveries
Misc Other Revenues

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --15-420-660-0000-6011
TOTALS

Misc Other Revenues

6800-6899 OTHER EXPENDITURES

--- Revenues --15-420-660-0000-5814
15-420-660-0000-5832
TOTALS

Status

6000-6099 PUBLIC ASSISTANCE

15-420-650-0000-6801
15-420-650-0000-6813

Claims To State

6000-6099 PUBLIC ASSISTANCE

420 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --15-420-650-0000-6001
15-420-650-0000-6002
15-420-650-0000-6010
15-420-650-0000-6012
15-420-650-0000-6013
15-420-650-0000-6014
15-420-650-0000-6016

Page 85

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

TOTALS Social Service-Income Maintance

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

2,500.00 -

821.60 -

1,678.40 -

252,500.00 -

227,578.65 -

24,921.35 -

32,000.00
65,000.00
500.00
500.00
300.00
350,000.00
.00
448,300.00

12,174.00
18,439.83
0.00
0.00
0.00
100,388.51
630.00
131,632.34

19,826.00
46,560.17
500.00
500.00
300.00
249,611.49
630.00 316,667.66

38
28
0
0
0
29
0

70,000.00
187,500.00
257,500.00

20,803.04
63,748.08
84,551.12

49,196.96
123,751.92
172,948.88

.00
22,000.00 22,000.00 -

9,038.57 0.00
9,038.57 -

9,038.57
22,000.00 12,961.43 -

22,000.00
22,000.00

5,917.82
5,917.82

16,082.18
16,082.18

1,192,087.58 1,327,478.40
135,390.82

48
42
0

2,305,077.00 2,305,077.00
.00

1,112,989.42 977,598.60
135,390.82 -

29
30
34
33

0
0

Page 121 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number
--- Revenues --15-430-000-0000-5001
15-430-000-0000-5004
15-430-000-0000-5007
15-430-000-0000-5011
TOTALS

2,287,115.00 35,000.00 .00
.00
2,322,115.00 -

1,312,433.07 28,945.33 118.51 87.14 1,341,584.05 -

.00
.00
.00
.00

1,245.18 499.99 1,800.97 3,546.14 -

Variance

% Of
Budget

974,681.93 6,054.67 118.51
87.14
980,530.95 -

57
83
0
0
58

1,245.18
499.99
1,800.97

0
0
0

3,546.14

.00

53,097.32 -

53,097.32

53,097.32 -

53,097.32

County Program Aid

5100-5299 FEES AND SERVICE CHARGES
Refunds And Reimbursements

5900-5999 OTHER FINANCING REVENUE SERVICES

Unemployment

6100-6199 PERSONAL SERVICES

15-430-700-0000-6202
15-430-700-0000-6241
15-430-700-0000-6302
15-430-700-0000-6310
15-430-700-0000-6330
15-430-700-0000-6340
15-430-700-0000-6354
TOTALS

In Lieu of Taxes - Fair Oaks Apts
In Lieu Of Tax Commercial Apt
Payments In Lieu Of Taxes-Hump

Selected
Months

.00

--- Expenditures --15-430-700-0000-6177
TOTALS

Property Taxes-Current
Property Taxes -Delinquent
Mobile Homes-Current
Mineral Tax Current

2026
Amend
Budget

State Grants

15-430-700-0000-5992
TOTALS

Status

Description

5300-5399 FINES AND FORFEITURES

15-430-700-0000-5218
TOTALS

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5100-5299 FEES AND SERVICE CHARGES

15-430-100-0000-5301
TOTALS

Page 86

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5000-5099 PROPERTY TAXES AND PENALTIES

15-430-000-0000-5270
15-430-000-0000-5271
15-430-000-0000-5273
TOTALS

*** W A D E N A C O U N T Y ***

Telephone
Conference, Training, Registration, Dues
Building Repair
Equipment Repair And Maint.
Travel Exp-Room,Board,Meals
Rentals & Service Agreements
Other General Administration

6200-6399 SERVICES AND CHARGES

15-430-700-0000-6401
15-430-700-0000-6409
15-430-700-0000-6560

Office Supplies
Computer Software Expense
Automotive Repairs

307,825.00 -

0.00

307,825.00 -

.00

307,825.00 -

.00

334.58 -

334.58

.00

334.58 -

334.58

10,000.00

0.00

10,000.00

.00

10,000.00

36,467.00
1,887.00
26,640.00
10,360.00
23,171.00
3,132.00
85,172.00

12,754.81
1,718.77
10,938.18
5,329.38
1,518.53
1,322.74
59,116.86

23,712.19
168.23
15,701.82
5,030.62
21,652.47
1,809.26
26,055.14

35
91
41
51
7
42
69

186,829.00

92,699.27

94,129.73

12,210.00
40,541.00
17,760.00

3,072.26
27,309.10
6,210.07

9,137.74
13,231.90
11,549.93

25
67
35

Page 122 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number
TOTALS

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Description

Status

15-430-700-0000-6660
Equipment,Machinery & Vehicles-Capital
TOTALS 6600-6699 CAPITAL EXPENDITURES

TOTALS

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6400-6599 SUPPLIES AND MATERIALS

--- Revenues --15-430-700-0053-5301
15-430-700-0057-5302

Page 87

State Grants-Ccsagblockgrant
State Admin

5300-5399 FINES AND FORFEITURES

--- Expenditures --15-430-700-4810-6103
Salaries & Wages - Permanent
15-430-700-4810-6151
Hra Employer Cont-Co Share
15-430-700-4810-6152
Wages-Cafeteria
15-430-700-4810-6162
Paid Family Medical Leave
15-430-700-4810-6163
Pera - County Share
15-430-700-4810-6175
Fica - County Share
15-430-700-4810-6176
Medicare -County Share
15-430-700-4820-6103
Salaries & Wages - Permanent
15-430-700-4820-6107
Salaries & Wages - Overtime
15-430-700-4820-6113
Cell Stipend
15-430-700-4820-6151
Hra Employer Cont-Co Share
15-430-700-4820-6152
Wages-Cafeteria
15-430-700-4820-6162
Paid Family Medical Leave
15-430-700-4820-6163
Pera - County Share
15-430-700-4820-6175
Fica - County Share
15-430-700-4820-6176
Medicare -County Share
15-430-700-4830-6103
Salaries & Wages - Permanent
15-430-700-4830-6107
Salaries & Wages - Overtime
15-430-700-4830-6152
Wages-Cafeteria
15-430-700-4830-6162
Paid Family Medical Leave
15-430-700-4830-6163
Pera - County Share
15-430-700-4830-6175
Fica - County Share
15-430-700-4830-6176
Medicare -County Share
TOTALS 6100-6199 PERSONAL SERVICES

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

70,511.00

36,591.43

33,919.57

16,354.00
16,354.00

10,768.20
10,768.20

5,585.80
5,585.80

66
66

197,323.00 242,349.00 439,672.00 -

0.00
63,564.00 63,564.00 -

197,323.00 178,785.00 376,108.00 -

0
26

777,234.00
1,850.00
196,437.00
3,070.00
58,293.00
46,802.00
10,946.00
2,176,165.00
17,400.00
.00
3,750.00
417,952.00
8,596.00
163,212.00
136,866.00
32,009.00
64,974.00
.00
29,609.00
257.00
4,873.00
3,765.00
881.00
4,154,941.00

409,445.95
925.04
99,771.22
1,617.18
30,686.32
23,222.23
5,431.18
1,002,520.58
582.50
180.00
1,823.15
181,010.67
3,963.29
74,613.23
60,262.57
14,093.86
31,704.33
223.43
14,804.41
126.12
2,394.61
1,710.31
399.98
1,961,512.16

367,788.05
924.96
96,665.78
1,452.82
27,606.68
23,579.77
5,514.82
1,173,644.42
16,817.50
180.00 1,926.85
236,941.33
4,632.71
88,598.77
76,603.43
17,915.14
33,269.67
223.43 14,804.59
130.88
2,478.39
2,054.69
481.02
2,193,428.84

53
50
51
53
53
50
50
46
3
0
49
43
46
46
44
44
49
0
50
49
49
45
45
47

Page 123 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number
--- Revenues --15-430-700-6700-5403
TOTALS

Misc Other Revenues

Refunds And Reimbursements

Non-Federal Participation

State Grants
State Grants
State Grants-Forgotchild
Opiate State Grant
State Grants-Altresponse

Federal Grants-Cfda 93.658
Federal Admin-Cfda 93.658
Federal Admin-Ivesstsadmin931.658
Federal Grants 93.674 Chafee Foster Care
Federal Grants-IGR Reimb
Federal Grants-IGR Reimb for Services
Federal Admin-Lcts
Federal Amin-LCTS
Federal Grants - 4-B 93.645 CW
Community Based Child Abuse

5400-5499 LICENSES AND PERMITS

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

296,057.00 -

77,612.00 -

218,445.00 -

296,057.00 -

77,612.00 -

218,445.00 -

65,000.00 -

19,786.06 -

45,213.94 -

65,000.00 -

19,786.06 -

45,213.94 -

12,000.00 -

2,708.47 -

9,291.53 -

12,000.00 -

2,708.47 -

9,291.53 -

.00

97.02 -

97.02

.00

97.02 -

97.02

1,343.44

1,343.44 1,343.44 -

31,965.00 123,253.00 34,428.00 22,844.00 3,664.00 216,154.00 -

13,420.09 0.00
4,877.04 9,180.78 1,724.06 29,201.97 -

18,544.91 123,253.00 29,550.96 13,663.22 1,939.94 186,952.03 -

90,000.00 2,500.00 66,580.00 12,000.00 128,520.00 31,965.00 50,000.00 20,000.00 8,937.00 -

30,654.00 2,624.00 24,461.00 3,423.20 64,574.93 13,420.14 8,830.00 4,556.00 -

59,346.00 124.00
42,119.00 8,576.80 63,945.07 18,544.86 41,170.00 15,444.00 8,937.00 -

.00
.00

5300-5399 FINES AND FORFEITURES

15-430-710-0100-5401
15-430-710-0100-5403
15-430-710-0200-5403
15-430-710-0400-5401
15-430-710-0500-5401
15-430-710-0600-5401
15-430-710-0700-5403
15-430-710-0700-5454
15-430-710-0800-5401
15-430-710-0900-5451
TOTALS

County Fees

6800-6899 OTHER EXPENDITURES

--- Revenues --15-430-710-0001-5301
15-430-710-0004-5301
15-430-710-0005-5301
15-430-710-0006-5301
15-430-710-0067-5301
TOTALS

Federal Admin 93.778

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --15-430-710-0000-6801
TOTALS

Status

Description

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

15-430-710-0000-5992
TOTALS

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5500-5599 OTHER REVENUES

15-430-710-0000-5832
TOTALS

Page 88

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5400-5499 LICENSES AND PERMITS

15-430-710-0000-5576
TOTALS

*** W A D E N A C O U N T Y ***

.00
410,502.00 -

--- Expenditures ---

1,343.44

0.00
982.96 153,526.23 -

982.96
256,975.77 -

42
0
14
40
47
14
34
105
37
29
50
42
18
23
0
0
37

Page 124 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number

*** W A D E N A C O U N T Y ***
Page 89

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

15-430-710-1020-6029
Res Dev
TOTALS 6000-6099 PUBLIC ASSISTANCE

2,000.00
2,000.00

0.00
.00

2,000.00
2,000.00

0
0

15-430-710-1030-6802
Grant Expenses
TOTALS 6800-6899 OTHER EXPENDITURES

15,460.00
15,460.00

4,671.50
4,671.50

10,788.50
10,788.50

30
30

5,000.00
1,000.00
.00
500.00
16,664.00
10,000.00
.00
1,500.00
5,000.00
50,000.00
1,000.00
1,000.00
1,000.00
5,844.00
1,260.00
5,000.00
400,000.00
180,000.00
.00
.00
.00
.00
.00
70,000.00
.00
754,768.00

3,386.52
0.00
30,946.00
0.00
9,532.90
435.00
224.83
0.00
1,142.03
1,794.87
1,588.82
0.00
0.00
3,495.86
525.00
619.05
92,419.26
51,748.29
7,152.00
4,768.00
10,125.22
2,050.10
1,630.00
35,523.00
150.00
259,256.75

1,613.48
1,000.00
30,946.00 500.00
7,131.10
9,565.00
224.83 -

68
0
0

15-430-710-1160-6019
15-430-710-1160-6050
15-430-710-1190-6057

Opiate Grant
Title Xx
Children Not Under State Guardianship

15-430-710-1410-6086
15-430-710-1440-6043
15-430-710-1450-6019
15-430-710-1450-6057
15-430-710-1450-6058
15-430-710-1460-6087
15-430-710-1620-6031
15-430-710-1630-6019
15-430-710-1640-6019
15-430-710-1640-6049
15-430-710-1650-6019
15-430-710-1650-6057
15-430-710-1670-6025
15-430-710-1810-6057
15-430-710-1810-6077
15-430-710-1830-6057
15-430-710-1830-6077
15-430-710-1880-6057
15-430-710-1880-6077
15-430-710-1890-6057
15-430-710-1970-6040
15-430-710-1980-6029

Cadi
Housing Services - Homelessness
Opiate Grant
Children Not Under State Guardianship
Richard E Bentrup Fund
Self
Family Based Services
Opiate Grant
Family Assessment Response Services
Alternative Response
Services for Concurrent Planning
Children Not Under State Guardianship
parent support outreach
Children Not Under State Guardianship
Iv-E Grant Payments
Child Welfare -Group Home
Title Iv-E-Group Home
Child Welfare - Sil (18-20)
Title Iv-E-Sil(18-20)
Child Welfare - Sil(18-20)
Wadena County Collaborative
Res Dev

TOTALS

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-430-710-6500-5401
15-430-710-6500-5445

4-B Altrespr 93.645 Child Welfare Serv
Family Response93556

.00
4,302.00 -

1,075.36 0.00

1,500.00
3,857.97
48,205.13
588.82 1,000.00
1,000.00
2,348.14
735.00
4,380.95
307,580.74
128,251.71
7,152.00 4,768.00 10,125.22 2,050.10 1,630.00 34,477.00
150.00 495,511.25

1,075.36
4,302.00 -

0
57
4
0
0
23
4
159
0
0
60
42
12
23
29
0
0
0
0
0
51
0
34

0
0

Page 125 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number
TOTALS

TOTALS

Contract Processing-Services

County Fees

Misc Other Revenues

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

15-430-730-0017-5302
15-430-730-0021-5301
TOTALS

Sliding Fee Day Care
Stride Emp &Trng Mfip-Es
All County Funds

5500-5599 OTHER REVENUES

15-430-730-0000-5832
TOTALS

Federal Admin-Child Mand Match Fund
Federal Grants-Cfda 93.558 Temp Asst
Federal Admin-Child Care mand Match

5100-5299 FEES AND SERVICE CHARGES

15-430-730-0000-5576
TOTALS

State Admin-Ccbsfadmin
State Grants-Mfipss
CC State Program
State Admin-Ccmfipadmin

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-430-730-0000-5233
TOTALS

Misc Other Revenues

5400-5499 LICENSES AND PERMITS

--- Expenditures --15-430-720-2110-6069
15-430-720-2370-6033
15-430-720-2930-6034
TOTALS

County Fees

5300-5399 FINES AND FORFEITURES

15-430-720-1300-5403
15-430-720-1400-5401
15-430-720-1500-5403
TOTALS

Status

Description

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

15-430-720-0008-5302
15-430-720-0011-5301
15-430-720-0015-5301
15-430-720-0066-5302

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5500-5599 OTHER REVENUES

15-430-720-0000-5832
TOTALS

Page 90

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5400-5499 LICENSES AND PERMITS

15-430-720-0000-5576
TOTALS

*** W A D E N A C O U N T Y ***

State Admin-Cdtfundadmin
SUD trxt state grant

5300-5399 FINES AND FORFEITURES

2026
Amend
Budget

Selected
Months

Variance

4,302.00 -

1,075.36 -

3,226.64 -

% Of
Budget
25

.00

250.00 -

250.00

.00

250.00 -

250.00

500.00 -

98.19 -

401.81 -

500.00 -

98.19 -

401.81 -

1,200.00 18,152.00 4,000.00 850.00 24,202.00 -

1,114.00 8,409.00 0.00
1,035.00 10,558.00 -

86.00 9,743.00 4,000.00 185.00
13,644.00 -

93
46
0
122

1,000.00 208,749.00 3,000.00 212,749.00 -

783.00 43,505.79 252.00 44,540.79 -

217.00 165,243.21 2,748.00 168,208.21 -

78
21
8
21

7,402.00
226,901.00
20,626.00

3,085.00
71,411.90
10,313.00

4,317.00
155,489.10
10,313.00

42
31
50

254,929.00

84,809.90

170,119.10

1,000.00 -

163.94 -

836.06 -

1,000.00 -

163.94 -

836.06 -

4,500.00 -

2,956.68 -

1,543.32 -

4,500.00 -

2,956.68 -

1,543.32 -

250.00 -

35.63 -

214.37 -

250.00 -

35.63 -

214.37 -

9,286.00 150.00 9,436.00 -

9,285.54 0.00
9,285.54 -

0.46 150.00 150.46 -

100
0

Page 126 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number
15-430-730-2500-5401
TOTALS

TOTALS

Contract Processing

Misc Other Revenues
Mhi Revenue

Non-Federal Participation

State Grants
State Grants-Childmhcomb
State Grants

5300-5399 FINES AND FORFEITURES

15-430-740-3100-5401
TOTALS

All County Funds
All County Funds
All County Funds

6800-6899 OTHER EXPENDITURES

--- Revenues --15-430-740-0025-5301
15-430-740-0063-5301
15-430-740-0064-5301
TOTALS

SUD trxt federal grant

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

--- Expenditures --15-430-740-0000-6801
TOTALS

Status

Description

5100-5299 FEES AND SERVICE CHARGES

15-430-740-0000-5832
15-430-740-0000-5836

Federal Grants

5400-5499 LICENSES AND PERMITS

--- Expenditures --15-430-740-4020-6080
15-430-740-4020-6082
15-430-740-4030-6080
15-430-740-4030-6082
15-430-740-4160-6080
15-430-740-4180-6036
15-430-740-4180-6080

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-430-740-0000-5233

Page 91

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5400-5499 LICENSES AND PERMITS

--- Expenditures --15-430-730-3160-6034
15-430-730-3590-6034
15-430-730-3710-6034
TOTALS

*** W A D E N A C O U N T Y ***

Mh Initiative-Res & Dev
Integrated Mental Health Fund
Mh Initiative
Integrated Mental Health Fund
Mh Initiative
Sourcewell - impact funding
Mh Initiative

2026
Amend
Budget

Selected
Months

150.00 -

0.00

150.00 -

.00

150.00 -

1,000.00
30,000.00
5,000.00

47.16
0.00
19,200.00

952.84
30,000.00
14,200.00 -

5
0
384

36,000.00

19,247.16

16,752.84

Variance

% Of
Budget

274,752.00 -

98,326.90 -

176,425.10 -

274,752.00 -

98,326.90 -

176,425.10 -

7,120.00 206,931.00 214,051.00 -

100,401.84 207,185.00 307,586.84 -

93,281.84
254.00

1410
100

93,535.84

144

8,000.00

27,142.51

339

8,000.00

27,142.51

19,142.51 19,142.51 -

126,427.00 23,292.00 25,000.00 174,719.00 -

49,073.00 1,713.00 0.00
50,786.00 -

77,354.00 21,579.00 25,000.00 123,933.00 -

339

39
7
0
29

31,020.00 -

8,555.36 -

22,464.64 -

31,020.00 -

8,555.36 -

22,464.64 -

.00
.00
52,743.00
106,427.00
4,750.00
25,000.00
62,750.00

768.41
240.04
3,766.91
5,191.04
0.00
16,248.01
2,151.35

768.41 240.04 48,976.09
101,235.96
4,750.00
8,751.99
60,598.65

0
0
7
5
0
65
3

Page 127 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number
15-430-740-4180-6082
15-430-740-4430-6080
15-430-740-4430-6082
15-430-740-4460-6082
15-430-740-4620-6067
15-430-740-4620-6073
15-430-740-4730-6015
15-430-740-4730-6092
15-430-740-4830-6057
15-430-740-4890-6067
TOTALS

TOTALS

Federal Grants-IGR Reimb

Misc Other Revenues

State Grants-Ddsilsprogm
State Grants-Ddfamsuptort
State Grants

Federal Grants-IGR Reimb

5400-5499 LICENSES AND PERMITS

--- Expenditures --15-430-750-5160-6094
15-430-750-5340-6072
15-430-750-5350-6084
15-430-750-5380-6068
15-430-750-5660-6034
TOTALS

Integrated Mental Health Fund
Mh Initiative-Initiative Housing
Integrated Mental Health Fund
Integrated Mental Health Fund
Fed M H Block Grant
CIBS
S.O.
MH
Children Not Under State Guardianship
Fed M H Block Grant

5300-5399 FINES AND FORFEITURES

15-430-750-3800-5401
TOTALS

Status

Description

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

15-430-750-0034-5301
15-430-750-0035-5301
15-430-750-0038-5301

D D Waiver
Sils
Family Support Grant Program
Supported Employment
All County Funds

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-430-760-0000-5233

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5400-5499 LICENSES AND PERMITS

15-430-750-0000-5832
TOTALS

Page 92

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-430-740-6400-5401
TOTALS

*** W A D E N A C O U N T Y ***

Contract Processing

2026
Amend
Budget

Selected
Months

.00
14,305.00
.00
.00
8,783.00
25,000.00
125,000.00
50,000.00
70,000.00
14,509.00
559,267.00

560.00
6,257.28
5,884.58
648.56
0.00
0.00
98,187.75
20,905.20
0.00
9,978.57
170,787.70

8,783.00
25,000.00
26,812.25
29,094.80
70,000.00
4,530.43
388,479.30

53,892.00 53,892.00 -

25,973.50 25,973.50 -

27,918.50 27,918.50 -

500.00 500.00 -

43.08 43.08 -

456.92 456.92 -

1,000.00 5,082.00 30,500.00 36,582.00 -

0.00
0.00
12,905.94 12,905.94 -

1,000.00 5,082.00 17,594.06 23,676.06 -

30,500.00 30,500.00 -

12,905.97 12,905.97 -

17,594.03 17,594.03 -

1,000.00
1,176.00
5,082.00
5,000.00
1,000.00
13,258.00

289,690.00 -

0.00
0.00
0.00
0.00
0.00
.00

143,222.11 -

Variance
560.00 8,047.72
5,884.58 648.56 -

% Of
Budget
0
44
0
0
0
0
79
42
0
69

0
0
42

0
0
0
0
0

1,000.00
1,176.00
5,082.00
5,000.00
1,000.00
13,258.00

146,467.89 -

Page 128 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number
TOTALS

TOTALS

State Grants
State Grants
State Grant

Federal Grants_IGR Reimb
Federal Grants

Title Xx
Alternative Care/Elderly Waiver
Cadi
CADI
Guardianship Discharge Initiative

6000-6099 PUBLIC ASSISTANCE

--- Revenues --15-430-790-5400-5403
15-430-790-5600-5401
TOTALS

Misc Other Revenues

5400-5499 LICENSES AND PERMITS

--- Expenditures --15-430-760-6160-6050
15-430-760-6160-6075
15-430-760-6160-6086
15-430-760-6230-6086
15-430-760-6950-6053
TOTALS

County Fees

5300-5399 FINES AND FORFEITURES

15-430-760-4700-5401
15-430-760-4800-5401
TOTALS

Status

Description

5800-5899 HUMAN SERVICE INTERGOVERNMENTAL

15-430-760-0044-5301
15-430-760-0045-5301
15-430-760-0048-5301

Federal Admin-Masstsadmin 93.778
Federal Grants-93.667 Ss Block Grant

5400-5499 LICENSES AND PERMITS

430 Dept

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5500-5599 OTHER REVENUES

15-430-760-0000-5832
TOTALS

Page 93

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5100-5299 FEES AND SERVICE CHARGES

15-430-760-0000-5576
TOTALS

*** W A D E N A C O U N T Y ***

TOTALS Social Services

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

289,690.00 -

143,222.11 -

Variance
146,467.89 -

% Of
Budget
49

.00

1,224.36 -

1,224.36

.00

1,224.36 -

1,224.36

5,600.00 -

630.73 -

4,969.27 -

5,600.00 -

630.73 -

4,969.27 -

250,670.00 16,000.00 27,384.00 294,054.00 -

90,224.68 4,733.68 2,302.00 97,260.36 -

160,445.32 11,266.32 25,082.00 196,793.64 -

36
30
8

250,670.00 16,000.00 266,670.00 -

90,825.99 4,733.69 95,559.68 -

159,844.01 11,266.31 171,110.32 -

3,000.00
10,000.00
.00
30,000.00
98,000.00

0.00
2,340.00
7,628.78
0.00
43,468.99

3,000.00
7,660.00
7,628.78 30,000.00
54,531.01

0
23
0
0
44

141,000.00

53,437.77

87,562.23

90,994.00 108,879.00 199,873.00 -

19,823.00 55,266.00 75,089.00 -

71,171.00 53,613.00 124,784.00 -

22
51
38

6,198,317.00 6,223,317.00
25,000.00

2,744,091.80 2,722,267.79
21,824.01 -

3,454,225.20 3,501,049.21
46,824.01

44
44
-87

33
36
30

Page 129 of 234

IFSHWY
07/14/2026 9:15AM

15 Fund
Social Services Fund
430 Dept
Social Services
Account Number

15 Fund

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 94
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Social Services Fund

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

8,503,394.00 8,528,394.00
25,000.00

3,857,081.22 3,699,866.39
157,214.83 -

Variance

% Of
Budget

4,646,312.78 4,828,527.61
182,214.83

45
43
-629

Page 130 of 234

IFSHWY
07/14/2026 9:15AM

17 Fund
Friendly Rider's Transit
403 Dept
Friendly Rider's Transit
Account Number
--- Expenditures --17-403-000-0000-6103
17-403-000-0000-6107
17-403-000-0000-6113
17-403-000-0000-6152
17-403-000-0000-6162
17-403-000-0000-6163
17-403-000-0000-6175
17-403-000-0000-6176
TOTALS

TOTALS

Agr# Fed. Gr 20.509

Fees For Service-Passenger Fairs
Fees-Contract Fares

Interest Income

Refunds And Reimbursements

Workers Comp,Liability, &Other Co Ins

6100-6199 PERSONAL SERVICES

17-403-100-0000-6210
17-403-100-0000-6240
17-403-100-0000-6265
17-403-100-0000-6270
17-403-100-0000-6310

From: 01/2026 Thru: 06/2026

2026
Amend
Budget

Selected
Months

687,377.00
.00
1,090.00
138,764.00
2,552.00
51,553.00
42,901.00
10,033.00

283,613.55
345.26
607.57
53,946.00
1,123.88
19,433.96
17,062.70
3,990.58

403,763.45
345.26 482.43
84,818.00
1,428.12
32,119.04
25,838.30
6,042.42

41
0
56
39
44
38
40
40

934,270.00

380,123.50

554,146.50

376,749.00 22,737.73 399,486.73 -

376,749.00
22,737.73

0
0

399,486.73

.00
.00
.00

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --17-403-100-0000-6179
TOTALS

State Grants
MN State Reimbursement for Fares

5700-5799 INTERGOVERNMENTAL REVENUE

17-403-100-0000-5992
TOTALS

Salaries & Wages - Permanent
Salaries & Wages - Overtime
Cellphone stipend
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share

5500-5599 OTHER REVENUES

17-403-100-0000-5711
TOTALS

Status

Description

5400-5499 LICENSES AND PERMITS

17-403-100-0000-5501
17-403-100-0000-5502

Page 95
Percent of Year: 50%

5300-5399 FINES AND FORFEITURES

17-403-100-0000-5430
TOTALS

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

6100-6199 PERSONAL SERVICES

--- Revenues --17-403-100-0000-5301
17-403-100-0000-5350
TOTALS

*** W A D E N A C O U N T Y ***

Utilities (Phone Charges)
Advertising, Legal Notices & Subscript
Legal and Auditing
Drug & Alcohol Testing
Equipment Repair And Maint.

Variance

% Of
Budget

.00

155,242.05 -

155,242.05

.00

155,242.05 -

155,242.05

26,498.62 33,841.50 60,340.12 -

71,801.38 51,158.50 122,959.88 -

27
40

98,300.00 85,000.00 183,300.00 -

.00

7,540.05 -

7,540.05

.00

7,540.05 -

7,540.05

13,100.00 -

5,270.00 -

7,830.00 -

13,100.00 -

5,270.00 -

7,830.00 -

.00

25,413.00

25,413.00 -

.00

25,413.00

25,413.00 -

17,500.00
28,800.00
5,000.00
1,800.00
14,200.00

4,172.69
7,668.40
0.00
877.40
2,197.28

13,327.31
21,131.60
5,000.00
922.60
12,002.72

24
27
0
49
15

Page 131 of 234

IFSHWY
07/14/2026 9:15AM

17 Fund
Friendly Rider's Transit
403 Dept
Friendly Rider's Transit
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 96
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

17-403-100-0000-6313
Corrective Equipment Repair & Maint
17-403-100-0000-6315
Tires
17-403-100-0000-6316
Other Vehicle Charges
17-403-100-0000-6330
Travel Exp-Room,Board,Meals
17-403-100-0000-6340
Rentals & Service Agreements
17-403-100-0000-6353
Property Damage & Liability Insurance
17-403-100-0000-6370
Other Operation Charges
17-403-100-0000-6371
Vehicle Reg & Permit Fees
TOTALS 6200-6399 SERVICES AND CHARGES

30,000.00
11,500.00
7,000.00
10,100.00
7,400.00
27,400.00
8,800.00
200.00

20,323.58
2,550.49
2,859.84
2,377.73
613.73
0.00
3,834.85
191.25

9,676.42
8,949.51
4,140.16
7,722.27
6,786.27
27,400.00
4,965.15
8.75

169,700.00

47,667.24

122,032.76

68
22
41
24
8
0
44
96
28

17-403-100-0000-6401
Office Supplies
17-403-100-0000-6411
Fuel
TOTALS 6400-6599 SUPPLIES AND MATERIALS

6,400.00
92,400.00
98,800.00

783.26
36,913.30
37,696.56

5,616.74
55,486.70
61,103.44

12
40
38

17-403-100-0000-6803
Miscellaneous Expense
TOTALS 6800-6899 OTHER EXPENDITURES

8,700.00
8,700.00

6,576.71
6,576.71

2,123.29
2,123.29

76
76

431,478.95
713,992.99
1,145,471.94

320
41
-13

403 Dept

TOTALS Friendly Rider's Transit

Revenue
Expend.
Net

196,400.00 1,211,470.00
1,015,070.00

627,878.95 497,477.01
130,401.94 -

Page 132 of 234

IFSHWY
07/14/2026 9:15AM

17 Fund
Friendly Rider's Transit
403 Dept
Friendly Rider's Transit
Account Number

17 Fund

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Page 97
From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

TOTALS Friendly Rider's Transit

Status

Revenue
Expend.
Net

2026
Amend
Budget

Selected
Months

Variance

% Of
Budget

196,400.00 1,211,470.00
1,015,070.00

627,878.95 497,477.01
130,401.94 -

431,478.95
713,992.99
1,145,471.94

320
41
-13

Page 133 of 234

IFSHWY
07/14/2026 9:15AM

55 Fund
Solid Waste Fund
391 Dept
Solid Waste
Account Number
--- Revenues --55-391-000-0000-5051
55-391-000-0000-5054
TOTALS

TOTALS

Disposal Haulers/Demo Lic

State Grants

Loading Fee
Income From Self Haulers
Haulers Tipping Fees
Recyclable Material Sales

Refunds And Reimbursements

5900-5999 OTHER FINANCING REVENUE SERVICES

--- Expenditures --55-391-000-0000-6103
55-391-000-0000-6107
55-391-000-0000-6113
55-391-000-0000-6152
55-391-000-0000-6162
55-391-000-0000-6163
55-391-000-0000-6175
55-391-000-0000-6176
55-391-000-0000-6179
55-391-000-0000-6182
TOTALS

Special Assessments Current
Special Assessments Delinquent

5500-5599 OTHER REVENUES

55-391-000-0000-5992
TOTALS

Status

Description

5300-5399 FINES AND FORFEITURES

55-391-000-0000-5538
55-391-000-0000-5540
55-391-000-0000-5541
55-391-000-0000-5544

Salaries & Wages - Permanent
Salaries & Wages - Overtime
Cell Stipend
Wages-Cafeteria
Paid Family Medical Leave
Pera - County Share
Fica - County Share
Medicare - County Share
Workers Comp,Liability, &Other Co Ins
Uniform Allowance

6100-6199 PERSONAL SERVICES

55-391-000-0000-6202
55-391-000-0000-6204
55-391-000-0000-6240
55-391-000-0000-6242

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

5100-5299 FEES AND SERVICE CHARGES

55-391-000-0000-5301
TOTALS

Page 98

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

5000-5099 PROPERTY TAXES AND PENALTIES

55-391-000-0000-5110
TOTALS

*** W A D E N A C O U N T Y ***

Telephone
Postage
Advertising, Legal Notices & Subscript
Fees,Dues,Memberships

2026
Amend
Budget

Selected
Months

675,000.00 19,650.00 694,650.00 -

416,437.21 18,585.82 435,023.03 -

730.00 730.00 -

0.00
.00

Variance

% Of
Budget

258,562.79 1,064.18 259,626.97 -

62
95
63

730.00 730.00 -

86,753.00 86,753.00 -

36,220.00 36,220.00 -

50,533.00 50,533.00 -

350,000.00 720,000.00 .00
55,000.00 1,125,000.00 -

0.00
110,823.84 323,433.69 13,999.85 448,257.38 -

350,000.00 609,176.16 323,433.69
41,000.15 676,742.62 -

2,193.00 2,193.00 -

2,193.00
2,193.00

.00
.00

0
15
0
25

222,649.00
732.00
900.00
60,960.00
879.00
16,699.00
13,848.00
3,239.00
24,000.00
1,600.00
345,506.00

103,298.62
1,705.81
270.00
23,487.00
415.91
7,895.55
6,416.82
1,500.73
23,823.00
0.00
168,813.44

119,350.38
973.81 630.00
37,473.00
463.09
8,803.45
7,431.18
1,738.27
177.00
1,600.00
176,692.56

46
233
30
39
47
47
46
46
99
0

1,000.00
350.00
3,500.00
2,000.00

483.78
0.00
17.33
1,445.00

516.22
350.00
3,482.67
555.00

48
0
0
72

Page 134 of 234

IFSHWY
07/14/2026 9:15AM

55 Fund
Solid Waste Fund
391 Dept
Solid Waste
Account Number

*** W A D E N A C O U N T Y ***
REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

Description

Status

55-391-000-0000-6243
Conference,Training, Registration, Dues
55-391-000-0000-6250
Electricity, Sewer And Water
55-391-000-0000-6252
Curbside Pick-Up(Recycling)
55-391-000-0000-6253
Fluorescent Bulb Pick-Up
55-391-000-0000-6254
HHW DISPOSAL
55-391-000-0000-6256
Tipping Fees, Transport To Prrf
55-391-000-0000-6260
Prof & Tech Services
55-391-000-0000-6278
Demo Landfill Operator Fees
55-391-000-0000-6279
Waste Tire Disposal
55-391-000-0000-6280
Disp To Landfill
55-391-000-0000-6281
Transfer Station Operation
55-391-000-0000-6292
Contract Services
55-391-000-0000-6302
Building Repair And Maintenance
55-391-000-0000-6303
Vehicle Repair & Maintance
55-391-000-0000-6310
Recycling Bldg Wadena Maint
55-391-000-0000-6330
Travel Exp-Room,Board,Meals
55-391-000-0000-6334
Travel Expenses - Mileage
55-391-000-0000-6345
Equipment Repair Service
55-391-000-0000-6347
Equipment Rental
55-391-000-0000-6377
Solid Waste Tax
55-391-000-0000-6385
Electronic Disposal
TOTALS 6200-6399 SERVICES AND CHARGES
55-391-000-0000-6401
Office Supplies
55-391-000-0000-6406
Education Program
55-391-000-0000-6410
Custodial/Building Supplies
55-391-000-0000-6412
Office Furn/Equipment
55-391-000-0000-6413
Shop Expense
55-391-000-0000-6460
Safety Equipment
55-391-000-0000-6480
Small Equipment
55-391-000-0000-6566
Gas
TOTALS 6400-6599 SUPPLIES AND MATERIALS
55-391-000-0000-6611
55-391-000-0000-6660

Page 99

Building Improvements
Equipment,Machinery & Vehicles-Capital

2026
Amend
Budget

Selected
Months

1,000.00
4,000.00
50,000.00
3,000.00
20,000.00
840,000.00
65,000.00
20,000.00
5,000.00
83,000.00
52,000.00
155,000.00
11,000.00
30,000.00
2,000.00
900.00
1,600.00
1,000.00
750.00
3,000.00
.00
1,355,100.00

1,103.07
1,973.19
13,676.25
0.00
0.00
421,095.20
11,231.55
3,378.00
1,264.40
66,742.40
10,152.42
93,348.23
1,725.15
9,383.57
9,706.17
0.00
311.75
0.00
0.00
571.65
152.23
647,761.34

900.00
1,288.25
1,000.00
750.00
2,428.35
152.23 707,338.66

110
49
27
0
0
50
17
17
25
80
20
60
16
31
485
0
19
0
0
19
0
48

1,500.00
2,000.00
250.00
500.00
1,500.00
500.00
500.00
20,000.00
26,750.00

936.02
0.00
199.44
0.00
1,181.89
0.00
0.00
11,879.88
14,197.23

563.98
2,000.00
50.56
500.00
318.11
500.00
500.00
8,120.12
12,552.77

62
0
80
0
79
0
0
59
53

10,000.00
80,000.00

100.00
133,929.55

9,900.00
53,929.55 -

1
167

Variance
103.07 2,026.81
36,323.75
3,000.00
20,000.00
418,904.80
53,768.45
16,622.00
3,735.60
16,257.60
41,847.58
61,651.77
9,274.85
20,616.43
7,706.17 -

% Of
Budget

Page 135 of 234

IFSHWY
07/14/2026 9:15AM

55 Fund
Solid Waste Fund
391 Dept
Solid Waste
Account Number
TOTALS

*** W A D E N A C O U N T Y ***

Description

Status

6600-6699 CAPITAL EXPENDITURES

55-391-000-0000-6803

Miscellaneous Expense

6800-6899 OTHER EXPENDITURES

391 Dept

TOTALS Solid Waste

55 Fund

TOTALS Solid Waste Fund

1,157 Accounts

2026
Amend
Budget

Selected
Months

90,000.00

134,029.55

44,029.55 -

149

50,000.00
17,590.00
67,590.00

50,000.00
10,068.75
60,068.75

0.00
7,521.25
7,521.25

100
57
89

2,000.00
2,000.00

0.00
.00

2,000.00
2,000.00

Variance

% Of
Budget

Revenue
Expend.
Net

1,907,133.00 1,886,946.00
20,187.00 -

921,693.41 1,024,870.31
103,176.90

985,439.59 862,075.69
123,363.90 -

48
54
-511

Revenue

1,907,133.00 1,886,946.00
20,187.00 -

921,693.41 1,024,870.31
103,176.90

985,439.59 862,075.69
123,363.90 -

48
54
-511

32,152,925.00 33,013,960.00
861,035.00

16,758,349.55 13,303,583.51
3,454,766.04 -

15,394,575.45 19,710,376.49
4,315,801.04

Expend.
Net
FINAL TOTALS:

From: 01/2026 Thru: 06/2026
Percent of Year: 50%

55-391-000-0000-6705
Principal
55-391-000-0000-6710
Interest
TOTALS 6700-6799 DEBT SERVICES

TOTALS

Page 100

REVENUES & EXPENDITURES BUDGET REPORT
Report Basis: Modified Accrual

Revenue
Expend.
Net

40
-401

Page 136 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item
Consent Agenda Item

Report
Resolution
Other

Approve Credit Card Authorization Form for Wadena Co. Extension Employee
Date of Meeting: 07-21-2026
Department Requesting Action: Administration
Presenting Board Action/Discussion at Meeting:
Background
Supporting Documentation enclosed

Options

Total time requested:

Supporting Documentation enclosed

Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

Approve the Credit Card Authorization Form for Wadena Co Extension Employee with a limit of $1,000
via the Consent Agenda.
Financial Implications:
Funding Source:
Budgeted: Yes No

Comments

Action
Motion:
Second:
Passed
Failed
Tabled
Signatures

Voting in Favor
Noon
Winkels
Stearns
Kreklau
Kangas

Voting Against
Noon
Winkels
Stearns
Kreklau
Kangas

Revised 04/07/26

Page 137 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item

Report
Resolution
Other

Consent Agenda Item

2026 Todd Wadena Community Corrections Subsidy Request
Date of Meeting: July 21st, 2026
Department Requesting Action: Auditor/Treasurer
Presenting Board Action/Discussion at Meeting:
Background
Supporting Documentation enclosed
Options

Total time requested:

Supporting Documentation enclosed

Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

Approve the 2nd Half County Allocation for the Todd Wadena Community Corrections for the year of 2026.
Financial Implications:
$346,444.50.00
Funding Source: General Fund

Comments

Action
Motion:
Second:

Voting in Favor

Budgeted:

Passed
Failed
Tabled
Signatures

Yes

Noon
Kreklau

Stearns
Winkels
Kangas

Voting Against
Noon
Kreklau
Stearns
Winkels
Kangas

STATE OF MINNESOTA}
COUNTY OF Wadena}
I, Colleen Winter, County Administrator, Wadena County, Minnesota hereby certify that I have compared the foregoing copy of the proceedings of the County Board of
said County with the original record thereof on file in the Administration Office of Wadena County in Wadena, Minnesota as stated in the minutes of the proceedings of
said board and that the same is a true and correct copy of said original record and of the whole thereof, and that said motion was duly passed by said board at said
meeting. Witness my hand and seal:

Seal

Page 138 of 234

Wadena County, MN Board Action Form
Action Requested
Action/Motion
Discussion
Information Item
X Consent Agenda Item

Report
Resolution
Other

2026 Master Inventory - Not Public Data On Individuals
Date of Meeting: 07/21/2026
Total time requested: 5
Department Requesting Action: Administration
Presenting Board Action/Discussion at Meeting: C.A. Winter
Background
Supporting Documentation enclosed

Per MN Statute 13.025 government entities shall prepare an inventory containing the name, title, location,
and description of record, file, or process relating to private or confidential data on individuals
maintained by the government entity. This inventory is to be updated annually.
Attached is the 2026 Inventory of Not Public Data on Individuals along with a list of the Responsible
Authority Designee by Department.
Options

Supporting Documentation enclosed

Recommendation

The Wadena County Board of Commissioners approves the following by Motion:

Approve
the 2026
Inventory
of Not
Public
on Individuals
part of the Consent Agenda.
Approve
the 2026
Inventory
of Not
Public
DataData
on Individuals
as as
presented.
Financial Implications:
Funding Source: N/A
Budgeted: Yes No

Comments

Action
Motion:
Second:
Passed
Failed
Tabled
Signatures

Voting in Favor
Noon
Winkels
Stearns
Kreklau
Kangas

Voting Against
Noon
Winkels
Stearns
Kreklau
Kangas

STATE OF MINNESOTA}
COUNTY OF Wadena}
I, Heather Olson, County Auditor/Treasurer, Wadena County, Minnesota hereby certify that I have compared the foregoing copy of the proceedings of the
County Board of said County with the original record thereof on file in the Administration Office of Wadena County in Wadena, Minnesota as stated in the
minutes of the proceedings of said board and that the same is a true and correct copy of said original record and of the whole thereof, and that said motion
was duly passed by said board at said meeting. Witness my hand and seal:

Revised 12/12/24

Page 139 of 234

____________________________________________________
MINNESOTA GOVERNMENT DATA PRACTICES ACT

2026 INVENTORY OF
NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY MINNESOTA
____________________________________________________

2024 Minnesota Statutes
13.025 GOVERNMENT ENTITY OBLIGATION.
Subdivision 1. Data inventory. The responsible authority shall prepare an inventory
containing the authority’s name, title, address, and a description of each category of record, file,
or process relating to private or confidential data on individuals maintained by the authority’s
government entity. Forms used to collect private and confidential data may be included in the
inventory. The responsible authority shall update the inventory annually and make any changes
necessary to maintain the accuracy of the inventory. The inventory must be available from the
responsible authority to the public according to the provisions of sections 13.03 and 15.17. The
commissioner may require responsible authorities to submit copies of the inventory and may
request additional information relevant to data collection practices, policies, and procedures.
Subdivision 2. Public data access policy. The responsible authority shall prepare a
written data access policy and update it no later than August 1 of each year, and at any other
time as necessary to reflect changes in personnel, procedures, or other circumstances that impact
the public’s ability to access data.
Subdivision 3. Data subject rights and access policy. The responsible authority
shall prepare a written policy of the rights of data subjects under section 13.04 and the specific
procedures used by the government entity for access by the data subject to public or private data
on individuals. The written policy must be updated no later than August 1 of each year, and at
any other time as necessary to reflect changes in personnel, procedures, or other circumstances
that impact the public’s ability to access data.
Subdivision 4. Availability. The responsible authority shall make copies of the
policies required under subdivisions 2 and 3 easily available to the public by distributing free
copies to the public or by posting it on the government entity’s website.

Page 140 of 234

WADENA COUNTY DATA PRACTICES CONTACTS
NAMED RESPONSIBLE AUTHORITY DESIGNEE BY DEPARTMENT
Colleen Winter, County Administrator
415 S. Jefferson St.
Wadena, MN 56482
218-319-7500

Neil Hutson, Information Technology
415 S. Jefferson St.
Wadena, MN 56482
218-632-8555

Jennifer Westrum, Deputy County Administrator
415 S. Jefferson St.
Wadena, MN 56482
218-631-7779

Mike Carr, Sheriff’s Office
Wadena County Courthouse
415 S. Jefferson St.
Wadena, MN 56482
218-631-7600

Jason Jorgensen, County Assessor
415 S. Jefferson St.
Wadena, MN 56482
218-631-7613
Kyra Ladd, County Attorney
415 S. Jefferson St.
Wadena, MN 56482
218-631-7739
Heather Olson, Auditor/Treasurer
415 S. Jefferson St.
Wadena, MN 56482
218-631-7784
County Commissioners:
Ron Noon, District 1. 218-639-0797
Bryan Winkels, District 2. 218-296-2425
Bill Stearns, District 3. 218-631-2351
Murlyn Kreklau, District 4. 218-837-5352
Jon Kangas, District 5. 218-255-1952

Deana Malone, Planning & Zoning/Building
Services
415 S. Jefferson St.
Wadena, MN 56482
218-631-7791
Sarah Ness, Public Health
22 Dayton Ave. SE
Wadena, MN 56482
218-631-7629
Tracy Borchert, Recorder
415 S. Jefferson St.
Wadena, MN 56482
218-631-7622
Chris McConn, Solid Waste
10542 170th St.
Wadena, MN 56482
218-631-2474

Anthony Maule, Highway
221 Harry Rich Drive
Wadena, MN 56482
218-631-7636

Randy Jahnke, Transit
229 Harry Rich Drive
Wadena, MN 56482
218-631-5730

Jennifer Westrum, Human Resources
415 S. Jefferson St.
Wadena, MN 56482
218-631-7779

Matt Rongstad, Veterans Services
221 Harry Rich Drive
Wadena, MN 56482
218-631-7617

Jennifer Westrum, Human Services
124 1st Street SE
Wadena, MN 56482
218-631-7605

Page 141 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482

Name of Form, Record, File,
System or Process
MCIT Insurance Claims

Responsible Authority - Colleen Winter,
County Administrator
Description
(Purpose, what it collects, in terms
understable by general public)

Can include employee's home
phone, address for an incident

Administration

Classification

Dept/Division:
Administration
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.43, subd. 4

1 of 105

Page 142 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process
Homestead Applications

Responsible Authority - Jason Jorgenson
Wadena County Assessor
Description
(Purpose, what it collects, in terms
understable by general public)

Birthdates, SS#, address

Assessor

Classification

Dept/Division:
Assessor
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.43, subd 4

2 of 105

Page 143 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Kyra Ladd
Wadena County Attorney
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
County Attorney
Citation for
Classification
(Statute, Law, or Rule)

Bail evaluations

Information gathered from offender
to make bail recommendations to
court

Case files - Adult

Written reports of investigation or
action taken by deputy; reports
Private Confidential
regarding criminal investigations and
(depending on
MN Stat. 13.82, Subd.
non-criminal action taken or
status and
7, 8, 9, 10, 11 and 17
investigated including miscellaneous
identified individual)
reports, criminal offense reports and
supporting documents

Case Files - Juvenile

Data dealing with involvement of
juveniles in criminal activity incidents
prior to age 18; includes nonPrivate
criminal activity involvement in any Confidential
matter pending investigation by law
enforcement

MN Stat. 13.82, Subd.
17
MN Stat. 260B.171
and 260C.171

Chemical health
assessments - family court

Reports prepared by chemical
health professionals regarding
client's chemical use and diagnosis

Private
Confidential

M.S. 13.84, subd 2,
3, and 42 U.S.C. 290

Children's statements family court

Statements made by children
regarding custody matters

Private

Private
Confidential

Child Abuse Investigation

M.S. 13.84, subd. 2

M.S. 13,84, subd. 2
M.S. 257.70
M.S. 518.167
MN Stat. 13.82 Subd.
7, 8 and 9

Child Abuse - Maltreatment
of Minors

a. Substantiated Reports: Records
maintained by police/welfare with
availability to prosecuting authority Private
for disclosure of name of
Confidential
substantiated report
b. Unsubstantiated Reports

MN Stat. 626.556,
Subd. 7 and 11, and
MN Stat. 13.82, Subd.
7, 8 and 9

Commitments - Juvenile

Order of the court showing the
name of the person to be committed
to custody and the location of the
Private
commitment; legal documents from
sentencing court that authorizes
confinement at the jail facility

MN Stat. 260B.171

Attorney

3 of 105

Page 144 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Criminal History Records

Diversion forms - adult

Diversion forms - juvenile
Drug testing related forms adult
Drug/alcohol testing and
results - juvenile
Employee/Elected Official
and Volunteer Data
Personnel Data
Expungment Letter

Guardian Ad Litem reports

Responsible Authority - Kyra Ladd
Wadena County Attorney
Description
(Purpose, what it collects, in terms
understable by general public)

Availability for public employment or
licensing purposes. Convenience
copy from BCA, NCIC-FBI, or
NLETS
Fee agreement, restitution payment
agreement, proof of community
work service
Completed forms used to collect
juvenile information to determine a
response to an illegal action and
agreement.
Offender identification with drug
screen date/time and results
Information collected or obtained as
the result of a drug or alcohol
screen
Data related to Employment,
Volunteer status or applicant data
Letter confirming receipt of
expungment
order
Reports prepared by Guardian Ad
Litem regarding children and
parents
Reports prepared by Guardian Ad
Litem regarding children and
parents

Classification

Dept/Division:
County Attorney
Citation for
Classification
(Statute, Law, or Rule)

Private (depending
MN Stat. 13.87
on content)

Private

M.S. 13.84, subd. 2
and 7

Private
Confidential

M.S. 13.84, subd. 2, 3

Private

M.S. 13.84, subd. 2
and 7

Private
Confidential

M.S. 13.84, subd. 2,
3, 7

Private

MN Stat. 13.43, Subd.
3, 4 and 5

Private

MN Stat. 609A.03

Private

M.S. 518.167
M.S. 13.84, subd. 2
M.S. 252.70
M.S. 518.167
M.S. 13.84, subd. 2
M.S. 252.70

Case Files - Juvenile

MN Stat. 13.82, Subd.
17
MN Stat. 260B.171
and 260C.171

Maltreatment of Vulnerable
Adults

Records created or received in
conducting investigations by law
enforcement
Identity of reporter

MN Stat. 13.82, Subd.
7, 10 and 11
MN Stat. 626.557
MN Stat. 626.557,
Subd. 12b(c )

Attorney

Private
Confidential
Confidential

4 of 105

Page 145 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Kyra Ladd
Wadena County Attorney
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
County Attorney
Citation for
Classification
(Statute, Law, or Rule)

Master Index - Adults

Name file entry and all incidences
attached to the name

Private Confidential
MN Stat. 13.82, Subd.
(depending on
7, 8, 9, 10, 11 and 17
context)

Master Index - Juvenile

Name file entry and all incidences
attached to the name

Private Confidential
MN Stat. 13.82, Subd.
(depending on
260B.171
context)

Mental health screens
psychiatric/psychological
evaluations - juvenile

Mental health information collected
to assess psychological problems
and to make treatment
recommendations

Private
Confidential

Petitions to court - juvenile

Charging document generated by a
Private
prosecutor for court actions

M.S. 260B.171

Pre-sentence investigations

Investigative report ordered by the
court with offender and offense
information and recommendations

M.S. 13.84, subd. 2,
3, 4, and 7
M.S. 609.115

Psychological/psychiatric
evaluations/assessments adult

Requests for warrants
Restitution forms - Adult

Private
Confidential

Information collected by a
psychologist/psychiatrist with
Private
personal information/history and
Confidential
assessment results. May include
diagnosis and recommended
treatment/medication
Offender information to direct and
Private
assist law enforcement
Confidential
Specific offender restitution payment
Private
expectations

M.S. 13.84, subd. 2,
3, 4

M.S. 13.84, subd. 2,
3, and 4

M.S. 13.84, subd. 6
M.S. 13.84, subd. 2
and 7

Restitution information Juvenile

Description or information related to
loss by victims and agreement
Private
made with juvenile to make amends

M.S. 13.84, subd. 2

Victim correspondence

Private (as to
Letters to and from victims with
offense details/court input/restitution victim)
requested
Confidential

M.S. 13.84, subd. 3
M.S. 611A.06, subd. 4

Violation reports

Reports prepared for court,
Private
including court history and alleging a
Confidential
violation of probation description

M.S. 13.84, subd. 2,
3, 4, 6, and 7
M.S. 171.12

Attorney

5 of 105

Page 146 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

All juvenile court orders
including warrants

Responsible Authority - Kyra Ladd
Wadena County Attorney
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Court documents defining decisions
made by the Court for other entities Private
Confidential
in the juvenile justice system and
the juvenile

Attorney

Dept/Division:
County Attorney
Citation for
Classification
(Statute, Law, or Rule)

M.S. 13.84, subd. 2,
3, 4
M.S. 260B.171

6 of 105

Page 147 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Heather Olson
Wadena County Auditor/Treasurer
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

receipts and expenditures,
excluding payroll

private

Cancelled checks

cancelled county checks

private

Checking account numbers

checking account numbers

private

A/P information

vouchers, claim forms, supporting
documents

Financial account records
Address book module

SSN's for payments and 1099's,
reporting to IRS
private info that may be on
payment records
SSN's of individuals receiving
payments

Aud-Treas

Citation for
Classification
(Statute, Law, or Rule)

County checks and receipts

W9 and 1099 forms

Dept/Division:
Auditor/Treasurer

private
private

M.S. 13.46 (to the
extent it is welfare
data), M.S. 13.355 (to
the extent it reveals
social security
numbers of
recipients)
M.S. 13.46 (to the
extent it is welfare
data)
M.S. 13.37
M.S. 13.46 (to the
extent it is welfare
data)
M.S. 13.355, M.S.
13.43, subd 4

private

13.37

private

M.S. 13.355

7 of 105

Page 148 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Kelly Shepersky
Wadena County Court Administration
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
Court Admin
Citation for
Classification
(Statute, Law, or Rule)

Court Administration is not included in the Not Public Data Inventory requirements

Court Admin

8 of 105

Page 149 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Anthony Maule
Wadena County Highway Department
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Real Property acquisition
data

Payroll Reports from
Contractors

W9 Forms

Appraisals used in land acquisition
process
Payroll Reports submitted from
Contractors to the County for
review of prevailing wage
compliance
Collects information vendors and
individuals to whom payments are
made by the County for IRS
reporting

Highway

Citation for
Classification
(Statute, Law, or Rule)

Identity of individuals that have key Private
access to county buildings
Confidential

Master Key Log
Performance appraisals and
other private personnel
Performance appraisals and other
data
not public personnel data

Dept/Division:
Highway

Private
Private
Confidential
(depending on
status)

M.S. 13.43, subd. 4
M.S. 13.37, subd. 2

M.S. 13.43, subd. 4

M.S. 13.44, subd. 1

Private

M.S. 13.35
M.S. 13.355, subd. 1

Private

M.S. 13.355, subd. 1

9 of 105

Page 150 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Jennifer Westrum
Wadena County Human Resources
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
Human Resources
Citation for
Classification
(Statute, Law, or Rule)

Annual Life Insurance EOI
Forms

Increases in voluntary life
insurance coverage - sent to life
insurance carrier - social security
number, medical history

Private

M.S. 13.43, subd. 4

Benefit Enrollment Forms
including Qualifying Event
data

Enrollment in insurance benefits
and flex spending accounts,
preimum deductions, birth date,
address, phone number

Private

M.S. 13.43, subd. 4

Employee Personnel File

Performance Reviews,
Employement verification forms,
pre-employement and annual
employment eligibility checks

Private

M.S. 13.43, subd. 4

Employee Master File

All containing data such as social
security number, home address,
birth date, gender, race, marital
status, union status, tax status &
dependents, social security/
retirment status

Private

M.S. 13.43, subd. 4;
M.S. 13.355, subd. 1

Private

M.S. 13.43, subd. 4

Private

M.S. 13.43, subd. 4

Employee/ elected officals
private data
Family and Medical leave of
absence files

Grievance files

Information of medical nature,
including health care provider
verification of condition

All information collected on
employees who have filed
Private (confidential
grievances per their union
depending on status)
contracts against Wadena County

Human Resources

M.S. 13.39, 13.43,
subd. 4

10 of 105

Page 151 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Jennifer Westrum
Wadena County Human Resources
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
Human Resources
Citation for
Classification
(Statute, Law, or Rule)

Reports showing employee name,
injury date, social security
Insurance Reports: Showing
M.S. 13.43, subd. 4;
number, type of injury/damage
amounts of claims by
Private (confidential M.S. 13.355, subd. 1;
and paid data on accident
individual/ vehicle accident
depending on status)
M.S. 13.39; M.S.
including names, addresses,
& claims
13.43, subd. 4
phone numbers, accident
description
Internal investigation files

Information collected regarding
policy violations.

Private (confidential M.S. 13.43, subd. 4, 8,
depending on status) 11, 12, 15; M.S. 13.39

Labor Relations

All data used in negotiation
process, including work papers,
closed session tapes, and county
proposals. Once presented to the
bargaining table and presented to
the County Board, the county
proposals would become PUBLIC

Private

M.S. 13.37, subd. 2;
M.S. 13D.03

Recruitment files

Information collected on current
and former applicants regarding
recruitment for county
employment: veteran status, test
scores, rank on eligibility list, job
history, training & education;
work availability. NAMES of
applicants shall be PRIVATE except
when certified as eligible for
appointment to a vacancy or
when the applicant is considered
by the appointing authority to be
a finalist for a position - for this
purpose, finalists means an
individual who is selected to be
interviewed by the appointing
authority prior to selection

Private

M.S. 13.43, subd. 2 &
4

Human Resources

11 of 105

Page 152 of 234

Unemployment claim files

Responsible Authority - Jennifer Westrum
Wadena County Human Resources
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Used to cost negotiation packages

Private

Dept/Division:
Human Resources
Citation for
Classification
(Statute, Law, or Rule)

M.S. 13.37

Contains copies of employer
responses, determinations from
Private (confidential M.s. 13.43, subd. 4;
Unemployment, social security
depending on status) M.S. 13.355, subd. 1
number and payment numbers on
employee.

Reports from insurance carrier,
claims filed, social security
number, nature of injury, injury
Worker's compensation files
date, gender, age, records of
payments - current, montly, YTD &
projected future costs

Private

M.S. 13.43, subd. 4;
M.S. 13.355, subd. 1

Worker's compensation First Reporting of on the job injury,
Report of Injury Employee
social security number, home
statement of injury and
address, home phone, gender,
rehabilitation progress
birth date, marital status, treating
reports
physicians, nature of injury

Private

M.S. 13.43, subd. 4;
M.S. 13.355, subd. 1

Reports recording insurance
withholding and payment reports
Insurance Payment &
as well as internal reconsiliation
Private (confidential
Withholding Reports
reports, for insurances including
depending on status)
including COBRA insurances
medical, dental, vision, flex
spending accounts, life
insurances, def comp,

ACA forms and reports

Reports and lists of employee's
ACA status, exclusions, changes,
etc.

Private (confidential
depending on status)

OSHA Reports

OSHA reporting requirments for
injury instances and annual
reporting including employees
name, date and nature of injury.

Private

Family Relation-AntiNepotism Form

Personnel data identifying
relationship between employees.

Private

Human Resources

Minn. Stat. §13.43.
Subdivision 4

12 of 105

Page 153 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Jennifer Westrum
Wadena County Human Resources
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Human Resources

Dept/Division:
Human Resources
Citation for
Classification
(Statute, Law, or Rule)

13 of 105

Page 154 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

10 day no contact letter

Notice to client to respond if they wish
to keep services open

Private

M.S. 13.46 subd. 2

ACH form

Payee form to receive payment via
direct deposit to a bank account

Private

M.S. 13.46 subd. 2

Adult foster care licensing
destruction

case destruction list

Private

M.S. 13.46 subd. 2

Adult mental health case
manager supervision form

Documented supervision of the case
manager

Private

M.S. 13.46 subd. 2

Adult mental health
checklist

Rule 79 check list for client when
opening mental health case
management services

Private

M.S. 13.46 subd. 2

Adult protection destruction

case destruction list

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Adult protection report
Adult protection VA
screening form
Affidavit for collection of
lump sum payment
Affidavit of Collection

Summary of report submitted for
suspected maltreatment
Vulnerable adult report received and
reviewed by screening team
Wage withholding document for lump
sums to payee
form used to collect assets from an
estate

Affidavit of future fees

Custodial parent affidavit of unknown
father and potential fraud

Private

M.S. 13.46 subd. 2

Affidavit of unknown father

Custodial parent affidavit for paternity
actions

Private

M.S. 13.46 subd. 2

Plan for patient discharge from facility

Private

M.S. 13.46 subd. 2

Application for birth certificate from
state vital records

Private

M.S. 13.46 subd. 2

Ages and stages questionnaire for
social/emotional behaviors of children

Private

M.S. 13.46 subd. 2

Aftercare plan and
provisional discharge
agreement
Application for birth
certificate
ASQ:SE

Human Services

14 of 105

Page 155 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Assessment and program
acknowledgment

Client confirmation of assessment and
forms received

Private

M.S. 13.46 subd. 2

Assisted living service plan

Client identified needs for services

Private

M.S. 13.46 subd. 2

Authorization for use and
disclosure of information

Client authorization to release medical
records

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Client release to provide public
assistance information to other
organizations
list of those authorized to enter secure
Authorized access list
area
Document identifying person to
Authorized representative
represent client
DHS notice background study subject is
Background Study Clearance
cleared
Checks and deposits cleared at the
Bank statement
bank
list to monitor debts owed by Bell Hill
Bell Hill overpayments
to the state of MN
Client's monthly budgets for rep payee
Budget sheet
reporting
MN Secretary of State business filing
Business filing record
details for licensing
Authorization to share
information

Case destruction adult MH

case destruction list

Private

M.S. 13.46 subd. 2

CD destruction list

case destruction list

Private

M.S. 13.46 subd. 2

CDCS CSP plan change form

Request for change in CSP services
from one budget category to another

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Certificate of adjudication
Certificate of Assumed
Name

Request to update birth record after
paternity establishment
MN Office of Secretary of State
business name filing document

Human Services

15 of 105

Page 156 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
MN Worker's compensation law
certificate
Certificate of Liability
Contracts and vendors private liabillity
Insurance
insurance coverage
Request to court admin for certified
Certified copy request form
court order
Certified notice of
list of claim letters sent certified mail
overpayment report
each month
Plan for child care providers as part of
Child care emergency plan
emergency preparedness
Child care injury/incident
Injury report
report
Child care licensing
case destruction list
destruction
Inventory of personal items of child
Child clothing inventory
entering foster care
License issued by approving authority
Child foster care license
to provider foster care
Certificate of Compliance

Child maltreatment report
screening & disposition

Screening report documentation to
accompany intake

Correspondence with clients receiving
Client correspondence
services from the Human Sevices
agency
Client email text informed authorization to communicate by email
consent
or text
Client spending report

group home resident account report

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 3

Commitment information
sheet

Form verifying health care provider is
closest proximity to provide service
needed
Summary of client's information and
agency checklist

Commitment pre-screening

Screening tool for civil commitment

Private

M.S. 13.46 subd. 2

Concurrent/Permanency
Planning

Plan for children in foster care to
maintain permanent home

Private

M.S. 13.46 subd. 2

Closest provider statement

Human Services

16 of 105

Page 157 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Confidential address order

Court order

Private

M.S. 13.46 subd. 2

Confidential information
form

confidential information filed by public
authority

Private

M.S. 13.46 subd. 2

Consumer face sheet

client summary for group home

Private

M.S. 13.46 subd. 2

County burial application

used to determine eligibility for county
burial

Private

M.S. 13.46 subd. 2

Court

Proof of Claim bankruptcy form 410

Private

M.S. 13.46 subd. 2

court

Conservator court document

Private

M.S. 13.46 subd. 2

Court

Power of attorney or guardian

Private

M.S. 13.46 subd. 2

Court

Affidavits, summons

Private

M.S. 13.46 subd. 2

Court

Court orders, notice of filing of order

Private

M.S. 13.46 subd. 2

Court

Court petition

Private

M.S. 13.46 subd. 2

Court

Court notice of hearing

Private

M.S. 13.46 subd. 2

Court

Demand Notice

Private

M.S. 13.46 subd. 2

Court

Written statement of Claim

Private

M.S. 13.46 subd. 2

CP file destruction list

case destruction list

Private

M.S. 13.46 subd. 2

CP files police reports
destroyed

list of reports destroyed based on
retention schedule
Employment plan for inmate being
released
Inmate goals for community living after
release

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

CRE employment plans
CRE jail rentry plan
CRE resume worksheet

Resume for inmate being released

Human Services

17 of 105

Page 158 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
Crib safety inspection
reports
Crisis plan
CSP quarterly report
CSP referral
CW-TCM claims detail
Data collection form
Data request information
log
DD screening report

Providers inspection reports
Client's safety plan for mental health
services
Client quarterly report of community
support program visits
Referral for community support
services
Compilation of monthly claims to be
entered into electronic claims software
DHS form to collect subject's info for a
background study
tracking mechanism to monitor status
of data requests
Assessment for developmental
disabilities

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DDC chain of custody form

collection of DNA by public health

Private

M.S. 13.46 subd. 2

Delegation of parental
authority

Assignment of attorney in fact

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

destroyed AE SSIS
destruction list

notice to court to notify agency when
legal proceedings are filed
cases in scanning system that have
been purged

Detainee intake screening

Screening of inmates for CRE services

Private

M.S. 13.46 subd. 2

DGS-2868

Hospice transition form

Private

M.S. 13.46 subd. 2

DHS Fix it Ticket

Notice to providers of items needing
fixing in their place of business to
remain license compliant

Private

M.S. 13.46 subd. 2

DHS-0029

EA Income/expense worksheet

Private

M.S. 13.46 subd. 2

DHS-0033

Appeal to State Agency

Private

M.S. 13.46 subd. 2

Demand for Notice

Human Services

18 of 105

Page 159 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-0035
DHS-0139
DHS-0139A
DHS-0178
DHS-0188
DHS-0312

DHS-0312A
DHS-0313
DHS-0329

State Agency Appeals Summary
Agreement between foster parents and
placement agency
Summary of child foster care
responsible agency requirements
Report of adoptive placement
Post-placement assessment and report
to court
Adoption placement agreement for a
child under guardianship of
commissioner
Adoption placement decision for a child
under guardianship of commissioner
Report of termination of adoptive
placement
Information for attorney or family to
file adoption petition

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-0666

Compliance with state decision

Private

M.S. 13.46 subd. 2

DHS-0968

Adoptive applicant registration state
adoption exchange

Private

M.S. 13.46 subd. 2

DHS-1503

Physician's statement

Private

M.S. 13.46 subd. 2

DHS-1609

Non-receipt/replacement affidadvit

Private

M.S. 13.46 subd. 2

DHS-1743

ICF/DD physician's recertification

Private

M.S. 13.46 subd. 2

DHS-1776

Voluntary out-of-home placement
agreement consent-Non-Indian Child

Private

M.S. 13.46 subd. 2

DHS-1795

SSI interim asst. authorization
agreement

Private

M.S. 13.46 subd. 2

DHS-1795A

Interim assistance agreement

Private

M.S. 13.46 subd. 2

Human Services

19 of 105

Page 160 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-1829

Spenddowns worksheet

Private

M.S. 13.46 subd. 2

DHS-1834

Consent of parents or guardians of
minor parent to the placement of the
child

Private

M.S. 13.46 subd. 2

DHS-1844

Medical Expenses/bills

Private

M.S. 13.46 subd. 2

DHS-1922B

MN Health insurance information

Private

M.S. 13.46 subd. 2

DHS-1956

Consent of child over 14 years of age to
adoption

Private

M.S. 13.46 subd. 2

DHS-1958

Full Child Support Services application

Private

M.S. 13.46 subd. 2

DHS-1995

Physician's report for licensure for
foster care and child care providers

Private

M.S. 13.46 subd. 2

DHS-2114

Request for medical opinion

Private

M.S. 13.46 subd. 2

DHS-2116

Notice to apply for other maintenance
benefits

Private

M.S. 13.46 subd. 2

DHS-2120

Household report form

Private

M.S. 13.46 subd. 2

DHS-2128

MA long term care renewal

Private

M.S. 13.46 subd. 2

DHS-2133

Request for a MHCP member's claims
payment history

Private

M.S. 13.46 subd. 2

DHS-2136

Claim Determination

Private

M.S. 13.46 subd. 2

DHS-2140

Application for Social Services

Private

M.S. 13.46 subd. 2

DHS-2146

Authorization for release of
employment information

Private

M.S. 13.46 subd. 2

DHS-2146

Consent for release of information

Private

M.S. 13.46 subd. 2

DHS-2237 A

Medical service questionnaire

Private

M.S. 13.46 subd. 2

Human Services

20 of 105

Page 161 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-2243
DHS-2243A

Authorization for release of
information about assests
General consent for release of
information

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-2286

Tips report form

Private

M.S. 13.46 subd. 2

DHS-2338

Cooperation with child support/good
cause

Private

M.S. 13.46 subd. 2

DHS-2338

Client statement of good cause

Private

M.S. 13.46 subd. 2

DHS-2402

Change Report form

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-2402B
DHS-2414

Change Report form supplemental
nutrition assistance program
Notice of late or incomplete household
report form

DHS-2414

Household report form renewal

Private

M.S. 13.46 subd. 2

DHS-2598

DAANES notification of data collection

Private

M.S. 13.46 subd. 2

DHS-2630

Alternative Care Eligibility

Private

M.S. 13.46 subd. 2

DHS-2630A

Alternative Care Eligibility married

Private

M.S. 13.46 subd. 2

DHS-2638

Day training and habilitation service
agreement

Private

M.S. 13.46 subd. 2

DHS-2646

Financial aid information

Private

M.S. 13.46 subd. 2

DHS-2686A

Child Support Enforcement Notification

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-2708
DHS-2720
DHS-2727

Community MN Supplemental aid
budget worksheet
Child care provider's floor and escape
plan
Long term services & supports
assestment program signature sheet
Human Services

21 of 105

Page 162 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-2775
DHS-2776
DHS-2776A
DHS-2776C
DHS-2780A
DHS-2794
DHS-2807

Notice of Overpayment
Computation of MFIP overpayment
worksheet
Computation of SNAP overpayment
worksheet
Computation of DWP overpayment
worksheet
Behavioral health fund request
Rule 25 assessment and placement
summary
Civil Rights Complaint form:
Discrimination in Service Delivery

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-2808

Gift or loan statement

Private

M.S. 13.46 subd. 2

DHS-2818

Authorization for out-of-state travel

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-2828A
DHS-2828C

Notice of action assessments and
reassessments
Notice of Temporary Service
suspension

DHS-2828D

Notice of Service Termination

Private

M.S. 13.46 subd. 2

DHS-2841

Cost Effective Insurance form

Private

M.S. 13.46 subd. 2

DHS-2868

MHCP hospice transaction form

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-2882
DHS-2883

Referral of minor parents to social
services
Request for verification of school
attendance

DHS-2919

Request of verification form A

Private

M.S. 13.46 subd. 2

DHS-2919B

Request of verification form B

Private

M.S. 13.46 subd. 2

Human Services

22 of 105

Page 163 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-2929

Notice of requirement to attend MFIP
overview

Private

M.S. 13.46 subd. 2

DHS-2952

Residence shelter expense

Private

M.S. 13.46 subd. 2

DHS-2961

Notice of Requirement to attend school

Private

M.S. 13.46 subd. 2

DHS-2975

Transition year MA quarterly report

Private

M.S. 13.46 subd. 2

DHS-2975A

transition year MA first quarterly
report

Private

M.S. 13.46 subd. 2

DHS-2977

Notice and parental fee worksheet

Private

M.S. 13.46 subd. 2

DHS-2978

MHCP medical referral for MRRP
enrollee

Private

M.S. 13.46 subd. 2

DHS-2982

Parental fee for child on MA

Private

M.S. 13.46 subd. 2

DHS-2984

Request for voluntary vendor payment

Private

M.S. 13.46 subd. 2

DHS-3048

Tribal Nation membership

Private

M.S. 13.46 subd. 2

DHS-3050

MHCP long term care county
communication form

Private

M.S. 13.46 subd. 2

DHS-3067

DD screening document

Private

M.S. 13.46 subd. 2

DHS-3131

Notice of intentional program violation

Private

M.S. 13.46 subd. 2

DHS-3132

Hearing request of administrative
disqualifcation hearing

Private

M.S. 13.46 subd. 2

DHS-3134

Notice of program violations

Private

M.S. 13.46 subd. 2

DHS-3152

Targeted case management data
transmitt

Private

M.S. 13.46 subd. 2

DHS-3159

Recognition of Parentage

Private

M.S. 13.46 subd. 2

DHS-3159B

MN voluntary ROP revocation

Private

M.S. 13.46 subd. 2

Human Services

23 of 105

Page 164 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-3159C
DHS-3161
DHS-3163B
DHS-3164

MN voluntary ROP husband nonpaternity statement
Request for designated provder
agreement
Referral to child support and
collections
Income withholding only services
application

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-3165

DWP/MFIP status update form

Private

M.S. 13.46 subd. 2

DHS-3165A

Supplemental nutrition assistance
program employment & training status
update

Private

M.S. 13.46 subd. 2

DHS-3166

Employment Services referral

Private

M.S. 13.46 subd. 2

DHS-3175

MFIP Notice of intent to sanction

Private

M.S. 13.46 subd. 2

DHS-3195

Interagency case transfer sheet

Private

M.S. 13.46 subd. 2

DHS-3203

Liens worksheet

Private

M.S. 13.46 subd. 2

DHS-3236

Pregnancy verification form

Private

M.S. 13.46 subd. 2

DHS-3271

MN HC programs request for
information

Private

M.S. 13.46 subd. 2

DHS-3315A

How to use your MN EBT card

Private

M.S. 13.46 subd. 2

DHS-3323

Family violence referral

Private

M.S. 13.46 subd. 2

DHS-3324

License renewal recommendation form

Private

M.S. 13.46 subd. 2

DHS-3328

MHCP request for social security
number

Private

M.S. 13.46 subd. 2

DHS-3335A

Fraud prevention investigation referrals

Private

M.S. 13.46 subd. 2

DHS-3336

Self employment report form

Private

M.S. 13.46 subd. 2

Human Services

24 of 105

Page 165 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-3337

Self-employment worksheet

Private

M.S. 13.46 subd. 2

DHS-3340

Asset assessment

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-3340A
DHS-3340B

MHCP asset evaluation results for MALTC
MHCP requested asset assement
results

DHS-3340C

MHCP designation of assets

Private

M.S. 13.46 subd. 2

DHS-3341

Asset reduction worksheet

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

DHS-3348
DHS-3354C

MHCP employer insurance information
form
Pre-enrollment questionnaire for
health care programs

DHS-3358

Application transfer

Private

M.S. 13.46 subd. 2

DHS-3360

EFT authorization for cash programs

Private

M.S. 13.46 subd. 2

DHS-3365

Mandatory vendor form-request for
information

Private

M.S. 13.46 subd. 2

DHS-3371

Direct Deposit for child support

Private

M.S. 13.46 subd. 2

DHS-3374

Voluntary out-of-home placement
agreement consent-Indian Child

Private

M.S. 13.46 subd. 2

DHS-3376

Notification to school to inteview child

Private

M.S. 13.46 subd. 2

DHS-3377

Social Services authorization for release
of information

Private

M.S. 13.46 subd. 2

DHS-3417

MN health care application

Private

M.S. 13.46 subd. 2

DHS-3417B

MN Health care request to apply for
health care programs

Private

M.S. 13.46 subd. 2

DHS-3418

MN health care programs renewal

Private

M.S. 13.46 subd. 2

Human Services

25 of 105

Page 166 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-3426
DHS-3428
DHS-3428
DHS-3428C
DHS-3428D
DHS-3428G
DHS-3428M
DHS-3428Q

OBRA level I screening criteria for DD
or mental illness
MN long term care consultation
services assessment form
MN Health Risk Assessment form
MN Preadmission screening and
assessment form for kids under 18
Supplemental waiver PCA assessment
and service plan
MN Service change form for EW and AC
Screening tool for presence of
dementia
Person's evaluation of their adult day
care services

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-3429

Disqualification consent form

Private

M.S. 13.46 subd. 2

DHS-3436

Request for investigative subpoena

Private

M.S. 13.46 subd. 2

DHS-3437

Giving permission for someone to act
on their behalf

Private

M.S. 13.46 subd. 2

DHS-3439

MHCP Medicare buy-in referral letter

Private

M.S. 13.46 subd. 2

DHS-3482

MFIP sellf screen

Private

M.S. 13.46 subd. 2

DHS-3441

Health care income/asset renewal

Private

M.S. 13.46 subd. 2

DHS-3443

Individual discharge information sheet

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-3444
DHS-3471
DHS-3478

MHCP medicare application referral
letter
Traumatic brain injury waiver
assessment and eligibility
determination
Application for Title IV-E foster care
Human Services

26 of 105

Page 167 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-3504
DHS-3525
DHS-3525A
DHS-3531
DHS-3543
DHS-3543A

Brief Screening tool for special learning
needs
MA app/renewal breast & cervical
cancer
MHCP certification of further
treatment required
MN HCAP for seniors and people with
disabilities-LTC
Request for payment of long term care
services
MHCP payment of long term care
services for families with children and
adults

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-3546

MN Health care programs for people
who have a disability or over age 65

Private

M.S. 13.46 subd. 2

DHS-3547

MA employed persons w/disabilities
initial premium notice

Private

M.S. 13.46 subd. 2

DHS-3548

Alternative Care Disclosure

Private

M.S. 13.46 subd. 2

DHS-3550

Child care application

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-3627
DHS-3628
DHS-3629
DHS-3630
DHS-3631
DHS-3632

Important information for a good cause
exemption
Notice of denial for good cause
exemption
Notice of good cause exemption
approval
Notice of child support good cause
redetermination
Request to end child support good
cause exemption
Request for additional information to
prove your good cause exemption

Human Services

27 of 105

Page 168 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-3633
DHS-3727
DHS-3751
DHS-3767
DHS-3767A
DHS-3767C

Notice of approval of redetermination
of good cause exemption
Combined application renewal for
certain populations
Individual community living support
planning form
Request for group health plan
information
Request for employee's group health
plan information
Request for policyholder's insurance
information

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-3767D

Determination of cost effectiveness

Private

M.S. 13.46 subd. 2

DHS-3767D

Request for individual health plan
information

Private

M.S. 13.46 subd. 2

DHS-3767E

Health insurance is cost effective

Private

M.S. 13.46 subd. 2

DHS-3767F

Your health insurance is not cost
effective

Private

M.S. 13.46 subd. 2

DHS-3799

Child Foster care notice to relatives

Private

M.S. 13.46 subd. 2

DHS-3799B

Child foster care notice to relatives
permanency of child removed from
home

Private

M.S. 13.46 subd. 2

DHS-3848

Related conditions checklist

Private

M.S. 13.46 subd. 2

DHS-3876

CAR certain populations application

Private

M.S. 13.46 subd. 2

DHS-3891A

Request for Early Intensive
developmental and behavioral

Private

M.S. 13.46 subd. 2

DHS-3936

My move plan summary

Private

M.S. 13.46 subd. 2

DHS-3954

MN HC programs retroactive Medical
Assistance notice

Private

M.S. 13.46 subd. 2

Human Services

28 of 105

Page 169 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-3979

Privacy notice given and signed

Private

M.S. 13.46 subd. 2

DHS-4003

Child care transmittal

Private

M.S. 13.46 subd. 2

DHS-4005

Telephone equipment distribution
program application

Private

M.S. 13.46 subd. 2

DHS-4005L

Telephone equipment distribution
program application Large print

Private

M.S. 13.46 subd. 2

DHS-4016

MHCP Individual provider enrollment
application

Private

M.S. 13.46 subd. 2

DHS-4026

MFIP/DWP orientation

Private

M.S. 13.46 subd. 2

DHS-4060

Request to close support case

Private

M.S. 13.46 subd. 2

DHS-4106A

Health plan enrollment form

Private

M.S. 13.46 subd. 2

DHS-4106C

Health plan enrollment form people 65
and older

Private

M.S. 13.46 subd. 2

DHS-4117

automatic withdrawal for child support

Private

M.S. 13.46 subd. 2

DHS-4127

DHS Notice of Privacy Practices-signed
acknowledgment

Private

M.S. 13.46 subd. 2

DHS-4145

county notice of IMD resident status

Private

M.S. 13.46 subd. 2

DHS-4147A and 4147B
companion instructions

Case manager guide to determine
ICF/DD level of care for ICF/DD services

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-4161
DHS-4206A
DHS-4207
DHS-4209

Diversionary Work Program referrla to
employment services
Monthly outpatient problem gambling
service report
Gambling service agreement and client
data form
employment plans

Human Services

29 of 105

Page 170 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-4223
DHS-4224
DHS-4248
DHS-4248B
DHS-4258A

Assignment of payment for day
trainingn & habilitation services
ICF/DD training and habilitation
agreement
OBRA level II evaluative report
OBRA level II evaluative report
signature sheet
MN Adoption and child foster care
application

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-4258D

Home study assessment

Private

M.S. 13.46 subd. 2

DHS-4266

Interstate compact of placement of
child request

Private

M.S. 13.46 subd. 2

DHS-4267

Interstate compact of placement of
child report on placement status

Private

M.S. 13.46 subd. 2

DHS-4292

PCA Request form

Private

M.S. 13.46 subd. 2

DHS-4166A

Nursing Facility Liability Summary

Private

M.S. 13.46 subd. 2

DHS-4532

Notice of denial for public assistance
applicants or recipients

Private

M.S. 13.46 subd. 2

DHS-4533

stored value cards

Private

M.S. 13.46 subd. 2

DHS-4583

request for exception of direct deposit

Private

M.S. 13.46 subd. 2

DHS-4600

DHS MA overpayment notice

Private

M.S. 13.46 subd. 2

DHS-4600

MHCP notice of MA overpayment

Private

M.S. 13.46 subd. 2

DHS-4602

absent day medical exemption form

Private

M.S. 13.46 subd. 2

DHS-4677A

ICF/DD variable rate recommendation

Private

M.S. 13.46 subd. 2

DHS-4677B

ICF/DD variable rate annual reporting
form

Private

M.S. 13.46 subd. 2

Human Services

30 of 105

Page 171 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-4677C
DHS-4677E

ICF/DD local system needs plan
development
Application for extended therapeutic
days

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-4677F

ICF/DD services during the day option

Private

M.S. 13.46 subd. 2

DHS-4677G

ICF/DD serviced during the day option
agreement

Private

M.S. 13.46 subd. 2

DHS-4689A

Screening Deletion request

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-4740
DHS-4794

MN family planning program
application and renewal form
Child care assistance program change
report form

DHS-4796

health care change report form

Private

M.S. 13.46 subd. 2

DHS-4801

Referral for alternative care estate
claim

Private

M.S. 13.46 subd. 2

DHS-4834

Expedited SNAP evaluation form

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-4841
DHS-4915
DHS-4931

MHCP authorization to request birth
records
MA payment of of long term care
services
unreimbursed & uninsured
medical/dental expenses

DHS-4933

Hardship waiver

Private

M.S. 13.46 subd. 2

DHS-4939

Noitce of MA overpayment

Private

M.S. 13.46 subd. 2

DHS-4959

DHS notice of child care accident

Private

M.S. 13.46 subd. 2

DHS-4999

Relative Custody Assistance agreement

Private

M.S. 13.46 subd. 2

DHS-5036

Annuity designation for MA-LTC
applicants

Private

M.S. 13.46 subd. 2

Human Services

31 of 105

Page 172 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-5037
DHS-5038

Notice of obligation to issuer of an
annuity
MN Health care programs request to
reopen Medical Assistance

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-5143

MHCP required annuity information

Private

M.S. 13.46 subd. 2

DHS-5181

Communication of long term services
and supports eligibility form

Private

M.S. 13.46 subd. 2

DHS-5181

lead agency case manager
communication form

Private

M.S. 13.46 subd. 2

DHS-5203

request for income verification

Private

M.S. 13.46 subd. 2

DHS-5207

County & Tribal Nation agecny address
and phone number list

Private

M.S. 13.46 subd. 2

DHS-5223

combined application form

Private

M.S. 13.46 subd. 2

DHS-5223B

MFIP program transition application

Private

M.S. 13.46 subd. 2

DHS-5223C

combined application form addendum

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-5223D
DHS-5223E
DHS-5223F
DHS-5227C
DHS-5227D
DHS-5240
DHS-5274

child care addendum to combined
application
Program change request: MN transition
application form
Supplemental nutrition assistance
program application for seniors over 60
ICWA Notice of Child Placement
Proceeding
Supplemental ICWA notice of child
placement proceeding
Rule 25 chemical dependency
assessment
child care assistance program
redetermination form

Human Services

32 of 105

Page 173 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-5275
DHS-5367
DHS-5410
DHS-5426

Health plan notification of foster care
and child protection placement
parent acknowledgment for legal nonlicnesed provider
Foster care candidacy determination
form
long term care partnerhsip insurance
policy evaluation

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-5504

HCBS waiversAC reimbursement
request for unforeseen circumstances

Private

M.S. 13.46 subd. 2

DHS-5504B

Exception request for environmental
accessibiity adaptions exceed $40,000

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-5504C
DHS-5510

Exception request checklist for
environmental accessibiity adaptions
exceed $40,001
Authorization for release of child
support information

DHS-5523

Child care assistance billing form

Private

M.S. 13.46 subd. 2

DHS-5532

Annuity data worksheet

Private

M.S. 13.46 subd. 2

DHS-5576

Combined six month report

Private

M.S. 13.46 subd. 2

DHS-5576A

Combined six month reportsupplement for cash programs

Private

M.S. 13.46 subd. 3

DHS-5587

Additional square footage checklist

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-5588
DHS-5588A
DHS-5590

Child care assistance Notice of decisiondenial
Child care assistance Notice of decisiontermination
long term care checklist

Human Services

33 of 105

Page 174 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-5665

Child care assistance program direct
service expenditure adjustment

Private

M.S. 13.46 subd. 2

DHS-5726

Voluntary placement agreement for
treatment: American Indian Child

Private

M.S. 13.46 subd. 2

DHS-5727

Voluntary placement agreement for
treatment:non-American Indian child

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-5784
DHS-5785
DHS-5788

MFIP/DWP employment services
weekly job search activity log
Income withholding for spousal
support
CDCS alternative treatment form for
MHCP physicians

DHS-5788A

CDCS Community support plan

Private

M.S. 13.46 subd. 2

DHS-5788B

CDCS behavioral supports request form

Private

M.S. 13.46 subd. 2

DHS-5788C

CDCS specialized therapy request form

Private

M.S. 13.46 subd. 2

DHS-5792C

Important information about MA for
enrollees with a spenddown or waiver

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-5820
DHS-5820C
DHS-5820D
DHS-5841
DHS-5893

Disability waver rates system exception
request
Lead agency provider tool DWRS
exceptions
Lead agency provider tool DWRS
exceptions day or unit
Recommendation for state plan home
services
Transfer on death deed application for
MA clearance certificate

Human Services

34 of 105

Page 175 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-5893A
DHS-5893B
DHS-6021

DHS-6037

Medical Assistance clearance
certificate for transfer on death deed
Medical Assistance clearance
certificate
Request to close or develop new
corporate foster /community
residential setting
HCBS waiver, AC, and ECS case
management transfer and
communication form

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-6054

Signed personal statement of assets

Private

M.S. 13.46 subd. 2

DHS-6063

Universal adult mental health case
management transfer form

Private

M.S. 13.46 subd. 2

DHS-6123

referral for disability determination

Private

M.S. 13.46 subd. 2

DHS-6124

authorization to disclose info for
disability determination

Private

M.S. 13.46 subd. 2

DHS-6125

Adult disability worksheet

Private

M.S. 13.46 subd. 2

DHS-6126

children's disability worksheet

Private

M.S. 13.46 subd. 2

DHS-6162B

State medical review team children's
continuing disability review

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-6165A
DHS-6165B
DHS-6189

DHS-6189C

Decree of descent application for MA
clearance certificate
Medical Assistance clearance
certificate for a decree of descent
Home delivered meals provider
assurance statement
Adult companion services or individual
home supports without training
provider assurance statement

Human Services

35 of 105

Page 176 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-6189d
DHS-6189f
DHS-6189k
DHS-6189t
DHS-6189x
DHS-6189Z
DHS-6248

Assistive technology provider
assurance statement
Chore services provider assurance
statement
Homemaker provider assurance
statement
Specialized equipment and supplies
provider assurance statement
Customized living provider assurance
statement
Provider Not Required to Receive a
245D Program License – Provider
Assurance Statement
Voluntary foster care agreement for
youth age 18-21

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-6249

LOCUS recording form

Private

M.S. 13.46 subd. 2

DHS-6281

Child safety and permanency division
90 day transition plan

Private

M.S. 13.46 subd. 2

DHS-6383

Lead agency assurance statementHCBS provider review and approval

Private

M.S. 13.46 subd. 2

DHS-6451

Special Needs Basic Care Choice form

Private

M.S. 13.46 subd. 2

DHS-6523

Financial statement

Private

M.S. 13.46 subd. 2

DHS-6532

CDCS support plan and signature page

Private

M.S. 13.46 subd. 2

DHS-6633A

CDCS community support plan
addendum

Private

M.S. 13.46 subd. 2

DHS-6633B

CDCS enhanced budget request and
community support plan addendum

Private

M.S. 13.46 subd. 2

DHS-6633D

Shared Services agreement

Private

M.S. 13.46 subd. 2

Human Services

36 of 105

Page 177 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-6670

Health care application transfer form

Private

M.S. 13.46 subd. 3

DHS-6696

MN Sure application

Private

M.S. 13.46 subd. 2

DHS-6696A

MN Sure application supplement

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-6696B

DHS-6696C
DHS-6696D
DHS-6696G
DHS-6696H
DHS-6754A
DHS-6754B
DHS-6759P
DHS-6762E
DHS-6762F
DHS-6768
DHS-6789C
DHS-6790A
DHS-6790C

Supplement to MN health care
programs application for certain
populations
MNSure application for health
coverage and help paying costs
signature pages
MNSure appendix A health coverage
from jobs
Medical Assistance inpatient hospital
coverage for incarcerated people
New household member or applicant
request form
Social and medical history for child in
foster care
Information to accompany DHS 6754A
Moving home MN service authorization
plan
MN adult protection SDM Intake
assessment response priority
Structured decision making strengths
needs assessment
Case manager's cost report for DD full
team screenings
Participant consent use of monitoring
technology
Day 15 minute home supports with
family training
RMS worksheet community or family
residential services
Human Services

37 of 105

Page 178 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-6790C

RMS worksheet foster care/SLS daily
hours

Private

M.S. 13.46 subd. 2

DHS-6790G

Customized living rates worksheet

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-6790M
DHS-6791A
DHS-6791A
DHS-6791D
DHS-6791E

RMS worksheet day and employment
services
Mn Choices assessment summary
worksheet
Community support plan worksheet
Coordinated services and support plan
signature
Mn Choice reassessment
communication form

DHS-6803

Person-centered client summary

Private

M.S. 13.46 subd. 2

DHS-6893

CFSS individual service delivery plan

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-6893A
DHS-6893F
DHS-6893G
DHS-6893L
DHS-6893P
DHS-6893W
DHS-6930

Community first services and supports
assessment
PCA program responsible party
form/CFSS participant's representative
agreement
CFSS program information and
signature sheet
Temporary CFSS individual service
delivery plan approval
CFSS individual service delivery plan
Lead agency addendum to CFSS
individual service delivery plan
SNAP employment orientationation
notice

DHS-6979

MN Choices help desk contact form

Private

M.S. 13.46 subd. 2

DHS-7182

Section 811 Project Based Rent
Assistance Pre-Application

Private

M.S. 13.46 subd. 2

Human Services

38 of 105

Page 179 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-7120E

DHS-7120F

Early intensive developmental &
behavioral intervention Level II
provider assurance statement
Early intensive developmental &
behavioral intervention Level III
provider assurance statement

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-7122

Professional needs statement

Private

M.S. 13.46 subd. 2

DHS-7123

Habitability inspection form

Private

M.S. 13.46 subd. 2

DHS-7209

DD waiver waiting list category
determination tool

Private

M.S. 13.46 subd. 2

DHS-7279B

Variance request notice for parents

Private

M.S. 13.46 subd. 2

DHS-7297

Variance Request Family Child Care

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-7297A
DHS-7305
DHS-7309
DHS-7414C

Family child care weekly attendance
schedule
Officer involved care coordination
screening tool
Patient referral arrangement
agreement
Emergency preparedness plan for child
care providers

DHS-7418

Notification of residential placement

Private

M.S. 13.46 subd. 2

DHS-7576C

DHS background study disqualification

Private

M.S. 13.46 subd. 2

DHS-7611A

Person's evaluation of their community
supports and services

Private

M.S. 13.46 subd. 2

DHS-7679

Appointment letter

Private

M.S. 13.46 subd. 2

DHS-7759B

Customized living size limit exception
request

Private

M.S. 13.46 subd. 2

DHS-7774

Serious injury reporting form

Private

M.S. 13.46 subd. 2

Human Services

39 of 105

Page 180 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-7775

DHS document of licensing
requirements for child care providers

Private

M.S. 13.46 subd. 2

DHS-7779

MN DHS prelminary information form
for lciensing applicants

Private

M.S. 13.46 subd. 2

DHS-7823

Authorization to obtain fin. Info from
asset verification services (AVS)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-7842
DHS-7890
DHS-7900
DHS-7934
DHS-7940
DHS-7941

Contact information for a clearance
certificate application
Partial hospitalization program
provider application
RMS worksheet integrated community
supports
Child enrollment for family child care
Confidential address options for court
action
Withdrawal of License Application for
licensing

DHS-7955

Child care emergency plan

Private

M.S. 13.46 subd. 2

DHS-7995

Individual child care program plan for
licensed child care centers

Private

M.S. 13.46 subd. 2

DHS-8068

Foster care sibling bill of rights

Private

M.S. 13.46 subd. 2

DHS-8107

Household update form

Private

M.S. 13.46 subd. 2

DHS-8116

Customized living service providerexempt from assisted living facility
licensure statement

Private

M.S. 13.46 subd. 2

DHS-8121

Day Training and habilitation (ICF/DD)
provider enrollment application

Private

M.S. 13.46 subd. 2

DHS-8157

Elderly waiver customized living
services disproportionate share

Private

M.S. 13.46 subd. 2

Human Services

40 of 105

Page 181 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

DHS-8159

SNAP work rules notice

Private

M.S. 13.46 subd. 2

DHS-8168

Disability services division contact form

Private

M.S. 13.46 subd. 2

DHS-8206

Family child care license application

Private

M.S. 13.46 subd. 2

DHS-8241

MN proof of foster care placement

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-8262
DHS-8289
DHS-8306

MN health care renewal for families,
children, and adults
Foster care dual licensure variance
request
General assistance verifying in
participation of substance use
treatment

DHS-8313

Child Foster Care home safety checklist

Private

M.S. 13.46 subd. 2

DHS-8341

Emergency escape plan for child care
providers

Private

M.S. 13.46 subd. 2

DHS-8366

Licensing intake complaint form

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 2

DHS-8369
DHS-8376

Consent to access federal tax
information
SNAP Homeless shelter deduction
worksheet

DHS-8431

Request for information to determine
eligibility for certain populations

Private

M.S. 13.46 subd. 2

DHS-8432

Request for information to determine
eligibility for families with children and
adults

Private

M.S. 13.46 subd. 2

DHS-8445

MNHC Asset Information

Private

M.S. 13.46 subd. 2

DHS-8456

SNAP work rules screening questions

Private

M.S. 13.46 subd. 2

Human Services

41 of 105

Page 182 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
DHS-8493
DHS-8496
DHS-8641
DHS-8675
DHS-8747

SNAP employment and training
information and screening referral
questions
SNAP employment and training
eligibility enrollment form
General assistance applying changes in
assistance standards
External partner conflict of interst
disclosure form
Recuperative Care Provider PreEnrollment Risk Assessment

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

DHS-8748

Recuperative care surety bond

Private

M.S. 13.46 subd. 2

DHS-8808

Letter to treating physician requesting
documentation for ADA eligibility

Private

M.S. 13.46 subd. 2

Diversionary work program
referral

Referral form to Career Force

Private

M.S. 13.46 subd. 2

Elderly Waiver checklist

Checklist of steps for review process

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Employment and day
services planning tool

Release form and Net
Study/background checks
Calculates daily approved hours and
rates for client

Employment plan

Career Force client work plan

Private

M.S. 13.46 subd. 2

Empty Stocking referral

clients referred to the Empty Stocking
program

Private

M.S. 13.46 subd. 2

F0003

Establishment order

Private

M.S. 13.46 subd. 2

F0008

Paternity order

Private

M.S. 13.46 subd. 2

F0009

Admission of service

Private

M.S. 13.46 subd. 2

F0012

Notice of Hearing

Private

M.S. 13.46 subd. 2

Employee personal file

Human Services

42 of 105

Page 183 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0013

Notice of settlement conference

Private

M.S. 13.46 subd. 2

F0014

Notice of termination of expedited
process

Private

M.S. 13.46 subd. 2

F0015

Notice of Inability to Serve

Private

M.S. 13.46 subd. 2

F0016

affidavit of service by mail

Private

M.S. 13.46 subd. 2

F0021

Financial statement

Private

M.S. 13.46 subd. 2

F0023

Income withholding for support

Private

M.S. 13.46 subd. 2

F0028

REQUEST FOR INTERPRETER SERVICES

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0029
F0030

Establishment summons no hearing
date
NOTICE OF DEPT OF EMPLOYMENT &
ECONOMIC

F0032

MOD FINANCIAL STAT

Private

M.S. 13.46 subd. 2

F0033

Notice to review support-CP/NCP

Private

M.S. 13.46 subd. 2

F0034

NOTICE OF DENIAL

Private

M.S. 13.46 subd. 2

F0036

Notice of right to review

Private

M.S. 13.46 subd. 2

F0038

modification order

Private

M.S. 13.46 subd. 2

F0039

Affidavit of default/expedited process

Private

M.S. 13.46 subd. 2

F0040

MEDICAL MODIFICATION NOTICE OF
DENIAL

Private

M.S. 13.46 subd. 2

F0041

MED MOD FINANCIAL STAT

Private

M.S. 13.46 subd. 2

F0042

establishment complaint

Private

M.S. 13.46 subd. 2

Human Services

43 of 105

Page 184 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0043

Medical modification order

Private

M.S. 13.46 subd. 2

F0045

Notice of Intervention

Private

M.S. 13.46 subd. 2

F0046

Modification financial statement

Private

M.S. 13.46 subd. 2

F0047

MCSO pro se

Private

M.S. 13.46 subd. 2

F0048

Medical modification information sheet

Private

M.S. 13.46 subd. 2

F0052

REQUEST FOR DISTRICT COURT
JUDGE'S SIGNATURE

Private

M.S. 13.46 subd. 2

F0053

Notice of review of medical support-CP

Private

M.S. 13.46 subd. 2

F0061

paternity summons

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0067
F0072

consent oath & order appointing
guardian
Notice of removal from action to
establish paternity

F0073

order for genetic/blood tests

Private

M.S. 13.46 subd. 2

F0074

motion for order appointment of
guardian

Private

M.S. 13.46 subd. 2

F0076

motion to dismiss

Private

M.S. 13.46 subd. 2

F0077

Establishment Affidavit

Private

M.S. 13.46 subd. 2

F0082

dismissal order

Private

M.S. 13.46 subd. 2

F0083

paternity complaint

Private

M.S. 13.46 subd. 2

F0090

motion to set order

Private

M.S. 13.46 subd. 2

F0091

Notice & acknowledgment of service

Private

M.S. 13.46 subd. 2

Human Services

44 of 105

Page 185 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0093

motion to establish support

Private

M.S. 13.46 subd. 2

F0095

certificate of representation

Private

M.S. 13.46 subd. 2

F0096

motion for modification

Private

M.S. 13.46 subd. 2

F0097

Medical modification motion no
hearing

Private

M.S. 13.46 subd. 2

F0100

authorization to collect support

Private

M.S. 13.46 subd. 2

F0101

change in maintaining county notice
sent

Private

M.S. 13.46 subd. 2

F0102

change in maintaining county notice

Private

M.S. 13.46 subd. 2

F0104

memo document

Private

M.S. 13.46 subd. 2

F0105

NOTICE OF APPOINTMENT

Private

M.S. 13.46 subd. 2

F0107

notification of medical support liability

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0108
F0109

notice of child support/spousal
maintenance
notification of parental liability for
support

F0111

NOTICE OF CONTINUED SERVICES

Private

M.S. 13.46 subd. 2

F0112

notice of payment redirection

Private

M.S. 13.46 subd. 2

F0113

authorization to collect support arrears

Private

M.S. 13.46 subd. 2

F0114

memo financial

Private

M.S. 13.46 subd. 2

F0115

MEDICAL SERVICES ONLY-NOTICE OF
CONTINUE

Private

M.S. 13.46 subd. 2

F0116

NOTICE OF EXCESS SUPPORT

Private

M.S. 13.46 subd. 2

Human Services

45 of 105

Page 186 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0117

NOTICE OF PARTIALLY CLOSED SERV
AND DIRE

Private

M.S. 13.46 subd. 2

F0118

notice of federal annual fee

Private

M.S. 13.46 subd. 2

F0120

NOTICE CASE MAY SOON BE ELIGIBLE
FOR cs

Private

M.S. 13.46 subd. 2

F0125

information on cost recovery fee

Private

M.S. 13.46 subd. 2

F0126

information on cost recovery fee NCP

Private

M.S. 13.46 subd. 2

F0130

CP 2021 CHILD CARE CHANGE NOTICE

Private

M.S. 13.46 subd. 2

F0131

NCP 2021 CHILD CARE CHANGE NOTICE

Private

M.S. 13.46 subd. 2

F0160

Notice to IV-A and/or MA

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0170
F0172
F0200
F0202
F0203
F0204
F0205
F0206
F0208
F0209

notice of assignment to suppport to
court
Notice of judgment assignment
termination
CHILD SUPPORT ENFORCEMENT
TRANSMITTAL #1
CHILD SUPPORT ENFORCEMENT
TRANSMITTAL #2
CHILD SUPPORT ENFORCEMENT
TRANSMITTAL #3
DECLARATION IN SUPPORT OF
ESTABLISHING PATERNITY
UNIFORM SUPPORT PETITION
GENERAL TESTIMONY - CP IS
PETITIONER
NOTICE OF DETERMINATION OF
CONTROLLING ORDER
LETTER OF TRANSMITTAL REQUESTING
REGISTR

Human Services

46 of 105

Page 187 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0210

INTERSTATE SUBPOENA

Private

M.S. 13.46 subd. 2

F0211

NOTICE OF LIEN

Private

M.S. 13.46 subd. 2

F0212

UIFSA - COVER LETTER INTERSTATE

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0213
F0214
F0217

REQUEST FOR SUPPORT FOR
DEPENDENT CHILDREN
INTERSTATE STATUS
REQUEST/CENTRAL REGIST
CENTRAL REGISTRY
ACKNOWLEDGMENT

F0218

GENERAL TESTIMONY - NCP VERSION

Private

M.S. 13.46 subd. 2

F0219

NOTICE OF CASE REVIEW

Private

M.S. 13.46 subd. 2

F0221

INTERSTATE DOCUMENT REQUEST
NOTICE

Private

M.S. 13.46 subd. 2

F0222

INTERSTATE APPOINTMENT NOTICE

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0223
F0224
F0225
F0226
F0227

CHILD SUPPORT AGENCY
CONFIDENTIAL INFORM
PERSONAL INFORMATION FORM FOR
UIFSA 311
CSA REQUEST FOR CHANGE OF
SUPPORT PMT LO
RESP TO CSA REQ FOR CHANGE OF
SUPPORT PUBLIC ASST.
CSE TRANSMITTAL #1 - INITIAL
REQUEST ACKNOWLEDGMENT

F0300

Emancipation notice to CP

Private

M.S. 13.46 subd. 2

F0302

emancipation notice to NCP

Private

M.S. 13.46 subd. 2

F0306

eman follow-up proof of enrollment
request

Private

M.S. 13.46 subd. 2

Human Services

47 of 105

Page 188 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0400

ADDRESS VERIFICATION

Private

M.S. 13.46 subd. 2

F0405

EMPLOYER VERIFICATION

Private

M.S. 13.46 subd. 2

F0407

NEW HIRE NONCOMPLIANCE LETTER

Private

M.S. 13.46 subd. 2

F0410

PAYOR OF FUNDS VERIFICATION

Private

M.S. 13.46 subd. 2

F0412

EMPLOYER VERIFICATION FOLLOW UP

Private

M.S. 13.46 subd. 2

F0418

BENEFIT VERIFICATION REQUEST

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0420
F0430
F0440

FINANCIAL INSTITUTION INFORMATION
REQUES
CORRECTIONAL FACILITY
INFORMATION REQUES
EDUCATIONAL INSTITUTION
INFORMATION REQUEST

F0444

NOTICE OF CREDIT BUREAU INQUIRY

Private

M.S. 13.46 subd. 2

F0446

CHANGE IN SAFETY CONCERN STATUS

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0450
F0455
F0460
F0465
F0475
F0480
F0482

GENERAL LOCATE INFORMATION
REQUEST
LABOR ORGANIZATION INFORMATION
REQUEST
CUSTODIAL PARENT LOCATE
QUESTIONNAIRE
NON CUSTODIAL PARENT LOCATE
QUESTIONNAIR
OCCUPATIONAL LICENSE VERIFICATION
REQUEST
TELEPHONE COMPANY INFORMATION
REQUEST
ADMINSTRATIVE SUBPOENA REQUEST

Human Services

48 of 105

Page 189 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0485

UTILITY COMPANY INFORMATION
REQUEST

Private

M.S. 13.46 subd. 2

F0493

LOCATE DATA SHEET REQUEST

Private

M.S. 13.46 subd. 2

F0500

NCP redirection notice

Private

M.S. 13.46 subd. 2

F0501

CP REDIRECTION NOTICE

Private

M.S. 13.46 subd. 2

F0502

caregiver redirection notice

Private

M.S. 13.46 subd. 2

F0503

NCP redirection stop notice

Private

M.S. 13.46 subd. 2

F0504

CP REDIRECTION STOP NOTICE

Private

M.S. 13.46 subd. 2

F0505

caregiver redirection stop notice

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0506
F0510
F0511
F0512

caregive notice court decided no
redirect
REQUEST FOR GENETIC OR BLOOD
TESTS
PERMISSION TO REUSE TEST RESULT
OR SAMPLE
GENETIC TESTING APPOINTMENT
NOTICE

F0514

CP NOTICE OF GENETIC TEST RESULTS

Private

M.S. 13.46 subd. 2

F0515

NCP NOTICE OF GENETIC TEST RESULTS

Private

M.S. 13.46 subd. 2

F0516

NCP VOLUNTARY PATERNITY NOTICE

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0519
F0520
F0521

CP GENETIC TESTING RESAMPLE
APPOINTMENT
NCP GENETIC RE-TESTING
APPOINTMENT LETTER
PATERNITY INTERVIEW LETTER

Human Services

49 of 105

Page 190 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0524

CP notice of genetic test results

Private

M.S. 13.46 subd. 2

F0525

NCP notice of genetic test results

Private

M.S. 13.46 subd. 2

F0599

One time cola SMO notice-CP

Private

M.S. 13.46 subd. 2

F0600

One time cola SMO notice-NCP

Private

M.S. 13.46 subd. 2

F0601

UIFSA - TRANSFER AGREEMENT

Private

M.S. 13.46 subd. 2

F0603

UIFSA - AFFIDAVIT IN SUPPORT OF
NONDISCL

Private

M.S. 13.46 subd. 2

F0604

Order for nondisclosure of information

Private

M.S. 13.46 subd. 2

F0607

ex parte motion of nondisclosure order

Private

M.S. 13.46 subd. 2

F0608

Service memo

Private

M.S. 13.46 subd. 2

F0609

certificate of service

Private

M.S. 13.46 subd. 2

F0610

important information
acknowledgment

Private

M.S. 13.46 subd. 2

F0611

Affidavit of personal service

Private

M.S. 13.46 subd. 2

F0612

Process server update

Private

M.S. 13.46 subd. 2

F0613

Process server recall

Private

M.S. 13.46 subd. 2

F0614

Notice of rescheduled administrative
conference

Private

M.S. 13.46 subd. 2

F0616

cancel hearing notice

Private

M.S. 13.46 subd. 2

F0618

Stipulation signature

Private

M.S. 13.46 subd. 2

F0620

Notice of Judgment docketing/entry to
CP

Private

M.S. 13.46 subd. 2

Human Services

50 of 105

Page 191 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0631

Notice of intent to enter judgment
JOL

Private

M.S. 13.46 subd. 2

F0633

affidavit of default & ID-conditional

Private

M.S. 13.46 subd. 2

F0635

Supplemental affidavit spousal arrrears

Private

M.S. 13.46 subd. 2

F0636

Notice of Judgment renewal

Private

M.S. 13.46 subd. 2

F0637

Notice of intent to enter spousal
maintenance judgment

Private

M.S. 13.46 subd. 2

F0638

REQUEST FOR JUDGMENT
DOCUMENTS

Private

M.S. 13.46 subd. 2

F0640

REQUEST FOR DOCKETING

Private

M.S. 13.46 subd. 2

F0641

affidavit of identification

Private

M.S. 13.46 subd. 2

F0642

full satisfaction of judgment

Private

M.S. 13.46 subd. 2

F0643

Partial satisfaction of judgment

Private

M.S. 13.46 subd. 2

F0644

Payoff statement

Private

M.S. 13.46 subd. 2

F0645

certified judgment satisfaction request

Private

M.S. 13.46 subd. 2

F0646

Other: MN venue satisfactionof
judgment

Private

M.S. 13.46 subd. 2

F0647

SATISFACTION NOTICE TO NCP

Private

M.S. 13.46 subd. 2

F0648

SATISFACTION NOTICE TO CP

Private

M.S. 13.46 subd. 2

F0649

SATISFACTION NOTICE TO OTHER
STATE

Private

M.S. 13.46 subd. 2

F0650

Notice to CP to obtain adm judgment
for spousal maintenance

Private

M.S. 13.46 subd. 2

Human Services

51 of 105

Page 192 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
F0651
F0652
F0653
F0654
F0655
F0656

TIME TO CHALLENGE COLA EXTENDED
TIME TO CHALLENGE COLA EXTENDED
TO OTHER STATE
Summons to renew a judgment spousal
maintenance
COMPLAINT TO RENEW A JUDGMENT SPOUSAL
NOTICE OF COST OF LIVING
ADJUSTMENT TO NCP
NOTICE OF COST OF LIVING
ADJUSTMENT TO CP

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0657

Nnotice of increase to child support

Private

M.S. 13.46 subd. 2

F0658

NOTICE OF COLA HEARING RESULTS

Private

M.S. 13.46 subd. 2

F0659

AFFIDAVIT OF HEALTH RELATED
EXPENSES

Private

M.S. 13.46 subd. 2

F0661

failure to notify public authority notice

Private

M.S. 13.46 subd. 2

F0662

NOTICE TO RELEASE LUMP SUM

Private

M.S. 13.46 subd. 2

F0663

affidavit of service by fax

Private

M.S. 13.46 subd. 2

F0664

Notice to employer to stop the cola
increase

Private

M.S. 13.46 subd. 2

F0665

hearing reminder notice

Private

M.S. 13.46 subd. 2

F0668

Notice to stop the cost of living
adjustment

Private

M.S. 13.46 subd. 2

F0675

request for writ of attachment

Private

M.S. 13.46 subd. 2

F0676

order for write of attachment and writ
of attachment

Private

M.S. 13.46 subd. 2

F0679

affidavit of noncompliance

Private

M.S. 13.46 subd. 2

Human Services

52 of 105

Page 193 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0681

motion for contempt

Private

M.S. 13.46 subd. 2

F0682

supporting affidavit contempt

Private

M.S. 13.46 subd. 2

F0685

contempt agreement

Private

M.S. 13.46 subd. 2

F0688

contempt order to show cause

Private

M.S. 13.46 subd. 2

F0689

contempt order

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0701
F0805

PAYMENT PLAN TO PREVENT
ENFORCEMENT ACTION
CLOSED TRIBAL CASE - NOTICE OF
CONTINUED

F0900

Notice of voluntary income withholding

Private

M.S. 13.46 subd. 2

F0902

Notice of income witholding and
arrears

Private

M.S. 13.46 subd. 2

F0903

Notice to payor of fund of failure TOW

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0904
F0905
F0906
F0907
F0910
F0912
F0913
F0914

Notice to payor of funds of failure to
withhold
Notice income withholding termination
payor of funds
Notice income withholding termination
NCP
Notice income withholding termination
CP
PI NOTICE TO OTHER JURISDICTION
Notice of project intercept appeal
rights
NONLIABLE SPOUSE'S WAIVER TO TAX
INTERCE
REVENUE RECAPTURE NOTICE

Human Services

53 of 105

Page 194 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
F0915
F0917
F0918
F0919
F0920
F0921
F0922
F0923
F0924
F0925
F0926
F0927
F0929
F0930
F0932
F0934
F0935
F0936

Enforcement appeal results
Notice to intent to report arrears to
credit bureau
Notice of OLS payment plan noncompliance
NOTICE OF DLS PAYMENT PLAN NONCOMPLIANC
Notice of intent to suspend drivers
license
Notice to suspend occupational or
professional license
Notice to reinstate occupation license
Notice to CP of federal tax intercept
fee
Notice of health care obligation
enforcement
HEALTH CARE COVERAGE
INFORMATION NOTICE
Notice of noncompiance with National
Medical Support Notice
health dental insurance verification
request
Notice of private health insurance
obligation
Request for redirection of insurance
reimbursement
Cover letter for medical payment
NOTICE OF APPOINTMENT TO DENY
ENFORCEMEN
Notice of health care coverage
obligation
PI - TAX OFFSET NOTICE TO NCP

Human Services

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

54 of 105

Page 195 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
F0937
F0943
F0944

Default notice to bondsman
HEALTH CARE COVERAGE
TERMINATION NOTICE
INFO NOTICE FOR COLLECTION OF UN
HLTH-RE

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0945

Notice to collect uninsured medical
expenses requesting party

Private

M.S. 13.46 subd. 2

F0946

NATIONAL MEDICAL SUPPORT NOTICE

Private

M.S. 13.46 subd. 2

F0947

Notice of health care coverage for CP

Private

M.S. 13.46 subd. 2

F0948

Notice of health plan options.

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0949
F0950
F0951
F0953

NOT. OF INTENT TO ENF. MED/DEN EXP
- cs
Notice of intent to suspend
occupational license
PROOF OF OCCUPATIONAL LICENSE
SUSPENSION
NOTICE OF CRB FOR NON-COMPLIANCE
PAYMENT

F0956

Payment agreement for med expenses

Private

M.S. 13.46 subd. 2

F0957

Notice of offset removal NCP

Private

M.S. 13.46 subd. 2

F0958

Notice of offset removal-CF

Private

M.S. 13.46 subd. 2

F0959

Notice to resume the offset NCP

Private

M.S. 13.46 subd. 2

F0960

Notice to resume the offset-CF

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F0961
F0962

Notice of intent to resume medical
support
Notice of intent to resume medical
support
Human Services

55 of 105

Page 196 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F0963

Notice medical support ending NCP

Private

M.S. 13.46 subd. 2

F0964

Notice of medical support obligation
ending

Private

M.S. 13.46 subd. 2

F0999

Pin notice

Private

M.S. 13.46 subd. 2

F1001

Warrant replacement request

Private

M.S. 13.46 subd. 2

F1002

Affidavit of lost or stolen warrant

Private

M.S. 13.46 subd. 2

F1012

Notice of direct payment recovery

Private

M.S. 13.46 subd. 2

F1013

Direct payment notice to CP

Private

M.S. 13.46 subd. 2

F1014

Direct payment notice to NCP

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F1015
F1016
F1017

REMINDER THAT PAYMENTS ARE
STILL DUE
NOTICE OF CASE CLOSURE WITH DEBT
OWED
NOTICE OF CASE CLOSURE WITH
DEBT OWED

F1018

Notice of overpayment recovery CP

Private

M.S. 13.46 subd. 2

F1019

Notice of overpayment recover NCP

Private

M.S. 13.46 subd. 2

F1021

Notice of NSF funds sent

Private

M.S. 13.46 subd. 2

F1023

Notice of misapplied funds

Private

M.S. 13.46 subd. 2

F1024

Notice of misapplied funds sent

Private

M.S. 13.46 subd. 2

F1025

Notice of returned payment employer

Private

M.S. 13.46 subd. 2

F1027

Notice of returned payment NCP/CP

Private

M.S. 13.46 subd. 2

Human Services

56 of 105

Page 197 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F1029

Notice of NSF ARW

Private

M.S. 13.46 subd. 2

F1030

Notice of returned payment from
employer

Private

M.S. 13.46 subd. 2

F1031

Notice of payment adjustment

Private

M.S. 13.46 subd. 2

F1032

Notice of state tax adjustment

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F1035
F1037

NOTICE OF FAILED MCSO PYMTWRONG ACCOUNT
NOTICE OF FAILED MCSO PYMTWRONG ACCOUNT

F1038

Notice of tax intercept takeback

Private

M.S. 13.46 subd. 2

F1042

Notice of payment summary & account
ST

Private

M.S. 13.46 subd. 2

F1099

2022 Elimination of interest on arrears

Private

M.S. 13.46 subd. 2

F1100

REQUEST FOR BANKRUPTCY PLAN

Private

M.S. 13.46 subd. 2

F1110

Information on bankruptcy and child
support

Private

M.S. 13.46 subd. 2

F1111

Confidential information form

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F1118
F1119
F1120

Notice of medical expenses recovery
CP
Notice of medical expenses recovery
NCP
REQUEST FOR BANKRUPTCY
INFORMATION

F1140

Bankruptcy open to other state

Private

M.S. 13.46 subd. 2

F1150

NOTIFICATION OF BANKRUPTCY
CLOSING TO OTHER STATE

Private

M.S. 13.46 subd. 2

F1159

Notice of obligors request to close case

Private

M.S. 13.46 subd. 2

Human Services

57 of 105

Page 198 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
F1160
F1161
F1162
F1163

Notice of intent to close case
Notice of change in service for
interstate SMO
Notice of change in service for
interstate SMO
Notice of case closure SMO NCP MN
resp

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F1164

Final notice of intent to close case

Private

M.S. 13.46 subd. 2

F1165

Notice of intent to close NPA case PAR

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F1166
F1167
F1168
F1169
F1171

Notice of change in services for SMO
CAS
Notice of change in services for SMO
CAS
Notice to CP of pending SMA csae
closure
Notice to NCP of pending SMO case
closure
Notice to other state of pending SMO
case closure

F1173

Notice of case closure responding state

Private

M.S. 13.46 subd. 2

F1174

Notice of case closure initiating state

Private

M.S. 13.46 subd. 2

F1177

Notice of change in SMO law CP

Private

M.S. 13.46 subd. 2

F1178

Notice of change in SMO law NCP

Private

M.S. 13.46 subd. 2

F1179

Notice of change in SMO law CP closed

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F1180
F2598

Notice of change in SMO law NCP
closed
Supporting affidavit for controlling
order

Human Services

58 of 105

Page 199 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F2599

Motion for controlling order

Private

M.S. 13.46 subd. 2

F2600

Controlling order

Private

M.S. 13.46 subd. 2

F5000

CONSENT TO SERVICE BY U.S. MAIL

Private

M.S. 13.46 subd. 2

F5002

Supporting affidavit establishment

Private

M.S. 13.46 subd. 2

F5003

RC/FC establishment complaint w
option motion

Private

M.S. 13.46 subd. 2

F5007

Supporting affidavit paternity

Private

M.S. 13.46 subd. 2

F5008

RC/FC support affidavit motion to set

Private

M.S. 13.46 subd. 2

F5013

Supporting affidavit RC/FC
establishment

Private

M.S. 13.46 subd. 2

F5023

RC/FC establishment order

Private

M.S. 13.46 subd. 2

F5029

Establishment summons including
hearing date

Private

M.S. 13.46 subd. 2

F5037

Support affidavit review modification

Private

M.S. 13.46 subd. 2

F5040

RC/FC motion for establishment

Private

M.S. 13.46 subd. 2

F5041

RC/FC motion with hearing date

Private

M.S. 13.46 subd. 2

F5042

Supporting affidavit medical
modification

Private

M.S. 13.46 subd. 2

F5050

RC/FC establishment

Private

M.S. 13.46 subd. 2

F5055

Case information sheet

Private

M.S. 13.46 subd. 2

F5088

Support affidavit motion to set

Private

M.S. 13.46 subd. 2

F5093

Motion with hearing date to establish
support

Private

M.S. 13.46 subd. 2

Human Services

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Page 200 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
F5096
F5097

Motion with hearing date to modify
support
Motion with hearing date to modify
medical support

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

F5100

NOTIFICATION OF LEVY ACTION TO NCP

Private

M.S. 13.46 subd. 2

F5101

Notice of support judment levy and
disc

Private

M.S. 13.46 subd. 2

F5103

NOTICE OF EXEMPTION DENIAL

Private

M.S. 13.46 subd. 2

F5104

Notice about Levy

Private

M.S. 13.46 subd. 2

F5105

Contested levy results

Private

M.S. 13.46 subd. 2

F5106

Notice of Extension of Levy

Private

M.S. 13.46 subd. 2

F5113

REQUEST FOR HEARING

Private

M.S. 13.46 subd. 2

F5152

Payment affidavit

Private

M.S. 13.46 subd. 2

F5800

RC/FC motion for modification no
hearing date

Private

M.S. 13.46 subd. 2

F5801

RC/FC support affidavit modification

Private

M.S. 13.46 subd. 2

F5802

RC/FC modification order

Private

M.S. 13.46 subd. 2

F6000

REQUEST FOR VERIFICATION OF
INFORMATION

Private

M.S. 13.46 subd. 2

F6001

Monthly expense statement

Private

M.S. 13.46 subd. 2

F6500

Request for child care support
verification

Private

M.S. 13.46 subd. 2

F6501

Notice of child care support continuing

Private

M.S. 13.46 subd. 2

F6502

Notice of child care support suspending

Private

M.S. 13.46 subd. 2

Human Services

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Page 201 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

F6503

Notice of child care support resuming

Private

M.S. 13.46 subd. 2

F6504

NCP parent case summary

Private

M.S. 13.46 subd. 2

F6519

Notice of interest suspension eligibility

Private

M.S. 13.46 subd. 2

F6522

Notice of denial of suspension interest

Private

M.S. 13.46 subd. 2

F6523

Notice of resumption of interest
charging

Private

M.S. 13.46 subd. 2

F9000

Child support guidelines worksheet

Private

M.S. 13.46 subd. 2

F9101

Pre/post hearing information

Private

M.S. 13.46 subd. 2

F9850

Notice of arrears management action

Private

M.S. 13.46 subd. 2

F9938

NEW CASE DIRECT DEPOSIT LETTER

Private

M.S. 13.46 subd. 2

F9944

NOTICE OF CANCELLATION OF DIRECT
DEPOSIT

Private

M.S. 13.46 subd. 2

F9945

Notice of mandatory DD support

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Family Assessment Protocol
form
Family Based Services
referral

PRISM PRINTER VERIFICATION TEST
FORM
Agency form to track steps of family
assessment process
Form for Family based services for
clients identifed by social worker

Family Child Care License

Provider's state issued license

Private

M.S. 13.46 subd. 2

Family child carfe licensing
checklist

Office of Inspector General's checklist
for family child care providers

Private

M.S. 13.46 subd. 2

Family Group decision
making plan

Family plan and meeting notes from
FGDM conference addressing concerns,
safety, goals

Private

M.S. 13.46 subd. 2

F9997

Human Services

61 of 105

Page 202 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
Family meeting
summary/Safety & support
plan
Family Systems license
application

Form identifying attendees, family
concerns, and a plan to address
concerns
MN DHS special family child care
license renewal application

FC federal benefit tracking

Final Accounting Form

Fire extinguisher reports
First delinquent letter
Flex fund request
FN790205 Claim Detail

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Children in foster care tracking to
collect client data for annual reporting

Private

M.S. 13.46 subd. 2

form listing a decendent's assests at
time of death and funeral expenses

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Proof of service and inspection of fire
extinguishers for child/foster care
providers
First notice to payors of support of
delinquent payments
Request for mental health initiative
flexible fund
State MN report of public assistance
claims owed by county

FN790801 Claims
Terminated

State MN report of public assisstnace
claims eligible for debt writeoff

Private

M.S. 13.46 subd. 2

FN840203 Top

State MN report of debtors referrered
for federal tax refund interception

Private

M.S. 13.46 subd. 2

Food shelf referral

clients referred to local food shelves

Private

M.S. 13.46 subd. 2

Functional Assessment

Assessment for mental health targeted
case management services

Private

M.S. 13.46 subd. 2

GAC 11-U

Person well being report

Private

M.S. 13.46 subd. 2

GAC 20-U

Emergency letter for guardianship

Private

M.S. 13.46 subd. 2

Human Services

62 of 105

Page 203 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Health care access
reimbursement request

Reimbursement request for MA
covered expenses for mileage, cost
effective insurance, meals, hotels
related to medical appointments

Private

M.S. 13.46 subd. 2

Health Care directive

Client direction to providers

Private

M.S. 13.46 subd. 2

Health Care Intake

applicants of MA assigned to workers

Private

M.S. 13.46 subd. 2

Health plan billing
spreadsheet

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

Health risk assessment

Health plans assessment forms

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Homelessness Prevention
Referral

documented list of cases or documents
identified in a breach
Application for assistance to prevent
homelessness

Housing stability services

State application for housing services

ICWA/MIFPA Family
documentation request

Form requesting heritage of child in
placement
public assistance programs cases
destroyed
assignment of worker for new
applicants of public assistance
programs
Identifies goals for clients receiving
mental health targeted case
management services
Client consent to receive services or
assessment
Child support payments received for
kids whose federal benefits are
redirected to the agency
Inmate acknowledgment of work
release guidelines

HIPPA Breach log

IMU destruction log
IMU green intake sheet
Individual community
support plan
Informed Consent
IV-D checks for OHP
Jail work release

Human Services

63 of 105

Page 204 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Juvenile treatment
screening form

Summary of screening results for
mental health treatment

Private

M.S. 13.46 subd. 2

Kinship face sheet/outline

Agency documentation of relatives
found and contact information

Private

M.S. 13.46 subd. 2

Level II claims billing

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Lexis Nexis relative search
chart

Accurint print of possible relatives of
children in placement
Document used for licensing child care
Licensing Information Sheet
providers, collecting household
demographics
Client MA overpayments owed to the
MA overpayments tracking
county
MA recovery follow up
notice to personal rep when MA
authorization
recovery case is closed
notice to personal rep when estate
MA recovery follow up
funds are not submitted to agency for
money owed
MA recovery
notice to authorized rep of agency's
MA recovery personal rep
intent to collect remaining assets of
letter
MA receipient
MA spenddown
overpayment letter

notice to client for amount owed to
agency for services applied to
spenddown and not covered by MA

Private

M.S. 13.46 subd. 2

MAXIS

Authorized representative

Private

M.S. 13.46 subd. 2

MAXIS

Birth and death certificates

Private

M.S. 13.46 subd. 2

MAXIS

Class and work schedules

Private

M.S. 13.46 subd. 2

MAXIS

Client annuities documents

Private

M.S. 13.46 subd. 2

Human Services

64 of 105

Page 205 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

MAXIS

Client asset & income: paystubs, bank
statements, vehicle & property titles

Private

M.S. 13.46 subd. 2

MAXIS

Client resident account balance

Private

M.S. 13.46 subd. 2

MAXIS

Day care expenses

Private

M.S. 13.46 subd. 2

MAXIS

DHS policy determination email

Private

M.S. 13.46 subd. 2

MAXIS

Doctor statements

Private

M.S. 13.46 subd. 2

MAXIS

Eligibility letter

Private

M.S. 13.46 subd. 2

MAXIS

Emergency Assistance income and
expense worksheet

Private

M.S. 13.46 subd. 2

MAXIS

Eviction disconnect notice

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

MAXIS
MAXIS

Exception request application
determination letter
Housing verification lease, rent
agreement, receipts, mortgage

MAXIS

Income tax returns

Private

M.S. 13.46 subd. 2

MAXIS

Insurance cards

Private

M.S. 13.46 subd. 2

MAXIS

Insurance policy

Private

M.S. 13.46 subd. 2

MAXIS

Life estate documents

Private

M.S. 13.46 subd. 2

MAXIS

Medical bills

Private

M.S. 13.46 subd. 2

MAXIS

Medical evaluation forms

Private

M.S. 13.46 subd. 2

MAXIS

Mets to Maxis transfer sheet

Private

M.S. 13.46 subd. 2

MAXIS

Newborn info for METS cases

Private

M.S. 13.46 subd. 2

Human Services

65 of 105

Page 206 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
MAXIS
MAXIS

Passports, VISAs, state ID, and driver's
license
Property tax statements, deeds, burial
policies

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

MAXIS

School expenses and tuition records

Private

M.S. 13.46 subd. 2

MAXIS

Social Security card

Private

M.S. 13.46 subd. 2

MAXIS

Third party inquiries

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

MAXIS
MAXIS
MAXIS
MAXIS certified mail claims
Medica benefit exception
inquiry form
Medica care plan
Medica DTR form

Trusts, life insurance policies,
stocks/bonds
Utilities ntoices/bills water, sewer,
heat, electricity, garabage
Waiver of administrative
disqualifcation
State MN list of clients who were sent a
claim notice via certified mail
Request for specific medical expense
approvals
Plan for care coordination for member
client
Denial, termination or reduction of
approved service units

Medica External delegate
request form
Medica Institution member
assessment

Personal care assistant directions

Private

M.S. 13.46 subd. 2

Member's information of assessment
determination

Private

M.S. 13.46 subd. 2

Medica member signature
sheet

Member acknowledges informed of
rights for program service options

Private

M.S. 13.46 subd. 2

Medica MH evaluation
request

Form seeking mental health evaluation

Private

M.S. 13.46 subd. 2

Medica peer audit form

Checklist of steps for review process

Private

M.S. 13.46 subd. 2

Human Services

66 of 105

Page 207 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
Medica refusal care plan
Medical opinion form
MFIP 60 month planning
checklist Attachment A
MFIP Check list for 48-60
month participants
MFIP Extension request

Client refusal for services or unable to
contact form
Doctor's statement for payors of
support and ability to work
Agency checklist for MFIP clients
nearing 60 month time limit
Agency checklist for MFIP clients
nearing 60 month time limit
MFIP clients reaching the 60 month
time limit can request an extension
with this form

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 3

MH-TCM claims detail

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

MMIS

Medical Assistance claims paid on
behalf of MA recipient

Private

M.S. 13.46 subd. 2

MMIS

Daily rate guide

Private

M.S. 13.46 subd. 2

MMIS

Rate input report

Private

M.S. 13.46 subd. 2

MMIS

State medical review team notice

Private

M.S. 13.46 subd. 2

MMIS

WMS CDCS budget

Private

M.S. 13.46 subd. 2

MMIS

WMS recipient detail report

Private

M.S. 13.46 subd. 2

MMIS service agreement

Approved provider agreement for
Medical Assistance billable services

Private

M.S. 13.46 subd. 2

MN Adult Teen Challenge in
Ap[plication for program participation
custody application

Private

M.S. 13.46 subd. 2

MN Choices

Long term care screening

Private

M.S. 13.46 subd. 2

MN Choices

MN Choice Assessment

Private

M.S. 13.46 subd. 2

Human Services

67 of 105

Page 208 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
MN Choices
MN Choices
MN Choices

MN Choice assessment results
MN Choices assessment and program
acknowledgment
MN Choices assessment for
developmental disabilities waiver

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices assessment report

Private

M.S. 13.46 subd. 2

MN Choices

Mn Choices Assessment summary

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices developmental disabilities
screening

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices eligibility summary

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices Functional assessment

Private

M.S. 13.46 subd. 2

MN Choices

Mn Choices initial assessment checklist

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices OBRA I

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices PCA summary

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices planning summary

Private

M.S. 13.46 subd. 2

MN Choices

MN Choices referral

Private

M.S. 13.46 subd. 2

MN Choices

Mn Choices Residential services plan

Private

M.S. 13.46 subd. 2

MN Choices

Mn Choices review sheet

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

MN Choices
MN Choices
MN Choices

Mn Choices supplemental summary
charts
Mn choices support plan signature
sheet
MN Choices support plan signature
sheet

Human Services

68 of 105

Page 209 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

MN Choices

MN Choices three year assessment
form

Private

M.S. 13.46 subd. 2

MN Choices

Assessment summary support plan

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Vocational rehab communication to
case manager
MN Dept. of Health
Replaces birth record of new name of
Certificate of Adoption
adopted person
Mn Econnect rejected payer Electronic software report of rejected
report
claims needing review
MN Father's adoption
Certification of adoption registration
registry certificate
results
MN Father's adoption
State form to request a search of
registry search request
registry records
MN DEED notice

MN-ITS claims lists

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

Monitoring questionnaire

DHS Inspector general family child care
monitoring questionnaire

Private

M.S. 13.46 subd. 2

Mother's paternity affidavit

CP affidavit to establish paternity

Private

M.S. 13.46 subd. 2

MSHO claims data

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

MSOP review
Non-custodial parent
authorization
Non-MA transport
authorization
Northstar Adoption
Assistance benefit
agreement

Client treatment progress at MN sex
offender program
Client authorization to contact noncustodial parent of children
Ride requests that are not billable to
MA
Agreement between state and
adoptive parents regarding benefits for
adopted child

Northstar Kinship Assistance Agreement between custodian of child
benefit agreement
and state regarding benefits for child

Human Services

69 of 105

Page 210 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Dept/Division:
Human Services
Citation for
Classification

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Northstar Kinship placement Agreement setting terms of placement
agreement
of a child eligible for Northstar

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Notice to set up repayment
State MAXIS system notice to set
plan
payment plan for overpayments owed

Private

M.S. 13.46 subd. 2

OICC billing

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

OICC client signature page

Client acknowledgment of receipt of
required notices for data privacy and
appeals

Private

M.S. 13.46 subd. 2

OMB 0960-0144

Social Security appeal

Private

M.S. 13.46 subd. 2

Out of home placement
referral

Referral for child removed from home

Private

M.S. 13.46 subd. 2

Outgoing case transfer log

Cases transferred out of the county

Private

M.S. 13.46 subd. 2

Outstanding check
application

Form to use when an issued check is
lost or uncashed
Notice to payee of outanding or lost
checks issued to them

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Notice of Overpayment

Outstanding check memo

State MAXIS system overpayment
notice to client

(Statute, Law, or Rule)

Parent evaluation of child
care provider

Evaluation of child care services

Private

M.S. 13.46 subd. 2

Parental consent/objection

Special education services/evaluation

Private

M.S. 13.46 subd. 2

Parenting Assessment

Parental capacity and psychological
evaluation

Private

M.S. 13.46 subd. 2

PAS II screening

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Paternity motion
PCA service agreement

court form to establish paternity of
child
Personal care assistant service
agreement
Human Services

70 of 105

Page 211 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Person centered info sheet

client person centered tool

Private

M.S. 13.46 subd. 2

Person-centered master
treatment plan

Treatment plan with client goals

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Placement agreement form
PMAP transportation
authorization
POLST form

placement of client in group residential
setting
Ride request for managed care
receipients
Provider orders for life sustaining
treatment

Power of attorney

Assignment of attorney in fact

Private

M.S. 13.46 subd. 2

Preadmission screening
notification

Request for preadmission screening for
long term care services

Private

M.S. 13.46 subd. 2

Preadmission screening
results

MN Senior linkage line level of care
screening
Payor warning of credit bureau
reporting action

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Pre-credit bureau letter
Pre-licensing Review
PRN facility form
Probate referral
Probate worksheet

Family child care review
Behavioral and procedural protocol for
client
Referral to collections for MA recovery
from estates
Summary of client identification
needed for probate file

Pub letter contempt

Request for service by publication

Private

M.S. 13.46 subd. 2

Pub letter paternity

Request for service by publication

Private

M.S. 13.46 subd. 2

Public Health Family health
referral form

Form to erquest a public health nurse
visit
Cases selected by the state for quality
control reviews

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

QC files log
Quarterly financial report

Report oc client spending account
Human Services

71 of 105

Page 212 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Rate Exception requests

Provider requests for a higher payment
rate than MA base rate for service

Private

M.S. 13.46 subd. 2

Rate management system
rate sheets

Computations of rates for waiver
clients

Private

M.S. 13.46 subd. 2

Rate tool sheet

Form to determine needed units, rates,
and costs for support services

Private

M.S. 13.46 subd. 2

Receipts

Receipt slips for payments received by
the Human Services agency

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Records request
Reference for family child
care licensing

Request for records from client or
agency files
Assessment of child care providers
applying for licensure

Referral form for services

Referral forms for clients for services
from community providers

Private

M.S. 13.46 subd. 2

Referral to collections

Summary of client's debt owed to
agency referred for collection activity

Private

M.S. 13.46 subd. 2

Relative kinship search
summary

County form documenting search
efforts

Private

M.S. 13.46 subd. 2

Relative response form

Relatives of children placed out of
home complete this form for supports
they can provide to the child

Private

M.S. 13.46 subd. 2

Release form

Authorizing release of photos

Private

M.S. 13.46 subd. 2

Release of information

authorization to release private data to
others

Private

M.S. 13.46 subd. 2

Remittance advice

Claims data submitted and paid by
managed care or Medical Assistance

Private

M.S. 13.46 subd. 2

Repayment agreement

Client agreement for payments on
debts owed to agency

Private

M.S. 13.46 subd. 2

Human Services

72 of 105

Page 213 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
Representative payee
report

Social Security Administration report
form of spending activity for client

Request for capital credit
funds

notice to collect capital credits issued
to a decedent's estate
Application for state fire marshal to
Request for Fire Inspection
complete inspection of
business/residence
Notice to child, guardians, attorneys,
Required Notification letter and guardian ad litem of agency action
applying for Rep Payee
applying to be rep payee of federal
benefits
agency claims that are submitted for
Rev Recap list of ACS claims
Revenue Recapture program
Notice to clients debt has been
Revenue Recapture Notice
referred for tax offset program
Federal benefits redirected to the
RSDI-SSI data collected
agency for kids in out of home
placement settings
form collecting financial information to
Rule 25 Financial collection
determine chemical use assessment
form
fee

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Rule 25 initial letter

initial notice to client fee has been
submitted to agency collection unit

Private

M.S. 13.46 subd. 2

Rule 25 memo income
collection

memo to client requesting they
complete financial collection form to
asses sliding fee

Private

M.S. 13.46 subd. 2

rule and licensing review
post-test

Test document to test knowledge of
child care providers seeking licensure

Private

M.S. 13.46 subd. 2

Self employment worksheet

calculation of income for calculating
support

Private

M.S. 13.46 subd. 2

Service plan review meeting Support team meeting to review client
attendance record
plan

Private

M.S. 13.46 subd. 2

Human Services

73 of 105

Page 214 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

SFM Fire inspection report

State fire marshal division-inspection
report of facilities/foster/child care
providers

Private

M.S. 13.46 subd. 2

SFM Inspection and
compliance orders

State fire marshal division-report of
facilities/foster/child care providers
corrections needed

Private

M.S. 13.46 subd. 2

SMRT

DHS state medical review team notice

Private

M.S. 13.46 subd. 2

Social Security Disability for
adult starter kit
Social Security Disability for
children starter kit

client info needed for SSA disability
application process
client info needed for SSA disability
application process

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Spending report

Purchase summary for clients

Private

M.S. 13.46 subd. 2

SSIS

MN MCO health risk assessment

Private

M.S. 13.46 subd. 2

SSIS

MN MCO support plan

Private

M.S. 13.46 subd. 2

SSIS

My care plan

Private

M.S. 13.46 subd. 2

SSIS

My care and community support plan

Private

M.S. 13.46 subd. 2

SSIS

Admission form data sheet

Private

M.S. 13.46 subd. 2

SSIS

Adult Disability report

Private

M.S. 13.46 subd. 2

SSIS

Care Conference form summarizing
meeting discussion

Private

M.S. 13.46 subd. 2

SSIS

Child school records

Private

M.S. 13.46 subd. 2

SSIS

Client medical records

Private

M.S. 13.46 subd. 2

SSIS

Comprehensive discharge plan

Private

M.S. 13.46 subd. 2

SSIS

Consumer face sheet

Private

M.S. 13.46 subd. 2

Human Services

74 of 105

Page 215 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

SSIS

Criminal histories

Private

M.S. 13.46 subd. 2

SSIS

Day treatment incident injury reports

Private

M.S. 13.46 subd. 2

SSIS

DHS inspector general service recipient
information cover sheet

Private

M.S. 13.46 subd. 2

SSIS

Diagnostic assessments

Private

M.S. 13.46 subd. 2

SSIS

Difficulty of care review DT&H staff
ratio

Private

M.S. 13.46 subd. 2

SSIS

Direct service individual support plan

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

SSIS
SSIS

Employment and day services
individual planning tool
Home health certification and plan of
care

SSIS

IEP school report

Private

M.S. 13.46 subd. 2

SSIS

Medicare summary notice

Private

M.S. 13.46 subd. 2

SSIS

Medication list

Private

M.S. 13.46 subd. 2

SSIS

Neoropsychological/autisim evaluation
reports

Private

M.S. 13.46 subd. 2

SSIS

Person's evaluation of coordinated
services and supports plan

Private

M.S. 13.46 subd. 2

SSIS

Police reports

Private

M.S. 13.46 subd. 2

SSIS

Policy orientation receipt

Private

M.S. 13.46 subd. 2

SSIS

Programmatic report

Private

M.S. 13.46 subd. 2

SSIS

Provider progress reports

Private

M.S. 13.46 subd. 2

SSIS

Provider support plans

Private

M.S. 13.46 subd. 2

Human Services

75 of 105

Page 216 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

SSIS

Provisional discharge plan, State
Operated Services

Private

M.S. 13.46 subd. 2

SSIS

Records request

Private

M.S. 13.46 subd. 2

SSIS

SCHA elderly waiver notification

Private

M.S. 13.46 subd. 2

SSIS

Self management assessment

Private

M.S. 13.46 subd. 2

SSIS

Semi annual review

Private

M.S. 13.46 subd. 2

SSIS

Service recipients rights, policies, and
procedures (acknowledgment)

Private

M.S. 13.46 subd. 2

SSIS

Social Security Administration
notices/letters regarding benefits

Private

M.S. 13.46 subd. 2

SSIS

Social Security application

Private

M.S. 13.46 subd. 2

SSIS

Special diet form

Private

M.S. 13.46 subd. 2

SSIS

Speech and language diagnostic

Private

M.S. 13.46 subd. 2

SSIS

Case notes

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

SSIS
SSIS
SSIS

90 Day transition plan for youth
discharged after age 18
Adolescent parent assessment and
service plan
Application to extend Northstar
assistance

SSIS

Family Assessment worksheet

Private

M.S. 13.46 subd. 2

SSIS

Family assessment service plan

Private

M.S. 13.46 subd. 2

SSIS

Family safety plan for children receiving
child protection services

Private

M.S. 13.46 subd. 2

SSIS

Child protective services plan

Private

M.S. 13.46 subd. 2

Human Services

76 of 105

Page 217 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

SSIS

Child welfare targeted case
management service plan

Private

M.S. 13.46 subd. 2

SSIS

Child mental health crisis plan

Private

M.S. 13.46 subd. 2

SSIS

CMH individual family community
support plan

Private

M.S. 13.46 subd. 2

SSIS

Independent living plan

Private

M.S. 13.46 subd. 2

SSIS

In-home service plan

Private

M.S. 13.46 subd. 2

SSIS

PSOP in-home family support plan

Private

M.S. 13.46 subd. 2

SSIS

In-home family support plan

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

SSIS
SSIS

Minor parent assessment and service
plan
In-home family therapy 90 day
treatment plan

SSIS

MN DHS out of home placement plan

Private

M.S. 13.46 subd. 2

SSIS

MN Adoption Assistance Certification

Private

M.S. 13.46 subd. 2

SSIS

Adoptive placement plan

Private

M.S. 13.46 subd. 2

SSIS

MAPCY tool used to rate child's needs
and determine vendor rate of pay

Private

M.S. 13.46 subd. 2

SSIS

MAPCY rating report

Private

M.S. 13.46 subd. 2

SSIS

MN DHS supplemental adoption
assistance needs assessment

Private

M.S. 13.46 subd. 2

SSIS

Parent Support Outreach plan

Private

M.S. 13.46 subd. 2

SSIS

Relative Custody Assistance agreement

Private

M.S. 13.46 subd. 2

SSIS

Reunification plan

Private

M.S. 13.46 subd. 2

Human Services

77 of 105

Page 218 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

SSIS

Risk Assessment

Private

M.S. 13.46 subd. 2

SSIS

RCA Payment worksheet

Private

M.S. 13.46 subd. 2

SSIS

Notice of modification in RCA payment

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

SSIS
SSIS

Signs of Safety assessment and
planning form
Supplemental relative custody
assisstance needs assessment

SSIS

RCA Annual affidavit

Private

M.S. 13.46 subd. 2

SSIS

Safety Assessment and plan

Private

M.S. 13.46 subd. 2

SSIS

Safety and support plan for children
receiving child protection services

Private

M.S. 13.46 subd. 2

SSIS

Social Services plan

Private

M.S. 13.46 subd. 2

SSIS

Social Services plan for children at risk
of placement

Private

M.S. 13.46 subd. 2

SSIS

Strengths and needs assessment

Private

M.S. 13.46 subd. 2

SSIS

Out of home placement plan

Private

M.S. 13.46 subd. 2

SSIS

Out of home placement trial home visit
plan

Private

M.S. 13.46 subd. 2

SSIS

Voluntary foster care for treatment-out
of home placement plan

Private

M.S. 13.46 subd. 2

SSIS

CDCS budget estimator

Private

M.S. 13.46 subd. 2

SSIS

CDCS budget worksheet

Private

M.S. 13.46 subd. 2

SSIS

CDCS health and safety plan

Private

M.S. 13.46 subd. 2

Human Services

78 of 105

Page 219 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

SSIS

CDCS plan change addendum

Private

M.S. 13.46 subd. 2

SSIS

CSP change plan request

Private

M.S. 13.46 subd. 2

SSIS

CSSP addendum intensive services

Private

M.S. 13.46 subd. 2

SSIS

CSSP Support plan signature sheet

Private

M.S. 13.46 subd. 2

SSIS

DHS MAARC form

Private

M.S. 13.46 subd. 2

SSIS

Health and safety plan

Private

M.S. 13.46 subd. 2

SSIS

Individual abuse prevention plan

Private

M.S. 13.46 subd. 2

SSIS

Maltreatment report

Private

M.S. 13.46 subd. 2

SSIS

MAARC report

Private

M.S. 13.46 subd. 2

SSIS

Out of home placement referral

Private

M.S. 13.46 subd. 2

SSIS

SSIS intake

Private

M.S. 13.46 subd. 2

SSIS

SSIS IV-E interface panel

Private

M.S. 13.46 subd. 2

SSIS

Supplemental summary charts

Private

M.S. 13.46 subd. 2

SSIS

Support planner agreement

Private

M.S. 13.46 subd. 2

SSIS

Vulnerable adult maltreatment report

Private

M.S. 13.46 subd. 2

SSIS

Vulnerable adult report of investigation

Private

M.S. 13.46 subd. 2

SSIS

Chemical health comprehensive
assessment

Private

M.S. 13.46 subd. 2

SSIS

Chemical health assessment summary

Private

M.S. 13.46 subd. 2

Human Services

79 of 105

Page 220 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

SSIS

Treatment coordination plan

Private

M.S. 13.46 subd. 2

SSIS

Chemical dependency service plan

Private

M.S. 13.46 subd. 2

SSIS purge purge report

case destruction list

Private

M.S. 13.46 subd. 2

State grant tracking
payment detail

Agency expenditures to be claimed
against state grants received

Private

M.S. 13.46 subd. 2

Statement to forigve child
support arrears

CP acknowledgment to forgive arrears
owed to them

Private

M.S. 13.46 subd. 2

SUD claims billing

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 3

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

list of spouses of MA receipients for
Surviving spouse list
tracking purposes of future MA
recovery
Tennessen Warning
Client acknowledgment of receipt of
acknowledgment
Tennessen warning
Title IV-E foster care AFDC Determination if child is eligible for IV-E
determination
foster care funding
Training certificates of providers of
Training verification
service
Health plans forms used for transitional
Transition care form
planning
Transition plan from one living
Transition of care log
situation to the next location
Transportation request

Client transportation requests

Private

M.S. 13.46 subd. 2

Vaccination/immunization
certificates

Record of pets immunizations for
child/foster care providers

Private

M.S. 13.46 subd. 2

VA-DD TCM claims detail

Compilation of monthly claims to be
entered into electronic claims software

Private

M.S. 13.46 subd. 2

Visitor Access log

list of everyone entering the FTI secure
area of the building

Private

M.S. 13.46 subd. 2

Human Services

80 of 105

Page 221 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482

Responsible Authority - Jennifer Westrum
Wadena County Human Services

Description
Name of Form, Record, File,
(Purpose, what it collects, in terms understable
System or Process
by general public)
list of visitors to the agency as required
by the state
Form collecting data of individuals who
Volunteer driver application
want to volunteer
Volunteer driver
Personal data used to complete
background check
background check
Volunteer driver
Notice to applicants volunteering to
Registration letter
provide transportation
Form completed to receive paymentVoucher
administrative, SSIS
Visitor signature log

W9 taxpayer ids

IRS form completed by payee

Warrant for failure to
submit to testing

Warrant to court for alleged father
failure to test
Lab reports of well water tests for
providers

Water testing
Welcome letter

Introduction of worker to clients

List of payments by payors receipted to
county systems
Written consent to redirect CP consent to change payee of child
support
support
Welfare receipt

Written statement of claim

court document used to file claims in
estates for MA recovery purposes

Human Services

Classification

Dept/Division:
Human Services
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

Private

M.S. 13.46 subd. 2

81 of 105

Page 222 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482
Name of Form,
Record, File, System
or Process
Contract bid process
Employee Personell
Data

Responsible Authority - Neil Hutson. Coordinator
Wadena County Information Technology
Description
(Purpose, what it collects, in terms
understable by general public)

Records of bids and proposals
received by vendors
Records of staff performance,
training and disciplinary action

Classification

Dept/Division:
IT
Citation for
Classification
(Statute, Law, or Rule)

Private (until opened)
Private

M.S. 13.37
M.S. 13.43, subd.
4

Procedures for handling
emergencies, including system
documentation and staff contacts

Private/Confidential

Reports on computer infections or
security audtios requested for an
employee's system

Private/Confidential

M.S. 13.37
M.S. 13.43, subd.
4
M.S. 13.37
M.S. 13.39
M.S. 13.43, subd.
4

Service level
agreements

Agreements with other departments
that outline IT support responsibilites
and key contacts
Private/Confidential

M.S. 13.37
M.S. 13.43, subd.
4

IT Support Records

Records of technical support
requests from county employees.

Private/Confidential

M.S. 13.37
M.S. 13.43, subd.4

Storage media containing system
backs for all county departments

Private/Confidential

M.S. 13.37

Employee Procedures

Employee security
event summary
report

County Data Backup
Media

82 of 105

Page 223 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
124 1st St. SE
Wadena, MN 56482
Name of Form,
Record, File, System
or Process

Responsible Authority - Neil Hutson. Coordinator
Wadena County Information Technology
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
IT
Citation for
Classification
(Statute, Law, or Rule)

83 of 105

Page 224 of 234

Responsible Authority - Deana Malone
Wadena County Planning & Zoning/Building
Maintenance
Description
(Purpose, what it collects, in terms
understable by general public)

Birthdates, SS #, Address

P & Z - Bldg Maint

Classification

Dept/Division:
Pln/Zn, Bldg Maint
Citation for
Classification
(Statute, Law, or Rule)

Private

M.S. 13.43, subd 4

84 of 105

Page 225 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
22 Dayton Ave SE
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Sarah Ness
Wadena County Public Health Director
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
Public Health
Citation for
Classification
(Statute, Law, or Rule)

General Operations

Budgets, Accounts Payable,
Accounts Receivable and Billing
Claims

Private

HR Personnel Records

Position Descriptions, Performance
Reviews, Employee Training
Records & Training Plans

Private

M.S. 13.43, subd 4

Client services Record
Management

Case Management Reports, Clinical
Record Reviews

Private

MS 13.3805, MS
13.384, MS 144.293 &
294, MS 144.651; 45
CFR 164 (HIPPA)

Emergency Preparedness:
Incident Response

Plans & Documentation Related to
and Resulting from Pandemics

Private

MS 13.37

Emergency Preparedness:
Plans

Plans & Documentation Related to
the Preparation of Public Health
Emergencies

Private

MS 13.03, MS 13.37,
MS 13.43

Client Records - Car Seat

Program Eligibility, Model of Car
Seat and Education

Private

MS 13.3805, MS
13.384, MS 144.293 &
264, MS 144.651; 45
CFR 164 HIPPA

Client Records Immunizations

Name, Birthdate, Parent or
Guardian, Vaccine, Date Given, Lot
Number, Site, VIS, Screening for
contraindications, Varicella History,
and Verification Details

Private

MS 13.3805

Client Records - Individual
Services

Client Cases Open in Public Health
Programs (FHV, CT&C, ECS, DP&C,
Care Coordination, etc.). May
Include Assessments, Care Plans,
Medical Data, Progress Notes,
Financial and Insurance
Information, Transfers and
Referrals.

Private

MS 144.291-294, MS
144.336, MS 144.651,
MS 541.05, MS
13.3805, MS
13.384,m MS 13.32,
45 CFR 164 (HIPPA),
MS 13.06, MS 13.03

Public Health

85 of 105

Page 226 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
22 Dayton Ave SE
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Sarah Ness
Wadena County Public Health Director
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
Public Health
Citation for
Classification
(Statute, Law, or Rule)

Client Records - Individual
Services Special Categories
(Managed Care Program
Clients)

CMS Cost Report Clients, Medicare
Managed Care Programs, Home
Care, Medicare FFS, Waiver
Services. May Include
Assessments, Care Plans, Medical
Data, Progress Notes, Financial and
Insurance Information, Transfers
and Referrals.

Private

MS 13.3805

Client Records - Slight
Services

Case Not Opened. Either no or
Minimal Services. Intake, Referral &
Screening Documents. Third Party
Records (Paternity Testing)

Private

MS 13.3805

Client Records - WIC

Case Records, Voucher Recipets,
and Other Inividual WIC Records
(See also MN WIC Operations
Manual and Grant Project
Agreement

Private

MS 13.03, MS 13.384,
MS 13.46, MS
13.3805, MS 144.293
& 294, MS 144.651;
MS 541.05 45 CFR 164
(HIPPA)

Public Health

86 of 105

Page 227 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Tracy Borchert
Wadena County Recorder
Description
(Purpose, what it collects, in terms
understable by general public)

Classification

Dept/Division:
Recorder
Citation for
Classification
(Statute, Law, or Rule)

Birth and Death Certificates

Copies of Birth and death
certificates for the State of
Minnesota - certified copies
require tangible interest form.

Private

M.S. 144.225

Confidential Birth Records
and Marriage Application
Records

Data pertaining to the birth of a
child born to a woman who was
not married to the child's father at
the time of conception or birth are
confidential data. This includes the
original birth record, marriage
applications and certified vital
records. Marriage applications do
not require children's information
after 2010.

Confidential

M.S. 144.225 Subd 2

Military Discharges

Certificates of Discharge from the
US Service Branches

Private

M.S. 386.20
196.08

Marriage Application

Social Security number and/or
other private information that may
be contained in application.

Private

M.S. 144.223
M.S.
517.08 Subd 1a

Private

M.S. 13.045

Private

M.S.480.50

Safe At Home

Judicial Security

All real property records related to
property and the individual in the
program
All real property records related to
property and the individual in the
program

Recorder

M.S.

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Page 228 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482
Name of Form, Record, File,
System or Process

Responsible Authority - Tracy Borchert
Wadena County Recorder
Description
(Purpose, what it collects, in terms
understable by general public)

Recorder

Classification

Dept/Division:
Recorder
Citation for
Classification
(Statute, Law, or Rule)

88 of 105

Page 229 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482

Name of Form, Record,
File, System, or Process

Responsible Authority - Mike Carr, Sheriff
Wadena Co. Sheriff's Department
Description
(Purpose, what it collects, in
terms understandable by
general public)

Dept/Division:
Sheriff

Citation for
Classification
Classification
(Statute, Law, or Rule)

Accident reports

Officers report of a crash
investigation required by State Law,
indicating driver's names, DOB,
Private
address, passengers, cause of
Confidential
accident, amount of damage,
injuries and drawing of accident
with description

M.S. 169.09, subd. 9

Admission/release records

To extent contains inmate private or Private
confidential data
Confidential

M.S. 13.85, subd. 2 and 3

Adult case files

Arson reports

Written reports of investigation or
action taken by deputy; reports
regarding criminal investigations
and non-criminal action taken or
investigated including
miscellaneous reports, criminal
offense reports and supporting
Arson reporting immunity from
disclosure of information insurance
company to release to law
enforcement

Private
Confidential
(depending on
status and
identified
individual)
Private
Confidential

M.S. 13.82, subd. 7, 8, 9,
10, 11 and 17

M.S. 13.82, subd. 7 and
17 M.S. 299F.054

Private/Nonpubli
For use in locating vehicles placed c unless part of M.S. 13.824, subd. 2(b)
on the State of Minnesota hot sheet an active
and 3(a)
investigation
The Wadena County Sheriff's
Office may provide
members
with access to portable recorders
Private
Body Worn Cameras
for use during the performance of
M.S. 13.825
Confidential
their duties. The use of recorders is
intended to enhance the mission of
the Office by accurately capturing
Records of deposit slips,
Bookkeeping records for jail transaction records within the
Private as to
and civil process
inmate financial M.S. 13.85, subd. 2
system, prisoner and Huber
transactions
transactions, billing and receipting records
of fees to/from other agencies and
Automated license plate
reader (ALPR)

Checking account numbers

Private

M.S. 13.37

Child abuse investigations

Private
Confidential

M.S. 13.82, subd. 7, 8
and 9

Sheriff

89 of 105

Page 230 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482

Responsible Authority - Mike Carr, Sheriff
Wadena Co. Sheriff's Department

Name of Form, Record,
File, System, or Process

Description
(Purpose, what it collects, in
terms understandable by
general public)

Child abuse - maltreatment
of minors

a. Substantiated Reports: Records
maintained by police/welfare with
availability to prosecuting authority
for disclosure of name of
substantiated report;
b. Unsubstantiated Reports

Commitments: Juvenile

Criminal history records

Child abuse - maltreatment
of minors

Employee and volunteer
data, personnel data
Expungement letter

Citation for
Classification
Classification
(Statute, Law, or Rule)

Private
Confidential

Order of the court showing the
name of the person to be
committed to custody and the
Private
location of the commitment; legal
documents from sentencing court
that authorizes confinement at the
jail facility
Availability for public employment or
Private
licensing purposes. Convenience
(depending on
copy from BCA, NCIC-FBI, or
content)
NLETS
a. Substantiated Reports: Records
maintained by police/welfare with
availability to prosecuting authority
for disclosure of name of
substantiated report;
b. Unsubstantiated Reports
Data related to employment,
volunteer status or applicant data
Letter confirming receipt of
expungement order

Dept/Division:
Sheriff

M.S. 626.556, subd. 7
and 11, and M.S.
13.82, subd. 7, 8 and
9

M.S. 260B.171

M.S. 13.87

Private
Confidential

M.S. 626.556, subd. 7
and 11, and M.S.
13.82, subd. 7, 8 and
12

Private

M.S. 13.43, subd. 3, 4
and 5

Private

M.S. 609A.03

Firearm application/permit
related data

All data related to permits to obtain
Private
and/or carry a handgun

M.S. 13.87, subd. 2
M.S. 624.714, subd.
14

Gunshot and suspicious
wound report

Health professionals shall report
gunshot and suspicious wounds
they treat to the sheriff

M.S. 626.53

Huber release records

Permission from the courts to allow
for inmate work outside the jail, sign Private to
in/out sheets for control of hours
inmate
worked, record of payment for this financials
privilege and payments to the court

Sheriff

Confidential

M.S. 13.85, subd. 2

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Page 231 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482

Name of Form, Record,
File, System, or Process

Responsible Authority - Mike Carr, Sheriff
Wadena Co. Sheriff's Department
Description
(Purpose, what it collects, in
terms understandable by
general public)

Dept/Division:
Sheriff

Citation for
Classification
Classification
(Statute, Law, or Rule)

a. Chronological record of events;
b. I.D. of undercover agents,
informants, victims of sexual
assault or intra-familial sex abuse;

Incident complaint logs
(dockets) including (see
description):

Private,
Confidential;
Private,
Confidential;

M.S. 13.82, subd. 7 and
17;
M.S. 13.82, subd. 7 and
17, and M.S.
299C.065, subd. 4;
M.S. 13.82, subd. 19;

Private,
Confidential;
Private,
Confidential;
Private,
Confidential

M.S. 13.82, subd. 20;

c. Arrest warrant indices until taken
into custody, served or appear
Private,
before court;
Confidential;
d. Description of stolen, lost or
recovered property;
e. Program data;
f. Deliberate processes or
investigative techniques, final
opinion or justification

M.S. 13.82, subd. 21;
M.S. 13.82, subd. 25

Initial complaint report

First record of all calls for service or
Private
reports of offenses received. In part
Confidential
not public.

M.S. 13.80
M.S. 13.82, subd. 3 and 6

Initial complaint reports of
transports of prisoner

Documents relating to all
transportations of individuals
showing date, time, name of
person, by whom, and to where

Private as to
juveniles

M.S. 260B.171

Inmate financial records

Financial records of inmates

Private

M.S. 13.85, subd. 2

Inmate history card

Inmate incident reports

Inmate medical records

Summary card showing all financial
transactions involving individual
Private
inmates, filed after discharge, and
kept in booking room during the
Jailer/Officer report giving
Private
particulars in case of
Confidential
accident/incident to inmate while
incarcerated in the jail; also located
Any and all medical activity and
records involving inmates

Sheriff

Private

M.S. 13.85, subd. 2

91 of 105

Page 232 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482

Name of Form, Record,
File, System, or Process

Responsible Authority - Mike Carr, Sheriff
Wadena Co. Sheriff's Department
Description
(Purpose, what it collects, in
terms understandable by
general public)

Inmate telephone/electronic
communications
Inmate visitor registration
log/jail visitor register

Citation for
Classification
Classification
(Statute, Law, or Rule)
Private
Confidential

Sign in log stating name of visitor,
relation to inmate being seen, date, Private
time, and name of inmate seen
a. Active: Cases involved in an
ongoing investigation;
Confidential

Investigations
b. Inactive: Closed cases, identities Private
of some parties

M.S. 13.37
M.S. 13.85, subd. 2 and 3

Jailer's daily activity log

Juvenile case files

Data dealing with involvement of
juveniles in criminal activity
incidents prior to age 18; includes Private
non-criminal activity involvement in Confidential
any matter pending investigation by
law enforcement

Master index: Adults

Private
Confidential
Confidential

Name file entry and all incidences
attached to the name

Sheriff

M.S. 13.82, subd. 7, 8
and 10
M.S. 13.82, subd. 17

Private
Confidential
(depending on
content)

Documents relating to specific
activities of jailers and prisoners
during each jailer's shift each day;
chronological record maintained by
jailers in regard to daily events
including security checks and
routine occurrences

Identity of reporter

M.S. 13.85, subd. 2

M.S. 13.85
M.S. 13.37
M.S. 13.43, subd. 4

Jail video

Maltreatment of vulnerable
adults

M.S. 13.85
M.S. 13.37

Private
Confidential

Security and body worn video
footage of jail activity

Records created or received in
conducting investigations by law
enforcement;

Dept/Division:
Sheriff

Private
Confidential
(depending on
content)

M.S. 13.82, subd. 17
M.S. 260B.171 and
260C.171

M.S. 13.82, subd. 7,
10 and 11
M.S. 626.557;
M.S. 626.557, subd .
12b(c)
M.S. 13.82, subd. 7, 8, 9,
10, 11 and 17

92 of 105

Page 233 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482

Name of Form, Record,
File, System, or Process

Master index: Juvenile

Responsible Authority - Mike Carr, Sheriff
Wadena Co. Sheriff's Department
Description
(Purpose, what it collects, in
terms understandable by
general public)
Name file entry and all incidences
attached to the name

Name change data
Deliberate processes or
Officer investigative progress
investigative techniques, final
reports
opinion or justificationn, officer's
Items marked with a selected
Operation identification
number, location of such number,
itemization
and article name, kept for any
participating person

Citation for
Classification
Classification
(Statute, Law, or Rule)
Private
Confidential
(depending on
content)

M.S. 13.82, subd. 2, 7
and 17
M.S. 260B.171

Private
Confidential

M.S. 13.82 subd. 12

Confidential

Private

Pawn shop/scrap dealer
customer data

Private

Person's financial acount
inactive case data

Private

Predatory offender
registration data

Private

Prisoner property envelopes

Private
Confidential

Property lists

Description of stolen, lost, or
recovered property

Private

Radio/dispatch logs

Documents relating to calls taken
by dispatcher and referred to a law
enforcement agency

Private
Confidential
(depending on
content)

Sealed arrest and criminal
files

Court ordered sealed/expunged
records

Confidential

Shift activity report:
supervisors

Private
Summary of department activity
Confidential
occurring during a supervisor/watch
(depending on
commander's shift
content)

Sheriff

Dept/Division:
Sheriff

M.S. 13.82 subd. 25
M.S. 13.37,
M.S. 13.82, subd. 20

M.S. 13.82, subd. 27
M.S. 13.82, subd. 30
M.S. 243.166

M.S. 13.85, subd. 2 and 3
M.S. 13.82, subd. 20

M.S. 13.82, subd. 4, 7, 8,
9, 10 and 17

M.S. 609A.03

M.S. 13.82
M.S. 13.85

93 of 105

Page 234 of 234

MINNESOTA GOVERNMENT DATA PRACTICES ACT
2026 INVENTORY OF NOT PUBLIC DATA ON INDIVIDUALS
WADENA COUNTY
415 Jefferson St. S.
Wadena, MN 56482

Name of Form, Record,
File, Syste

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