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ATTACHMENT G <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 Domestic <br /> Violence Agency. Tribal criminal justice agencies should consult with their Tribal Victim Services Program. This <br /> requirement is to ensure that proposed activities by criminal justice agencies are designed to promote the safety <br /> and economic independence of victims of domestic violence, sexual assault, stalking, and 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 /> renewal application to OCVA. <br /> 1. Do you agree that the proposed criminal justice activities promote the safety and economic independence <br /> of domestic violence, sexual assault, dating violence or stalking victims (age 11 and older) in your <br /> jurisdiction? <br /> WI Yes ❑ No <br /> Community Sexual Assault Program Name Providence Intervention Center for Assault and Abuse <br /> Signature of CSAP Authorized Official <br /> DSHS Shelter Funded Domestic Violence Agency Name Domestic Violence Services of Snohomish County <br /> Signature of DSHS Shelter Authorized Official <br /> Tribal Victim Services Program Name <br /> Signature of Tribal Victim Services Program Authorized Official <br /> Note to Victim Services Providers: If you answered "no" to the above question, please provide details regarding <br /> the process and steps necessary to address concerns with the application. <br /> Washington State STOP Formula Grant Program Renewal Application for FFY 2022 25 <br />