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Today's Date <br />July 7, 2018 <br />Fund/Department <br />116 -Public Health <br />Kittitas County <br />Review Form <br />Grants & Contract Agreement <br />J. I Agenda Date <br />S� wots .-�o�yF <br />_W <br />Contract/Grant Information <br />Contract /Grant Agency: Washington State Department of Health Data Sharing Agreement <br />Period Begin Date: Upon Signature Period End Date: December 31, 2018 <br />Total Grath/Contract 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 />Department Head Signature: , Administrator Date: <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Signature of Prosecutor's Office Date <br />Signature of Auditor's Office 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 $ CFDA# <br />In -Kind $ <br />Explain <br />Grant/Contract Review Page 1 <br />