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New Personnel being hired? No I Contact HR hiring-reporting requirements <br />Future impacts or liability to Kittitas County: <br />Bu dget Information <br />Budget Amendment Needed? Yes[] attach budget form No D Why not <br />New Division Created? No To be entered in budget center <br />Revenue Code 116.612.50.367.00 <br />Pass Th r ough 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? j Yes • No D <br />Coun ty De partments Im pa cted <br />Auditor Facilities Maintenance <br />I <br />Information Services Human Resource <br />Prosecutor Treasurer <br />Submitted I Signature: <br />Department : <br />I Date: <br />Assignment of Tracking Information <br />Auditor's Office <br />Human Resource <br />Prosecutor's Office <br />Who Signed the grant application <br />I Reviewer I Date <br />Grant/Contract Review Page 2