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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date ~,~ July 7, 2018 <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Washin gto n State Department of Health Data Sharing Agreement <br />Period Begin Date: Upon Signature j I Period End Date: December 31, 2018 <br />Total Grant/Cont ract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Washington State Department of Health Data Sharing Agreement is established to allow the health <br />department to share data in regards to Comprehensive Hospital Abstract Reporting System (CHARS), <br />Birth, Fetal Death, Linked Birth-CHARS, and Linked Birth-Infant Death data files. <br />Recommendation for Board of Health and Board of Health Review on <br />Date: 0 /J0 /f fJ <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROV DAS TO FORM: <br />Date <br />1 r tit > <br />Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds$ I CFDA# <br />In-Kind$ <br />Explain <br />Grant/Contract Review Page 1