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New Personnel being hired? I Contact HR hiring — reporting requirements I <br />Future impacts or liability to Kittitas County: <br />uudget intormation <br />Budget Amendment Needed? Yes ❑ attach budget form Nox❑ why not <br />New Division Created? Already budgeted for in contracted services <br />Revenue Code <br />105-568.334.04.68 - $ 13250.00 <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub -Contract Approved Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes No ❑ <br />Countv Departments Imoacted <br />Submitted <br />Signature: Date: <br />Department: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer <br />Date <br />Grant/Contract Review Page 2 <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />Submitted <br />Signature: Date: <br />Department: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />Reviewer <br />Date <br />Grant/Contract Review Page 2 <br />