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Home My WebLink About20200395.tiffRESOLUTION RE: APPROVE 2020 ANNUAL PROGRAM PLAN FOR CHILD SUPPORT SERVICES AND AUTHORIZE DIRECTOR OF HUMAN SERVICES TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with the 2020 Annual Program Plan for Child Support Services from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Office of Economic Security, Division of Child Support Services, commencing upon full execution of signatures, with further terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the 2020 Annual Program Plan for Child Support Services from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Office of Economic Security, Division of Child Support Services, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the authority to sign said plan, be, and hereby is, delegated to the Director of Human Services to sign as the Agent for the Weld County Board of County Commissioners, Weld County, Colorado. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of January, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ditit,,t) aCiD;ii Weld County Clerk to the Board BY: Deputy Clerk to the Board APP 's•EDAST County ttorney Date of signature: o./ab / Mike Freeman, Chair Steve Moreno, Pro -Tern EXCUS, D Sean Conway cot K. James arbara Kirkmeyer 104(n,-06 01156) a-9- as 2020-0395 HR0092 jo,n,t--rac+ �cb * 3300 PRIVILEGED AND CONFIDENTIAL MEMORANDUM 0t/A DATE: December 10, 2019 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Child Support Services (CSS) 2020 Annual Program Plan Please review and indicate if you would like a work session prior to placing these items on the Board's agenda. Request Board Approval of the Department's Child Support Services (CSS) SFY 2020 Annual Program Plan. The Child Support Services (CSS) 2020 Annual Program Plan incorporates the Board's approved county budget for child support, including its budget of $3,716,500.00, and 31 employee positions. The plan includes 1) the mandate for Temporary Aid to Need Families (TANF) and Child Care applicants/recipients to participate with Child Support in order to receive assistance, and 2) concentration on Customer -Focused initiatives as well as Enforcement initiatives in 2020. This program offers a variety of services through Employment Services of Weld County (ESWC) to help parents overcome barriers in meeting their child support obligations. I do not recommend a Work Session. I recommend approval of this annual program plan and authorize the plan to be submitted with Director signature. Approve Schedule Recommendation Work Session Sean P. Conway Mike Freeman, Pro -Tern Scott James Barbara Kirkmeyer, Chair Steve Moreno Other/Comments: Pass -Around Memorandum; December 10, 2019 — CMS 3300 Page 1 2020-0395 PIROO9 go COLORADO Office of Economic Security Division of Child Support services 2020 ANNUAL PROGRAM PLAN I certify that this Plan is an accurate assessment of the Child Support Services (CSS) program for Weld County. I further certify that: • The attached county CSS program budget represents only expenditures for performing IV -D activities. • Staff listed in Section IX are performing IV -D functions pursuant to the percentage of time shown. • A background check, pursuant to Colorado Department of Human Services (CDHS) Volume 6, 6.210.6 (Access to Information) as revised, has been performed on all staff prior to requesting credentials for accessing electronic or manual information maintained by CDHS, Division of CSS. The county director, or their designee, has weighed the outcome of the background check against county -established favorability standards and determined the individual is suitable to access the information. • The County Director and IV -D Administrator certify that all County CSS workers meet all requirements for ACSES access per CDHS Operation Memo OM-CSS-2016-0001•; have been vetted through a fingerprinting background check within the last 10 years and have passed all CDHS established suitability standards per CDHS Operation Memo OM- CSS-2018-0002. • The County has established written processes to ensure that Automated Child Support Enforcement System (ACSES) access provided to employees corresponds to each worker's job assignment. Access to child support information (electronic or manual) is determined by an official "need -to -know" policy. That is, a person's access is limited to only the level necessary to perform the authorized purposes of the child support services program. • Separation (or segregation) of duties is intended to reduce error and fraud by ensuring that at least two individuals are responsible for the separate parts of any vulnerable or mission critical tasks of the program. To the extent possible, the State office recommends that the separation of duties, and accompanying ACSES security access, be considered and implemented in the following circumstances: o Enforcement and financial management responsibilities should not be performed by the same person; and o The responsibility to negotiate obligor child support balances and ledger balance adjustments should not be performed by the same person. • All staff performing IV -D fu County ignature JudyJA Griego ctions, including CSS contractors and contract IV -D attorneys, are included in Section V. County Director (Print Name) Nancy Lawson Digitally signed by Nancy Lawson Date: 2019.12.03 12:13:07 -0T00' iloglgoi 9 Date 12/03/2019 IV -D Administrator Signature Date Nancy Lawson IV -D Administrator (Print Name) 'Link to Operations Memo is httos://sites.eocatte.com/a/state.co.us/cdhs-memo-series/poticy-ooeration-information-memos CSS-14 (Rev 09/03/2019) Page 1 of 5 2020 ANNUAL PROGRAM PLAN Section I - Expenditures Counties must attach a copy of their program's approved budget. The attached budget must be detailed enough to identify personnel and contractual expenditures. Section II -County CSS Program Information 1. Foster Care - County Designation Counties are required to select one of three options for processing foster care fees in cases relating to child support obligations. Check the option that your county is currently using. The options are: ❑ a. The Foster Care Assessor within Child Welfare establishes and enforces the foster care fee. The case is not referred to the CSS Unit for any purpose. ❑ b. The Foster Care Assessor within Child Welfare establishes the foster care fee. The case is referred to the CSS Unit for monitoring and enforcement. El c. The CSS Unit's Foster Care Fee Assessor establishes and enforces the fee. 2. Changes to Child Support Debt and Retroactive Support Policies What state-wide policy would you support regarding establishment of child support debt and retroactive support. (Example: no establishing of state debt, only reserve retroactive support, etc.) Nn estahlishing of state debt Only reserve retrnactive support Suppnrt nnunty choice as statewide policy. Section HI - Safeguarding of Child Support information The Colorado CSS program receives federal tax and Federal Parent Locator Service (FPLS) information for use in the establishment and enforcement of child support orders, and the collection of amounts due. The Internal Revenue Service (IRS) requires that staff with access to federal tax information (FTI) maintain their access authorization through initial and annual training certification. The purpose is to ensure that staff understands the child support agency's security policy and procedures for safeguarding the data. The Federal Office of Child Support Enforcement has a similar mandate that requires providing security and privacy awareness training to those staff having access to FPLS and other child support program information The IV -D Administrator must attest that all child support staff and contractors that have access to FTI have been provided information safeguard training offered by the State office, and have been given the opportunity to review and ask questions with respect to the various policies and procedures issued by the state program. CSS-14 (Rev 09/03/2019) Page 2 of 5 2020 ANNUAL PROGRAM PLAN IRS Safeguard Awareness Training Program Please describe your county's training program. Staff view the IRS Disclosure Awareness Training Video and State Power Point on Safeguarding Child Support Information. State Procedures are reviewed by all staff. Managers are available to respond to any staff inquiries on the materials. As the IV -D Administrator, I certify that the following policies and procedures have been reviewed with staff and implemented in this county: (Initial next to each procedure.) nl Procedure 1.0 Access ACSES Using Personally Owned Devices nl nl nl nl nl nl Procedure 2.0 Data Breach Incident Reporting Procedure 3.0 Transmitting FTI by Facsimile Device Procedure 4.0 Transmitting FTI by Electronic Mail Procedure 5.0 Visitor Access Log Procedure 6.0 Personal Identifying Information and Federal Parent Locator Service Data Protection Procedure 7.0 Suitability Standards for CSS Employee Access to FTI As the IV -D Administrator, I further certify that: (Initial next to each statement.) nl nl nl nl nl ni All CSS staff, including CSS contractors and contract IV -D attorneys, received child support information (i.e. FTI and FPLS) safeguard awareness training and have completed Certifications of Understanding during calendar year 2019. All CSS staff accessing child support information, in either electronic or paper format, has a need -to -know and are engaged in the authorized purposes of child support enforcement (i.e. the establishment and enforcement of an order for child support, and the collection of amounts due). All CSS staff, including CSS contractors and contract IV -D attorneys, hired during calendar year 2019 received child support information (i.e. FTI and FPLS) safeguard awareness training prior to being granted access to ACSES and child support information. All CSS staff, including CSS contractors and contract IV -D attorneys, understand the civil and criminal penalties associated with the unlawful disclosure and/or inspection of FTI as described in IRS Publication 1075 and Sections 7213, 7213A, and 7431 of the Internal Revenue Code. All CSS staff, including CSS contractors and contract IV -D attorneys, understand the civil and criminal penalties associated with the misuse of Federal Parent Locator Service and child support program information as described in, but not limited to, the Social Security Act, the Privacy Act of 1974, the Federal Information Security Management Act of 2002, 42 USC 654(26) and 654a (d) (1)-(5). With respect to initial and annual IRS safeguard awareness training certification, the documentation (of training) is maintained on file for each individual CSS staff member, including CSS contractors and contract IV -D attorneys. If the IV -D Administrator is unable to certify any statement in Section III, please explain below: CSS-14 (Rev 09/03/2019) Page 3 of 5 2020 ANNUAL PROGRAM PLAN Section IV - Continuity of Services 1. If your county has five or fewer child support employees, do you have an agreement with another county for coverage should an emergency or hardship occur rendering your employees unable to fulfill day to day child support service operations? CYes p No • Please provide the coverage county and plan. If not, please explore your options and provide a county coverage plan and a date in which you will have a plan in place. N/A. Weld County has more than five child support employees. Section V - Strategic Planning 1. Please provide a copy of the strategic plan for your county's child support program. If you do not have one, please describe the initiatives/process improvement strategies your county will implement in 2020. 1. Customer -focused initiative. Includes refining PA Intake process, implementing talking point guide for customer service staff, establishing standards for phone response service, and assessing NPA walk-in process. 2. Enforcement initiatives. Includes Intergovernmental Team reducina zero pavers by 10 oercent and monthly Enforcement Team oroiects to meet arrears 2. Please select the type of state support that would be helpful to your county. Training. What type of training? Technician Financial Training; FSR Training p n State on -site visits. What frequency? El Process Improvement Event Support and/or Facilitation El Tracking of Best Practice Outcomes ✓❑ Other. Please describe. Comprehensive Enforcement Training Section VI HS Connects (Optional) 1. Does your county utilize 115 Connects? El Yes E No 2. Does your county use H5 Connects for Child Support Services? ® Yes C No 3. If your county does not use HS Connects, what does your county use? Northwoods Compass Pilot/ OnBase/p 4. Is your county considering the use of a work management system? El Yes C No CSS-14 (Rev 09/03/2019) Page 4 of 5 Section VII - County Liaisons 1. Please identify your county liaison for the following: • ACSES Kyle Ewertz/Ashley Luttrell • Bookkeeper ,lc nnifpr Witherspnnn • FSR Jennifer Witherspoon a • Customer Service Rep. Nancy Lawson • IV -D Administrator Nancy 1 awsnn • Hospital Liaison Nance Kelly • ACSES User Task Group Rep. Ashley Luttrell • IV -D Attorney(s) Amanda Peek • 2Gen Liaison Nancy Lawson a e a a O a a a Section VIII - Supportive Services 1. Do you have any community partners in the following five categories: ❑✓ Employment Services. If yes, please list the partner. Tami Grant, Employment Services a Do you have any MOU? Dyes DNo ❑ Education Services. If yes, please list the partner. Do you have any MOU? DYes D No ❑✓ Court and/or Legal Services. If yes, please list the partner. Sonja Richardson, 19th Judicial District Do you have any MOU? Dyes [No d❑ Parenting Services. If yes, please list the partner. Court Information Center, 19th Judicial District a Do you have any MOU? DYes FL No Q Access and Visitation Services. If yes, please list the partner. Office of Dispute Resolution Do you have any MOU? ['Yes CNo 2. Does your county Child Support Services program provide supportive services to families such as Fatherhood, Parenthood, 2 Gen, Work, etc.? a. If so please indicate the line item in your attached budget that supports these efforts? No line item in CSS budget. b. If there is no specific funding for these efforts, please detail how the efforts are supported. Employment Services accepts CSS referrals providing job search and other activities ansi provides some case management activities on limited contempt cases. CSS participates in Department family engagement efforts to support families exiting TANF program. CSS participates in Department funds distribution efforts to support families in need. CSS staff refers families to other internal and external resources as needs are identified. Section IX - Personnel - Please see attachment CSS-14 (Rev 09/03/2019) Page 5 of 5 COLORADO Office of Economic Security Div�sien of triad ki Support ServIccs Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION `,'A I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. J.A I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. J.A I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. J.A I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. J'A I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/03/2019 Annual Cert County/Other Weld Name (print) Jorge Aguiar Jorge Aguiar Digitally signed by Jorge Aguiar DN; cn=Jorge Aguiar, email=agularjx@weldgov.com Signature Date: 2019.10.03 15:34:50.06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date. 2019.10.041038:59-osoo' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303,866.4300 http:(/childsuppert.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director KA KA COLORADO Office of Economic Security c` Ckrid support Serwces Larry Debien. Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. KA I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. KA I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. KA I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. ,New User Date 10/7/2019 Name (print) Kalyssa Aragon Signature Kalyssa Aragon Annual Cert County/Other Weld Digitally signed by Kalyssa Aragon Date: 2019.10.07 12:56:00 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.07 13:01:21 06'00' Revised 20160527 1575 Sherman Street. Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor Reggie 6icha, Executive Director COLORADO Office of Economic Security Division c Child support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION sdb I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. sdb I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. sdb I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. sdb I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. sdb I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/31/2019 Name (print) Sherri D Boltz Annual Cert County/Other Weld Sherri Boltz ONcn Digitallysigned Sherri Boltz ON: allySherri Boltz, amall=boltzxsd@weidgov.com Date: 2019,10,31 14:08:27.06'00' Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Nancy Lawson Date: 2019.11.0413:07:50-07'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://chitrisupport.state.co.us John W. Hickentooper, Governor I Reggie Bicha, Executive Director SC SC COLORADO Office of Economic Security I Division of Child Support Services Larry Deshien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. SC I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. SC I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. SC I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/08/2019 Annual Cert County/Other Weld Name (print) Scott Carnegie Signature Scott Carnegie Digitally signed by Scott Carnegie Date: 2019.10.08 13:45:36 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.08 14:44:12 -06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.430© http:!/childsupport,state.co.us John W. Hickenlooper, Governor Reggie Bicha, Executive Director COLOR AD Office of Economic Security Division of Chad Support Ser,ices Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION JPD I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. JPD I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. JPD I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. JPD I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. JPD I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 08/23/2019 Annual Cert County/Other Weld Name (print) Jean -Paul Demoruelle Jean -Paul DemoruelleDigitally signed by Jean -Paul Demoruelle Signature Date: 2019.08.23 10:40:07 -06'00' Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Nancy Lawson Date: 2019.08,27 11,58:26.06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http:i/childsupport.state.co.us John W. Hici enlooper, Governor I Reggie 8icha, Executive Director KE KE COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support information, and the reference materials referenced therein including how to report data breach incidents. KE I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. KE I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. KE I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. riNew User f I Annual Cert Date 10/01/2019 County/Other Weld Name (print) Kyle Ewertz Signature Kyle Ewertz Digitally signed by Kyle Ewertz Date: 2019.10.01 09:47:51 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.02 10:26:56-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport,stete.co.us John W. Hickentooper, Governor Reggie Bicha, Executive Director AG AG COLORADO Office of Economic Security upport Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. AG I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. AG I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. AG I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/01 /2019 Name (print) Annette Garcia Annual Cert County/Other Weld Annette Garcia Digitally signed by Annette Garcia Signature Date: 2019.10.01 11:51:45 -06'00' IV -D Administrator/Supervisor Signature Revised 20160527 NancyI awson Digitally signed by Nancy Lawson L Date: 2019.10.0210:2213 -06'00' 1575 Sherman Street, Denver, 0080203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director MG MG COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. MG I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. MG I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. MG I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. nNew User IZ✓ Annual Cert Date 10/17/2019 County/Other Weld Name (print) Monica Gathercole Signature Monica Gathercole Digitally signed by Monica Gathercole Date: 2019,10.17 11:40:19 -06'00' Nancy L.. I awSon Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.21 09:07:12-0600' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director MH MH COLORADO Office of Economic Security 1 division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. MH I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. MH I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. MH I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/1/19 Annual Cert County/Other Weld Name (print) Maria Hernandez Maria Hernandez Digitally signed by Maria Hernandez Signature Date: 2019.10.01 16:16:07 -06'00' Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Nancy Lawson Date: 2019.10.02 10:21:20 -0600' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co,us John W, Hickenlooper, Governor I Reggie Bicha, Executive Director J.H J.H COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. J.H I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. J.H I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. J.H I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/01/2019 Annual Cert County/Other WELD COUNTY Name (print) JANET HERRERA Digitally signed by Janet Herrera Janet Herrera ON: cn=Janet Herrera, email=herrelx@weldgov.com Signature Date: 2019.10.01 16:42:21 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature L Date: 2019.10.02 10:20:35 06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://chiEdsupport.state.co.us John W. Hickerlooper, Governor Reggie Bicha, Executive Director AJ AJ COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. AJ I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. AJ I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. AJ I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. ,INew User Annual Cert Date October 24, 2019 County/Other Weld Name (print) Ashley Jojola Signature Ashley Jojola Digitally signed by Ashley Jojola ON: cn=Ashlay Jojola, amailsJojolaaj@weidgov.com Date: 2019.10.24 15:54:35 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.25 11:21:30-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director COLORADO Office of Economic Security ;ion cf CaO Support Serv,ces Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION N0K I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. N0K I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. N0K I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. N0K I am aware that federal tax and child sup port information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. NOK I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/01/2019 Annual Cert County/Other Weld Name (print) Nance Kelly Nance Kelly Digitally signed by Nance Kelly Signature Date: 2019.10.01 09:40:50 -06'00' Nancy I a WSO n Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.02 10:27:55-06'00' L Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866,4300 http://childsupport.state.co.us John W, Hickenlooper, Governor I Reggie Bicha, Executive Director JK JK COLOR AD Office of Economic Security Division of Child Support Ser.ices Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. JK I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. JK I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. JK I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/01/2019 Annual Cert County/Other WELD Name (print) JESSICA KUPFERER Signature Jessica Kupferer Digitally signed by Jessica Kupferer Date: 2019.10.01 10;25:51 -06'00' Nancy L I awso n Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.1002 10:24:40-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director COLORADO Office of Economic Security Division of Child Support Services Larry Deshien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION nal I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. nal I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. nal I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. nal I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. nal I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/02/2019 Annual Cert County/Other Weld Name (print) Nancy Lawson Nancy Lawson Digitally signed by Nancy Lawson Signature Date: 2019.10.02 10:03:01 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.02 10:19:19 -O6'OO' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http:!/childsupport.state.co.us John W. Hickertooper, Governor Reggie Bicha, Executive Director CL CL COLORADO Office of Economic Security E�ivisior� or Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. CL I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. CL I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by taw, rule, or regulation. CL I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. l i New User Date 10/1/2019 Annual Cert County/Other WELD Name (print) CHRISTIAN LEOS Christian Leos . Digitally signed by Christian Leos Signature Date: 2019.10.01 10:32:59 -06'00' Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Nancy Lawson Date: 2019,10.0210:23:54-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director SL SL COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. SL I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. SL I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. SL I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User PI Annual Cert Date 10/29/2019 County/Other WELD Name (print) Susan M. Lira Otglia!y signed by Susan M, Lies Susan M. Lira ON: on=Susan M. LimoaChlM Support. ou, emaipitraxxemeaeildgov tom. wl1g Signature Date. 2019.10.29 08:17:59 -08'00' Nancy 1 aWSQn Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature L Date: 2019.11.04 13:50:19 -07'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state,co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director AL AL COLORADO Office of Economic Security I Uivision of Ch cupport Servicei Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support information, and the reference materials referenced therein including how to report data breach incidents. AL I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. AL I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. AL I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/01/2019 Annual Cert County/Other WELD Name (print) ASHLEY LUTTRELL SignatureAshley Luttrell D Digitly signed by Ashley Luttrell Beal O19.1 O1 10:43:28 -06O0' Nancy L 1 awso n Digitally signed by Nancy Lawson IV -O Administrator/Supervisor Signature Date: 2019.10.02 10:23:03-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303,866.4300 http://childsupport,state,co,us John W. Hickenlooper, Governor f Reggie Bicha, Executive Director COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION KMM I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. KMM I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. KMM I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. KMM I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. KMM I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/02/2019 ". Annual Cert County/Other WELD Name (print) KYLEE MARIE MACHELEDT Signature Kylee Macheledt Digitally signed by Kylee Macheledt Date: 2019.10.02 10:15:36 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Data:2019.10O210:18:04 06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http:!/childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director RM RM COLORADO Office of Economic Security servIc„s Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. RM I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. RM I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. RM I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 7/17/19 f Annual Cert County/Other Weld Name (print) Rubyann Markworth Rub Ann Markworth DDae:2019.07.1itally signed 7109y38n0 Markworth Signature Ruby Ann Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.07.17 13:38:49-0600' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303,866.4300 http://childsupport.stete.co.us John W. Hickentooper, Governor I Reggie Biche, Executive Director COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION MM I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. MM I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. MM I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. MM I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by taw, rule, or regulation. MM I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/14/2019 II 1 Annual Cert County/Other WELD Name (print) Melissa Marquardt Signature Melissa Marquardt Digitally signed by Melissa Marquardt Date: 2019.10.14 08:55:13 -06'00' DigsignNancy s Nancy Lawson Date:itally 2019.10ed.21by0926:27-06Law'00on' IV -D Administrator/Supervisor Signature Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director jm (COLORADO Office of Economic Security of CYti!d Supper Services y Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. jm I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. �m I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. jm I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. Jm I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/01/2019 Annual Cert County/Other Weld Name (print) Jessica Moore Jessica Moore Digitally signed by Jessica Moore Signature Date: 2019.10,01 13:26:51 -06'00' IV -D Administrator/Supervisor Signature Revised 20160527 Digiay gnNaws Nancy Lawson Date:tll201 si9.10.06edby 15:29:58ncyLa06'0on0' 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickeniooper, Governor i Reggie Bi:ha, Executive Director EN EN COLORADO Office of Economic Security ivision ct Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. EN I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. EN I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. EN I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/2/1 9 Annual Cert County/Other WELD Name (print) ELIZABETH NASH Elizabeth Nash Digitally signedeth Nash en=Elizabeth cn=Ellzabelh th Nash, email=nashxxek@weldgov.com Signature Date: 2019.10.02 10:36:13 -06'00' Nancy Lawson Digitally signed by Nancy Lawson ' IV -D Administrator/Supervisor Signature L Date: 2019.10.02 10:42:05 -06'00 Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://chiidsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director KP KP COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. KP I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. KP I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. KP I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/22/19 Annual Cert County/Other weld Name (print) Kristi Patterson Kristi Patterson Digitally signed by Kristi Patterson Signature Date: 2019.10.22 12:50:14 -06'00' Digitally signed by Nancy Lawson IV -D AdminlStrdtOr/5UperviSOr Signature Nancy Lawson ate: 2019.10.22 15:33:34-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION AMP I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. AMP I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. AMP I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. AMP I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. AMP I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 11/5/2019 Annual Cert County/Other Weld Name (print) Amanda Peek Signature Amanda Peek Digitally signed by Amanda Peek Date: 2019.11.05 09:11:04 -07'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.11.05 09:13:58 07'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director CR CR COLORADO Office of Economic Security Div,sior, of C}pI;1 Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. CR I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. CR I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. CR I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/01/2019 Annual Cert County/Other Weld Name (print) Concha Rodriguez Concha Rodriguez Digitally signed by Concha Rodriguez Signature Date: 2019.10.01 09:53:50 -06'00' Nancy a WSJ rl Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature L Date: 2019.10.02 10:26:03-06'00' L Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director COLORADO Office of Economic Security Divrsion of Child Support Servtces Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION DST I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. DST I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. DST I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. DST I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by taw, rule, or regulation. DST I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/28/2019 Annual Cert County/Other Weld County Name (print) Dayana Sardina Terrazas Dayana Sardina-Terrazas Date: signed by Dayana Sardina-Terrazas Signature y Date: 2019.10.28 15:46:42 -06'00' Nancy L 1 awson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.11.04 13:51:38 -07'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303,866.4300 http://childsupport.state.co,us John W, Hickenlooper, Governor Reggie Bicha, Executive Director GS GS (COLORADO Office of Economic Security Divisbn of Chad Support Services Larry Deshler, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. GS I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. GS I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. GS I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/10/2019 Annual Cert County/Other Weld Name (print) Geoff Shirley Signature Geoffrey Shirley Digitally signed by Geoffrey Shirley Date: 2019.10.10 13:12:30 -06'00' Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Nancy Lawson Date: 2019.10.1013:16:03-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport,state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director bt bt COLORADO Office of Economic Security Division or Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support information, and the reference materials referenced therein including how to report data breach incidents. bt I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. bt I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. bt I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10-29-2019 Annual Cert County/Other Weld Name (print) Beverly Tait Signature Beverly Tait Digitally signed by Beverly Tait Date: 2019.10.29 12:48:56 -06'00' Nancy Lawson Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date; 2019.11.04 13:49:06 -0700' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director AT AT COLORADO Office of Economic Security n of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. AT I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. AT I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. AT I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User El Annual Cert Date 7/23/2019 County/Other Weld Name (print) Audrey Trevino Audrey Trevino Digitally signed byTr Audrey mail Trevino DN: en=Audrey Trevino, email=trevinek@waldgov,com Signature Date: 2019.07.23 14:50:06 -06'00' Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Nancy Lawson Date: 2019.07.2315:10:30-06'00' Revised 20160527 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.c:o.us John W. Hickenlooper, Governor I Reggie Bicha, Executive Director JW JW ;COLORADO Office of Economic Security Divsict of Ch',I 1 Suphcrl `e,v,eas; Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. JW I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. JW I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. JW I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. New User Date 10/9/19 Annual Cert County/Other Weld Name (print) Jennifer Witherspoon Jennifer Witherspoon Digitally signed by Jennifer ,Witherspoon ern ON: cn=Jennifer Witherspoon, emali=wilherja@weldgov.com Signature Date: 2019.10.09 12'22:08.08'00' Nancy L I awso r.i Digitally signed by Nancy Lawson IV -D Administrator/Supervisor Signature Date: 2019.10.0912:28:02-0600 Revised 20160527 1575 Sherman Street. Denver, CO 80203 P 303.866.4300 irttp:!/childsupportstate.cc.us John W. Hickenlooper, Governor Reggie Bicha, Executive Director DZ DZ COLORADO Office of Economic Security Division of Child Support Services Larry Desbien, Director Safeguarding Child Support Information ANNUAL TRAINING CERTIFICATION I have viewed the IRS video, Disclosure Awareness Training for State Child Support Agencies. I have viewed the PowerPoint presentation entitled Safeguarding Child Support Information, and the reference materials referenced therein including how to report data breach incidents. DZ I have read, understand, and had the opportunity to ask questions with respect to the Division's policies and procedures concerning the use and protection of federal tax and other child support information. DZ I am aware that federal tax and child support information is confidential in nature and can only be used for authorized purposes as permitted by law, rule, or regulation. DZ I am aware of the civil and criminal penalties associated with the unlawful disclosure and inspection of federal tax information as described in the Internal Revenue Code sections 7213, 7213A, and 7431; and other laws, rules and regulation with respect to child support information. ri User Date 10/22/2019 Annual Cert County/Other WELD Name (print) DEANDREA ZAPATA DeAndrea Zapata Digitally signed by DeAndrea Zapata Signature Date: 2019.10.22 15:25:36 -06'00' IV -D Administrator/Supervisor Signature Revised 20160527 Digitally signed by Nancy Lawson Nancy Lawson Date: 2019.10.22 15:34:50 -06'00' 1575 Sherman Street, Denver, CO 80203 P 303.866.4300 http://childsupport.state.co,us John W. Hickentooper, Governor I Reggie Bicha, Executive Director BUDGET UNIT REQUEST SUMMARY AGENCY/DEPARTMENT NAME: SOCIAL SERVICES BUDGET UNIT TITLE AND NUMBER: Child Support Administration - - 2100-42200 DEPARTMENT DESCRIPTION: This program is designed to obtain and enforce child support and medical support for dependent children to offset part of the TANF and foster care costs. In addition, child support and medical support are enforced for non-TANF clients based on court orders. RESOURCES ACTUAL LAST FY BUDGETED CURRENT FY REQUESTED NEXT FY RECOMMEND NEXT FY Personnel Services $ 3,115,533 $ 3,100,000 $ 3,200,000 $ 0 Supplies 118,863 75,000 55,000 0 Purchased Services 450,996 450,000 400,000 0 Fixed Charges 73,592 100,000 70,000 0 Contra Expense - 9,160 - 10,300 - 8,500 0 Capital 0 0 0 0 Gross County Cost $ 3,749,824 $ 3,714,700 $ 3,716,500 $ 0 Revenue 2,839,061 2,750,000 2,800,000 0 Net County Cost $ 910,763 $ 964,700 $ 916,500 $ 0 Budget Positions 31 31 31 SUMMARY OF CHANGES: No significant changes are anticipated in this program for 2020. FINANCE/ADMINISTRATION RECOMMENDATION: BOARD ACTION: CHILD SUPPORT ADMINISTRATION (CONTINUED) 2100-42200 PERFORMANCE MEASURES ACTUAL ESTIMATED PROJECTED Work Outputs Case Load Efficiency Measures FTE's per 10,000/capita Per capita cost (county support) 7,300 7,297 7,300 1.0 0.9 0.9 $ 2.897 $ 2.980 $ 2.751 GOALS/DESIRED OUTCOMES/KEY PERFORMANCE INDICATORS: See Human Services goals following the Social Services Fund Summary. L Legal Technician Manager Establishment II Nance Kelly Legal Tei', Establishment Annettte Garcia Monica Gathercole Elizabeth Nash Beverly Tait Audrey Trevino I Legal Technician Intergovernmental Jessica Kupferer Christian Leos (B) Concepcion Rodriguez Child Support Accounting Clerk Jennifer Witherspoon DeAndrea Zapata Department of Human Services Director: Judy A. Griego Child Support Deputy Director: Jamie Ulrich Legal Technician (Manager Enforcement Geoff Shirley Child Support Division Head Nancy Lawson Legal Technician Enforcement Jorge Aguiar Kalyssa Aragon Sherri Boltz Jean -Paul Demoruelle Maria Hernandez (B) Jeanette Herrera (B) Ashley Jojola Jessica Moore Kristi Patterson Core Support Manager Ashley Luttrell Customer Support Specialist Scott Carnegie (B) Dayana SardinaTerrazas (B) Rubyann Markworth (B) Child Support Legal Specialist Kylee Macheledt Melissa Marquardt Child Support Program Resource Specialist Kyle Ewertz Legal Technician Enforcement Susan Lira Updated December 1, 2019 Key: B - Bilingual Department of Human Services Director: Judy A. Griego Child Support Deputy Director: Jamie Ulrich Child Support Division Head Nancy Lawson Legal Technician Manager Establishment II Nance Kelly Legal Technician; 1 Establishment Annettte Garcia Monica Gathercole Elizabeth Nash Beverly Tait Audrey Trevino Legal Technician Intergovernmental Jessica Kupferer Christian Leos (B) Concepcion Rodriguez Legal Technician Manager Enforcement Geoff Shirley Legal Technician Enforcement Jorge Aguiar Kalyssa Aragon Sherri Boltz Jean -Paul Demoruelle Maria Hernandez (B) Jeanette Herrera (B) Ashley Jojola Jessica Moore Kristi Patterson Core Support Manager Ashley Luttrell Customer Support Specialist Scott Carnegie (B) Dayana SardinaTerrazas (B) Rubyann Markworth (B), Child Support Legal Specialist Kylee Macheledt Melissa Marquardt Child Support I Accounting Clerk Jennifer Witherspoon DeAndrea Zapata Child Support Program Resource Specialist Kyle Ewertz L Legal Technician Enforcement Susan Lira Updated December 1, 2019 Key: B - Bilingual Section V Personnel New Contract Last Name/First Title Employee (C) or Total % IV -D (Y)es or county FTE FTE (N)o (F) Aguiar/Jorge Legal Tech Enforcement N F 1 100 Aragon/Kalyssa Legal Tech Enforcement N F 1 100 Boltz/Sherri Legal Tech Enforcement N F 1 100 Carnegie/Scott Customer Support Specialist N F 1 100 Demoruelle/Jean-Paul Legal Tech Enforcement N F 1 100 Ewertz/Kyle Program Resource Specialist N F 1 100 Garcia/Annette Legal Tech Establishment N F 1 100 Gathercole/Monica Legal Tech Establishment N F 1 100 Hernandez/Maria Legal Tech Enforcement N F 1 100 Herrera/Janet Legal Tech Enforcement N F 1 100 Jojola/Ashley Legal Tech Enforcement N F 1 100 Kelly/Nance LT Manager Establishment N F 1 100 Kupferer/Jessica Legal Tech Intergovernmental N F 1 100 Lawson/Nancy Child Support Division Head N F 1 100 Leos/Christian Legal Tech Intergovernmental N F 1 100 Lira/Susan Legal Tech Enforcement N F 1 100 Luttrell/Ashley CS Core Support Manager N F 1 100 Macheledt/Kylee CS Legal Specialist N F 1 100 Markworth/RubyAnn Customer Support Specialist N F 1 100 Marquardt/Melissa CS Legal Specialist N F 1 100 Moore/Jessica Legal Tech Enforcement N F 1 100 Nash/Elizabeth Legal Tech Establishment N F 1 100 Patterson/Kristi Legal Tech Enforcement N F 1 100 Peek/Amanda Attorney N C 1 100 Source Last APA Re- IRS Certification Other Other Certification Date completion date 10/3/2019 10/7/2019 10/31/2019 10/8/2019 8/23/2019 8/19/2018 10/1/2019 4/21/2017 10/1/2019 1/12/2018 10/17/2019 10/1/2019 10/1/2019 10/24/2019 3/27/2019 10/1/2019 10/1/2019 10/2/2019 10/1/2019 10/29/2019 8/20/2019 10/1/2019 10/2/2019 7/17/2019 10/14/2019 10/1/2019 10/18/2017 10/2/2019 10/22/2019 11/5/2019 Rodriguez/Concha SardinaTerrazas/Dayana Shirley/Geoffrey Tait/Beverly Trevino/Audrey Witherspoon/Jennifer Zapata/DeAndrea Legal Tech Intergovernmental Customer Support Specialist LT Manager Enforcement Legal Tech Establishment Legal Tech Establishment Accounting Clerk CS Accounting Clerk CS N N N N N N N F F F F F F F 1 100 1 100 1 100 1 100 1 100 1 100 1 100 10/23/2018 10/7/2019 10/1/2019 10/28/2019 10/10/2019 10/29/2019 7/23/2019 10/9/2019 10/22/2019 Fingerprint Background Check Completion Date 9/24/2018 9/24/2018 9/24/2018 9/24/2018 8/21/2019 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 9/24/2018 7/8/2019 9/24/2018 9/30/2019 9/24/2018 9/24/2018 9/24/2019 Contract Form New Contract Request Entity Name COLORADO DEPARTMENT OF HUM SERVICES Entity ID* 10003650 Contract Name* CHILD SUPPORT SERVICES (CSS) 2020 ANNUAL PROGRAM PLAN Contract Status CTB REVIEW Contract ID 3300 Contract Lead* CULLINTA New Entity? Parent Contract ID Requires Board Approval YES Contract Lead Email Department Project # cullinta@co_weld.co.us Contract Description* 2020 ANNUAL PROGRAM PLAN FOR CHILD SUPPORT SERVICES (CSS) Contract Description 2 Contract Type AGREEMENT Amount* $3,716,500.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov.com Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV. COM Requested BOCC Agenda Date* 12/11/2019 Due Date 12/07/2019 Mill a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a NSA enter NSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Base Effective Date Termination Notice Period Review Date* 11/15/2019 Renewal Date Committed Delivery Date Expiration Date* 01/16/2020 Finance Approver BARB CONNOLLY Legal Counsel KARIN MCDOUGAL JAMIE ULRICH DH Approved Date 01/22/2020 BOCC Approved B©CC Signed Date I OCC Agenda Date 01/2912020 Originator CULIJNTA Finance Approved 01/2312020 Purchasing Approved Date Tyler Ref # AG 012920 Legal Counsel Approved 01/23/2020 Hello