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ATTACHMENT C
<br />ACKNOWLEDGEMENT OF NOTICE OF STATUTORY REQUIREMENT TO COMPLY WITH THE CONFIDENTIALITY
<br />AND PRIVACY PROVISIONS OF THE VIOLENCE AGAINST WOMEN ACT, AS AMENDED
<br />(Non -Profit Victim Services Providers Only)
<br />Under section 40002(b)(2) of the Violence Against Women Act, as amended (42 U.S.C. 13925(b)(2)), grantees and
<br />subgrantees with funding from the Office on Violence Against Women are required to meet the following terms
<br />with regard to nondisclosure of confidential or private information and to document their compliance. By
<br />signature on this form, applicant for the STOP Grant acknowledges that they have notice that, if awarded funds,
<br />they will be required to comply with this provision, and will mandate that subgrantees, if any, comply with this
<br />provision, and will create and maintain documentation of compliance, such as policies and procedures for release
<br />of victim information, and will mandate that subgrantees, if any, will do so as well.
<br />(A) In general
<br />In order to ensure the safety of adult, youth, and child victims of domestic violence, dating violence, sexual assault,
<br />or stalking, and their families, grantees and subgrantees under this subchapter shall protect the confidentiality
<br />and privacy of persons receiving services.
<br />(B) Nondisclosure
<br />Subject to subparagraphs (C) and (D), grantees and subgrantees shall not --
<br />(i) disclose, reveal, or release any personally identifying information or individual information collected in
<br />connection with services requested, utilized, or denied through grantees' and subgrantees' programs, regardless
<br />of whether the information has been encoded, encrypted, hashed, or otherwise protected; or
<br />(ii) disclose, reveal, or release individual client information without the informed, written, reasonably time -limited
<br />consent of the person (or in the case of an unemancipated minor, the minor and the parent or guardian or in the
<br />case of legal incapacity, a court -appointed guardian) about whom information is sought, whether for this program
<br />or any other Federal, State, or Tribal grant program, except that consent for release may not be given by the
<br />abuser of the minor, incapacitated person, or the abuser of the other parent of the minor.
<br />If a minor or a person with a legally appointed guardian is permitted by law to receive services without the parent's
<br />or guardian's consent, the minor or person with a guardian may release information without additional consent.
<br />(C) Release
<br />If release of information described in subparagraph (B) is compelled by statutory or court mandate --
<br />(i) grantees and subgrantees shall make reasonable attempts to provide notice to victims affected by the
<br />disclosure of information; and
<br />(ii) grantees and subgrantees shall take steps necessary to protect the privacy and safety of the persons affected
<br />by the release of the information.
<br />(D) Information sharing
<br />(i) Grantees and subgrantees may share --
<br />(1) nonpersonally identifying data in the aggregate regarding services to their clients and nonpersonally
<br />identifying demographic information in order to comply with Federal, State, Tribal or territorial reporting,
<br />evaluation, or data collection requirements;
<br />Washington State STOP Formula Grant Program Renewal Application for FFY 2022 17
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