WA State Department of Commerce 10/22/2018

City of Everett CONSULTATION WITH VICTIM SERVICES (Criminal Justice Applicants) Criminal justice applicants must consult with their local Community Sexual Assault Program (CSAP) and the Department of Social and Health Services (DSHS)Shelter Funded Domestic Violence Agency during the development of the criminal justice application. This requirement is to ensure that proposed activities by criminal justice agencies are designed to promote the safety and economic independence of victims of domestic violence,sexual assault,stalking, and dating violence. As verification of this requirement, criminal justice agencies must discuss their STOP Grant activities with the appropriate victim services agencies and ask the authorized official to sign this form. In counties where the CSAP is separate from the DSHS shelter funded domestic violence agency, applicant can print two copies of this form to enable both Executive Directors to respond and sign. Questions for CSAP and DSHS Shelter Agencies (please answer below and return this page to the criminal justice applicant to be included in their application to OCVA): 1. Did you participate in the development of this application? K Yes n No 2. Do you agree the proposed criminal justice activities promote the safety and economic independence of domestic violence, sexual assault, dating violence or stalking victims (age 11 and older) in your jurisdiction? nYes No Community Sexual Assault Program Name Providence Intervention Center for Assault&Abuse Signature of CSAP Authorized Official DSHS Shelter Funded Domestic Violence Agency Name Domestic Violence Services of Snohomish County Signature of DSHS Shelter Authorized Official CSAP/DSHS Shelter Funded Agencies: If you answered "no"to any of the above, please provide details regarding the process and steps necessary to address concerns with the application. WA State FFY 2018 STOP Grant Application for CY 2019 Grants 13