WA State Department of Commerce 10/22/2018

City of Everett Confidentiality and Privacy Provisions (D) Information sharing (i) Grantees and subgrantees may share-- (1) nonpersonally identifying data in the aggreate regarding services to their clients and nonpersonally Y identifying demographic information in order to comply with Federal, State, or Tribal reporting, evaluation, or data collection requirements; (II) court-generated information and law enforcement-generated information contained in secure, governmental registries for protection order enforcement purposes; and (III) law enforcement-generated and prosecution-generated information necessary for law enforcement and prosecution purposes. (ii) In no circumstances may-- (1) an adult,youth,or child victim of domestic violence, datingviolence, sexual assault, or stalkingbe required to ( ) q provide a consent to release his or her personally identifying information as a condition of eligibility for the services provided by the grantee or subgrantee; (II) any personally identifying information be shared in order to comply with Federal,Tribal, or State reporting, evaluation, or data collection requirements,whether for this program or any other Federal,Tribal, or State grant program. (E) Statutorily mandated reports of abuse or neglect Nothing in this section prohibits a grantee or subgrantee from reporting suspected abuse or neglect, as those terms are defined and specifically mandated by the State or Tribe involved. (F) Oversight Nothing in this paragraph shall prevent the Attorney General from disclosing grant activities authorized in this Act to the chairman and ranking members of the Committee on the Judiciary of the House of Representatives and the Committee on the Judiciary of the Senate exercising Congressional oversight authority. All disclosures shall protect confidentiality and omit personally identifying information, including location information about individuals. (G) Confidentiality assessment and assurances I hereby acknowledge that, as a recipient of funding,the agency will comply with the above provisions. Applicants unable to comply with the statutory eligibility requirements of confidentiality will be prohibited from receiving these funds. Signature of Agency's Authorized Official Cassie Franklin, Mayor Name of Victim Services Agency(if not Applicant) Domestic Violence Services of Snohomish County and Providence Intervention Center for Assault and Abuse 1. Does the victim services provider have a policy on Confidentiality and Privacy Provisions that comply with the Violence Against Women Act? n Yes n No 2. Does the victim services provider have a release of information form that is reasonably time limited, informs the victim what specific information would be shared, and with whom? I T I Yes n No WA State FFY 2r` i)QEVA$tipt) ion for CY 2019 Gran 19 AT `r +T: JAMES D.ILES,City Attorney ...,t.4 Al,_ City Clerk