Wisconsin Statutes Insurance (Ch. 600 to 655) § 628.32. Disclosure required

(1) An intermediary may not accept compensation from an insured or from both an insured and another source due to the insured's purchase of insurance or for advice regarding the insured's insurance needs or coverage unless the intermediary, before the insured incurs an obligation to pay compensation, clearly and conspicuously and in writing discloses to the insured all of the following:

(2) The commissioner may promulgate rules prescribing the form for disclosure under sub. (1).