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Washington State STOP.Formula Grant Program Renewal Application for FFY 2019 <br /> CONSULTATION WITH VICTIM SERVICES PROVIDERS <br /> (Criminal Justice Applicants Only) <br /> Criminal justice applicants are required to consult with their local sexual assault and domestic violence victim <br /> service providers on their application activities. Criminal justice applicants should consult with their Community <br /> Sexual Assault Program (CSAP)and the Department of Social and Health Services (DSHS)Shelter Funded <br /> Domestic Violence Agency.Tribal criminal justice agencies may instead consult with their Tribal Victim Services <br /> Program.This requirement is to ensure that proposed activities by criminal justice agencies are designed to <br /> promote the safety and economic independence of victims of domestic violence,sexual assault,stalking, and <br /> dating violence. <br /> As verification of this requirement, criminal justice agencies must discuss their STOP Grant activities with the <br /> appropriate victim services agencies and ask the authorized official to sign this form. In counties where the CSAP <br /> is separate from the DSHS shelter-funded domestic violence agency,the applicant can print two copies of this <br /> form to enable both Executive Directors to respond and sign. <br /> Note for Victim Services Providers <br /> Please answer and sign below and then return this page to the criminal justice applicant to be included in their <br /> application to OCVA. <br /> 1. Since your participation in the development of the initial application,do you still agree that the proposed <br /> criminal justice activities promote the safety and economic independence of domestic violence,sexual <br /> assault, dating violence or stalking victims (age 11 and older) in your jurisdiction? <br /> ❑ Yes ® No <br /> Community Sexual Assault Program Name Providence Intervention Center for Assault&Abuse <br /> a 7114661/3( 16t _ _ <br /> Signature of CSAP Authorized Official <br /> • <br /> DSHS Shelter Funded Do estic Violence Agency Name Domestic Violence Services of Snohomish County <br /> a 1,16 <br /> _Signature of DSHS Shelter Authorized Official <br /> Tribal Victim Services Program Name <br /> • <br /> Signature of Tribal Victim Services Program Authorized Official <br /> Victim Services Providers: If you answered "no"to the above question, please provide details regarding the <br /> process and steps necessary to address concerns with the application. <br /> 19 <br /> 76 . <br />