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Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />Today's Date Agenda Date <br />11/20/2018 I <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Data Sharing Agreement <br />L <br />,, / ,15 j JPJ <br />Period Begin Date: 01/01/2019 I J Period End Date: 12/31/2019 <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Washington State DOH Sharing Agreement is established to allow the health department to share <br />data in regards to Comprehensive Hospital Abstract Reporting System (CHARS), Birth, Fetal Death, <br />Linked Birth-CHARS, and Linked Birth-Infant Death data files. <br />Recommendation for Board of Health and Board of Health Review on <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPRO VE D AS TO FORM · <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount$ State Funds $ Federal Funds$ <br />Percentage County Funds Matching Funds $ CFDA# <br />In -Kind$ <br />Explain <br />Grant/Contract Review <br />/;),;Jo-J? <br />/ v~f?j i' <br />Page 1