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