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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 /> Under section 40002(b)(2)of the Violence Against Women Act, as amended (34 U.S.C. 12291(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 acknowledges that they have notice that, if awarded funds,they will be required
<br /> to comply with this provision,and will mandate that subgrantees,if any,comply with this provision,and will create
<br /> and maintain documentation of compliance, such as policies and procedures for release of victim information,
<br /> 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 /> (I) 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;
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