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New Personnel being hired? I Contact HR hiring -reporting requirements <br />Future impacts or liability to Kittitas County: <br />Bu dget Information <br />Budget Amendment Needed? Yes D attach budget form No[] Why not <br />New Division Created? Included in budget process <br />Revenue Code 116.612.95.333.93.778-NO MAX <br />Expense Code <br />116.612. 95 .Sxxxx <br />Pass Thro ugh Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub-Contract Approved Date: <br />Prosecutor Review I Has the Prosecutor reviewed this agreement? I Yes D No 0 <br />Cou nty De pa rtments Im pact ed <br />Auditor Facilities Maintenance <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted I Signature: <br />Department: <br />I Date: <br />Assi gn ment of Trackin g Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />[ Reviewer I Date <br />Grant/Contract Review Page 2