HomeMy WebLinkAbout20153986.tiff RESOLUTION
RE: APPROVE 2016 ANNUAL PROGRAM PLAN FOR CHILD SUPPORT SERVICES(CSS)
AND AUTHORIZE DIRECTOR OF THE DEPARTMENT 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 2016 Annual Program Plan for Child
Support Services (CSS) 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, the
Colorado Office of Economic Security, and the Division of Child Support Services, commencing
January 1, 2016, and ending December 31, 2016, 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 2016 Annual Program Plan for Child Support Services (CSS)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, and the Division of Child Support Services, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Director of the Department of Human
Services be, and hereby is, authorized to sign said plan.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 21st day of December, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
�� � ' j��,, WELD COUNTY, CO RADO
ATTEST: �d2 ��/t/ d41;1
rbara Kirkmeyer Chair
Weld County ler to the Board ��...� •'
EL
reeman, Pro-Tem
D puty Clerk to the Board
' ^. Conway
APP AST
ie A. Co ad
ounty Attorney
Steve Moreno
Date of signature: 4/4/16,
e,ev: 4s-D(cpt) 2015-3986
���. /(o HR0086
C°L"K"°° 2016 ANNUAL PROGRAM PLAN
SUPPORT OLIR FUTURE
Co w n Surrtwl Smvx ss
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 those expenditures for performing IV-D activities;
• Staff listed in Section V are actually performing IV-D functions pursuant to the percentage of time shown and
are being billed to the IV-D program in proportion to the time shown;and
• No staff performing IV-D functions, including CSS contractors and contract IV-D attorneys, are omitted from
Section V.
4' tiCtii}0 ut � atY/o2OIcCountectorrignatur Date
J
gin 144o/s'
IV-D Administr or Signature Date
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.
CSS-14(Rev 10/28/15) Page 1 of 8
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COLORADO 2016 ANNUAL PROGRAM PLAN
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Section II—County CSS Program Information
1. Genetic Testing
Pursuant to Volume 6, 6.605(c), counties are required to competitively procure, according to county procedures,
services from accredited genetic testing laboratories. Did your county change your accredited genetic testing
laboratory in 2015? Have there been any changes to the dollar amount per genetic test in 2015?
No. No, charges will remain at $38.00 per person. We will continue to work with LabCorp.
2. 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 or circle the option that your county is currently using. The options are:
1. 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.
r2. The Foster Care Assessor within Child Welfare establishes the foster care fee. The case is referred to the CSS
unit for monitoring and enforcement.
` 3. The CSS unit's Foster Care Fee Assessor establishes and enforces the fee.
3. Child Care Assistance Referrals
Will your county have mandated cooperation of child care recipients with the county CSS unit by January 1,
2016?
® Yes ❑No
If no, does your county anticipate making this mandate effective sometime during the Plan year(2016)?
❑ Yes ❑No
4. Changes to Child Support Debt and Retroactive Support Policies
Did your county change its policies on the establishment of child support debt or retroactive support in 2015?
❑ Yes No
If yes, describe the changes.
CSS-14(Rev 10/28/15) Page 2 of 8
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COLORADO 2016 ANNUAL PROGRAM PLAN
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Section III-IRS Safeguard Awareness
Colorado CSS relies on federal tax information (FTI) for the establishment and enforcement of child support
orders. In response to the findings of the IRS information safeguard review conducted in 2012, Procedure 1.5,
I.R.S. Safeguarding, along with Procedures IRS 1 -IRS 4, became effective November 1, 2012, and are detailed
in the CSS Policy& Procedure Manual.
IRS Safeguard Awareness Training Program
Further, pursuant to Section 6.2 of Publication 1075, all county employees and contractors that access FTI must
go through initial and annual training regarding IRS Safeguard Awareness.
Please describe your county's training program.
All new employees are provided personal training as part of their initial training prior to accessing the ACSES
system. They receive this training within the first week of employment from either the Resource Specialist or a
Manager. Veteran staff train utilizing the on-line training provided by the State and view the IRS video on
Safeguarding Federal Taxpayer Information. Managers are available to respond to any staff inquiries on the
materials.
As the IV-D Administrator, I certify that the following policies from Procedure 1.5 have been implemented in
this county: (Initial next to each policy.)
Accessing ACSES from personally owned computers or other devices is forbidden.
All unauthorized inspection or disclosure events must be immediately reported to the State Division
CSS point of contact(POC).
Faxing or emailing IRS or Social Security Administration's (SSA) locate and federal tax refund
offset response information is prohibited.
Payment records shared with third parties (courts, housing agencies, TANF) cannot display the
source code of the payments.
As the IV-D Administrator, I further certify that: (Initial next to each statement.)
All CSS staff, including CSS contractors and contract IV-D attorneys, received FTI safeguard
awareness training and completed Certifications of Understanding during calendar year 2014.
All CSS staff, including CSS contractors and contract IV-D attorneys, hired during calendar year
2014 received IRS FTI safeguard awareness training prior to being granted access to ACSES and
FTI.
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.
CSS-14(Rev 10/28/15) Page 3 of 8
COLORADO 2016 ANNUAL PROGRAM PLAN
.ti.
SUPPORT OUR FUTURE
Documentation (certification) is on file attesting to the initial/annual IRS FTI safeguard awareness
training completed by each individual CSS staff members, including CSS contractors and contract
IV-D attorneys.
If the administrator is unable to certify any statement in Section III, please explain below:
Section IV - Compliance& Performance Improvement Plan (CPIP)
All counties are required to submit a Compliance & Performance Improvement Plan (CPIP) with their Annual
Program Plan. The CPIP is not intended to replace established protocols for requesting state assistance. The
questions below must be completed for each of the following IV-D Task Force Performance Indicators as of
September 30, 2015
• Paternity Establishment Percentage • Percent of Cases with Orders
• Percent of Current Support Paid • Percent of Arrears Cases with a Payment (Federal
measurement)
• Percent of Arrears Cases with a Monthly Arrears
Payment(C-Stat measurement)
Please identify the efforts your county will make in 2016 to meet or exceed the performance goals. Your plan
should take a S.M.A.R.T goal approach including, specific actions items, completion dates and anticipated
performance growth in the following categories as well as any additional strategies you identify.
If the space provided for answers is insufficient, please feel free to add additional sheets with the question
numbers clearly indicated.
1. Did your county meet or exceed the 2015 state performance goal that 90% of all cases have paternity
established?
® Yes No
If yes,proceed to question#2.
If no, detail the measures that your county will take to ensure that 90% of all cases have paternity
established in 2016.
CSS-14(Rev 10/28/15) Page 4 of 8
COLORADO 2016 ANNUAL PROGRAM PLAN
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2. Did your county meet or exceed the 2015 state performance goal that 80% of all open cases have an
order?
® Yes ['No
If yes,proceed to question#4.
If no, detail the steps that your county will take to ensure that 80% of all open cases will have an order
in 2016.
3. Did your county meet or exceed the 2015 state performance goal that 66% of current support due was
paid?
❑ Yes No
If yes, proceed to question#5.
4. If no, detail the steps that your county will take to improve your overall percent of current support paid
in 2016, including your anticipated results.
Our goal is to meet or exceed the state projected rate on a monthly basis. In order to accomplish this, we
will:
a) Set individual monthly performance goals which are reflective of both the county and the state goal.
b) Conduct monthly reviews with staff manning enforcement caseloads on progress towards meeting goals
and provide coaching opportunities where improvement is needed.
c) Effective January 2016, ensure early intervention attempts, including securing MAD agreements on
cases owing arrears, on all new enforcement cases entering caseload.
d) Effective January 2016, on initiating intergovernmental caseload, review at least 10 cases per month and
work with responding jurisdictions in an effort to secure both current payments as well as regular MAD
payments.
e) Effective January 2016, review at least 5 cases per month, focusing on partial paying cases, for
consideration of a contempt action.
f) Develop, implement, and complete a case closure review process on all non-paying enforcement cases to
be completed by September 1, 2016.
g) By June 1, 2016, review and update local review and adjustment procedures to ensure orders accurately
reflect parties' financial situation.
5. Did your county meet or exceed the 2015 state performance goal that 71.4% of cases with arrears due
had at least one arrears payment(Federal Measurement)?
El Yes No
CSS-14(Rev 10/28/15) Page 5 of 8
COLORADO 2016 ANNUAL PROGRAM PLAN
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If yes, proceed to question#7.
6. If no, detail the steps that your county will take to improve your performance on the federal arrears
measurement, including your anticipated results.
Our goal is to meet or exceed the state projected rate on a monthly basis. In order to accomplish this, we
will:
a) Set individual monthly performance goals which are reflective of both the county and the state goal.
b) Conduct monthly reviews with staff manning enforcement caseloads on progress towards meeting goals
and provide coaching opportunities where improvement is needed.
c) Effective January 2016, ensure early intervention attempts, including securing MAD agreements on
cases owing arrears, on all new enforcement cases entering caseload.
d) Effective January 2016, on initiating intergovernmental caseload, review at least 10 cases per month and
work with responding jurisdictions in an effort to secure both current payments as well as regular MAD
payments.
e) Effective January 2016, review at least 5 cases per month, focusing on partial paying cases, for
consideration of a contempt action.
f) Develop, implement, and complete a case closure review process on all non-paying enforcement cases to
be completed by September 1, 2016.
g) By June 1, 2016,review and update local review and adjustment procedures to ensure orders accurately
reflect parties' financial situation.
7. Did your county meet or exceed the C-Stat 2015 goal that 44.8%of cases with arrears have a monthly
payment toward arrears?
❑ Yes No
If yes, proceed to question#9.
8. If no, detail the steps that your county will take to improve performance on the C-Stat Arrears Measure
in 2016, including your anticipated results.
Our goal is to meet or exceed the state projected rate on a monthly basis. In order to accomplish this, we
will:
a) Set individual monthly performance goals which are reflective of both the county and the state goal.
b) Conduct monthly reviews with staff manning enforcement caseloads on progress towards meeting goals
and provide coaching opportunities where improvement is needed.
c) Effective January 2016, ensure early intervention attempts, including securing MAD agreements on
cases owing arrears, on all new enforcement cases entering caseload.
CSS-14(Rev 10/28/15) Page 6 of 8
COLORADO 2016 ANNUAL PROGRAM PLAN
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d) Effective January 2016, on initiating intergovernmental caseload, review at least 10 cases per month and
work with responding jurisdictions in an effort to secure both current payments as well as regular MAD
payments.
e) Effective January 2016, review at least 5 cases per month, focusing on partial paying cases, for
consideration of a contempt action.
f) Develop, implement, and complete a case closure review process on all non-paying enforcement cases to
be completed by September 1, 2016.
g) By June 1, 2016, review and update local review and adjustment procedures to ensure orders accurately
reflect parties' financial situation.
9. What additional collaborations with outside agencies will you build to assist your customers in 2016?
We will meet quarterly with our Magistrate and court staff to assist in expediting workflow, discuss
efficiencies, and develop new practices which benefit our customers. We will focus on productive
outcomes on contempt actions and take steps toward a more problem-solving model. We will again
participate in the Community Project Connect to be held in October, 2016 where multiple community
agencies join in providing services to the needy. We will collaborate with the Workforce Center on
referrals and share job opening and hiring events with our customers. We will continue to collaborate
with Grandparents Raising Grandchildren as well as our partners in probation and parole. We plan on
participating in the annual Weld County Legal Fair.
10. What referral resources will be utilized for obligors that face employment barriers to paying their child
support?
We will promote hiring event activities and job openings on data shared from our local Employment
Services. We will routinely refer obligors with other barriers to local community resources and to the
Department Outreach staff as identified by their needs.
11. If your county has less than three 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? If so, provide the coverage county and plan. If not,please
explore your options and provide a county coverage plan.
Weld County has more than three child support employees.
12. What specific assistance can the state provide to assist your county in attaining the 2016 goals?
Weld County is again requesting classroom training at the county or regional level in the following
areas:
a) Bookkeeper Financial Training.
CSS-14(Rev 10/28/15) Page 7 of 8
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COLORADO 2016 ANNUAL PROGRAM PLAN
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b) Technician Financial Training.
c) Supervisor/Manager Training on how to achieve Program Performance Goals and utilize reports,
CSe-tools, and other aids.
Section V—Personnel—Please see attachment
CSS-14(Rev 10/28/15) Page 8 of 8
Section V _ Personnel
New Contract
Employee (C) or Total
Last Name/First Title o% IV-D
(Y)es or county FTE
(N)o FTE (F)
1 Carnegie/Scott Customer Support N F 1.00 100
2 Day/Lorri Legal Technician N F 1.00 100
3 Donkle/Rachelle (Shelly) Legal Support N F 1.00 100
4 Ewertz/Kyle Legal Technician N F 1.00 100
5 Foote/Annette (Nettie) Legal Technician N F 1.00 100
6 Garcia/Annette Legal Technician N F 1.00 100
7 Gonzales/Billiejo Legal Technician N F 1.00 100
8 Hernandez/Maria Legal Technician N F 1.00 100
9 Kelly/Nance Manager N F 1.00 100
10 Larson/Amanda Assistant County Atty N C 1.00 100
11 Lawson/Nancy Division Head N F 1.00 100
12 Leos/Christian Legal Technician N F 1.00 100
13 Lira/Susan Legal Technician N F 1.00 100
14 McWhorter/Heather Legal Technician N F 1.00 100
15 Nash/Elizabeth Legal Technician N F 1.00 100
16 Ocampo/Arilene Accounting Clerk N F 1.00 100
17 Ochoa/Gerardo (Jerry) Customer Support N F 1.00 100
18 Olmeda/Lydia Legal Technician N F 1.00 100
19 Reveron/Erik Legal Technician N F 1.00 100
20 Rodriguez/Concepcion (Concha) Legal Technician N F 1.00 100
21 SanchezGomez/Christopher Legal Technician N F 1.00 100
22 Tait/Beverly Legal Technician N F 1.00 100
23 Taylor/Nicole (Niki) Legal Technician N F 1.00 100
24 Torres/Salena Manager N F 1.00 100
25 Vacant Core Support Manager Y F 1.00 100
26 Vacant Legal Technician N F 1.00 100
27 Vacant Customer Support N F 1.00 100
28 Waterman/Cheri Legal Technician N F 1.00 100
29 Weber/Jo Ann Resource Specialist N F 1.00 100
30 Witherspoon/Jennifer Accounting Clerk N F 1.00 100
31 Wright/Jennifer Legal Support N F 1.00 100
Last APA Re-
Source IRS Certification
Other Other Certification completion date
Date
10/26/15
11/30/15
06/22/15
09/29/15
11/25/15
04/23/14 11/16/15
11/24/15
11/24/15
03/04/13 11/02/15
11/30/15
11/13/15
11/10/15
11/30/15
10/26/15
10/10/14 10/27/15
02/19/15
11/12/15
11/30/15
08/20/15 12/01/15
04/03/15 11/20/15
11/12/15
10/27/15 11/13/15
11/16/15
05/04/15
10/27/15 11/13/15
03/12/14 11/17/15
11/13/15
06/09/15
A CDHS COLORADO
co Office of Economic Security
;;v.x:on of C u{d S:.i;;oof:ti,-vice,
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
SC I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
SC I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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 ✓❑ Annual Cert
Date 10/26/15 County Weld
Name (print) Scott Carnegie
Digitally signed by Scott Carnegie
Scott Carnegie Date: 2015.10.26 16:35:13-06'00'
Signature
Digitally signed by Nancy Lawson'
IV-D Administrator Signature Nancy Lawson Date:2015.10.2712:40:28-0600
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1575 Sherman Street,Denver,C080203 P 303.866.4390 http://childsupport.state.co.us I ^e ; of
John W. Hickenlooper.Governor I Reggie Bicha,Executive Director
it
A CD"S COLORADO
CO If ! Office of Economic Security
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Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
LD I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
LD I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
LD 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.
LD 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.
LD 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 a Annual Cert
Date 11/30/2015 County Weld
Name (print) Lorri K. Day
Dgitaty signed by Lorri K.Day
Lorri• K. Day DM:dcaUS,dcaCO,dc'WELD,dc=CO,ousNkM County,
ou=Social Services,ou-Users,cn=Lorrl K.Day
Signature Date:2015.11.30 16:57:15.0700
IV-D Administrator Signature
Nancy Lawson Dee 015;010 839:11-0700' oT cr�r ,
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us I c Go
John W. Hickentooper,Governor I Reggie Bicha,Executive Director ••: • ai
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CO Office of Economic Security
Division of Child Support Services
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
ryr I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
ryr I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included therein including how to report data breach incidents.
ryr 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.
ryr 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.
ryr 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 ❑ Annual Cert
Date 06/22/2015 County Weld
Name(print) Rachelle Yvette Donkle
Rochelle Donkle Dipttelly c-US,ac by eRec Vg LO,dc
Dig oc=us,do=co,ac vtet o,ac=co,ou=w.a carry,
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Signature Date.2015.06.2213:21:30-06'00'
Dewy Nancy Lawson --"°�" d'`
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IV-D Administrator Signature .v's.�a.no5,04owl.e..m. rI...,�
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1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us yi I 1,
John W.Hicltenlooper,Governor I Reggie 8icha,Executive Director ► I*'
CDHS COLORADO
CO ' Office of Economic Security
po:r;:on of chikt SupUcx S,.vu:<„
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
KE I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
KE I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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.
0 New User El Annual Cert
Date 09/29/2015 County Weld
Name (print) Kyle Ewertz
Kt le e E we rtz Digitally signed by Kyle Ewertz
DN dc=US,dc=CO,tl�VYELD,OC=CO3 Ou=Weltl County,
ou=Human Services,ou=Users,cn=Kyle Ewertz
Signature Date:2015.09.2913:2043-06'00'
IV-D Administrator Signature
Nancy Lawson Digitally 2015.0 8132 23-0600'
.,off:c ,
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://chitdsupport.state_co.us I IT'
John W.Hickentooper.Governor I Reggie Bicha,Executive Director `,*•. , .i*i
:' *•:
\ /
1R7 ,•a'-.
CDHS COLORADO
CO Office of Economic Security
Dtv' on of Child Support Services
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
of I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
of I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
of 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.
of 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.
of 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 1/❑ Annual Cert
Date 11/25/2015 County Weld
Name(print) Nettie Foote
Dvgtaly signed by Nettie Foote
NettieFoote ON.dcriUS,ou oc,e Sedrviices,oi.UsersL,cr MettleCO,r id County,
Signature Date.2015.11.2513:52:08-07'00'
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Date:2015.11.2513:5402 07'00'
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1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us I c' $ti
John W. Hickenlooper,Governor I Reggie Bicha,Executive Director • +'
IIIIMINIMINIMINIk
A CDHS : COLORADO
CO i Office of Economic Security
Clvs'on of Child Si.;thy:S<•^nc,5
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
AG I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
AG I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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 El Annual Cert
Date 11/16/2015 County Weld
Name (print) Annette Garcia
Ar� }} Digitally,signed by Annette Garcia
lr�f 1 I LL Garcia Date: 2015.11.16 10:03:16-07'00'
Signature
IV-D Administrator Signature
Nancy Lawson Date:'2015 11.18 13:44 2 1-07800.
,,mow L ._ y;.
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us I �C 'l,
John W.Hickentooper,Governor I Reggie Bicha,Executive Director * *
+ =is
A � ; COLORADO
CO Office of Economic Security
i Division of Child Support Services
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
BG I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
BG I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
BG 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.
BG 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.
BG 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 ❑ Annual Cert
Date 11/24/15 County Weld
Name(print) Billiejo Gonzales
Digitally signed by ailliejo Gonzales
Billiejo Gonzales .i ; Nb g,. ,e-us
Signature Date:2015.11.24 14144:11-OTOO'
N Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Date:2015.11.24 14:51:26-07'00'
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1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://chitdsupport.state.co.us I fc ' .�
John W.Hickenlooper.Governor I Reggie Bicha,Executive Director a`‘:
1
A CDHs ICOLORADO
CO Office of Economic Security
tvslor:of Child Support Se-Aces
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
M H I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
M H I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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.
M 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.
M 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.
ONew User a Annual Cert
Date 11/24/15 County Weld
Name (print) Maria D. Hernandez
Maria Hernandez Digitally signed by Maria Hernandez
Date: 2015.11.24 06:27:17-07'00'
Signature
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Date:zD,s.,,.zaos:42:as 0700
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://chitdsupport.state.co.us t7. 2)i
John W.Hickenlooper.Governor I Reggie Bicha,Executive Director +
M i%
i
COLORADO
CO •
.
OOffice of Economic Security
s,vr::on of Child SA:MY:Services
Larry Desbien, Director
I
2O15
Safeguarding Child Support Information
TRAINING CERTIFICATION
nok I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
nok I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
nok 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.
nOk 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.
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 ❑ Annual Cert
Date 11/2/15 County Weld
Name (print) Nance Kelly
Nance Kelly Digitally signed by Nance Kelly
Signature Date:2015.11.02 13:38:17-07'00'
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Dale:20,5.,,.04,2:343,_07'00'
o'..c°[6,
'A."';'" A.`,,t.7.,
1575 Sherman Street,Denver,C080203 P 303.866.4300 http://childsupport.state.co.us t,7.— , :r �'.
John W. Hickenlooper, Governor I Reggie Bicha,Executive Director -. +
A CDHS COLORADO
CO Office of Economic Security
^..:v!S:on of(Mad Support Services
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
aml I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
aml I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included therein including how to report data breach incidents.
aml 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.
aml 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.
aml 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.
ElNew User a Annual Cert
Date 11/30/2015 County Weld
Name(print) Amanda Marie Larson
DigitAmanda Larson Date:l a 2015.12.01 10:52:45 07'00'
ly signed by Amanda Larson
Signature
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Date:2015.12.01 10:57:59-07'00'
o.ii_:4.%..
: '/ A .,..t.,_\„
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us al ,
John W. Hickenlooper,Governor I Reggie Bicha,Executive Director ,*\,,-. . 7*,;
\`}Jff'a"
A CDHS COLORADO
CO Office of Economic Security
J;vtston of Critic;S;;',t o' Serv;cs:,
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
nal I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
nal I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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 ❑ Annual Cert
Date 11/13/2015 County Weld
Name(print) Nancy Lawson
Nancy Lawson D9e: 2015.11.131430:47 0Ditally signed by Nancy 700'
Signature
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Date:2015.11.1314:31:17-07'00'
-,/..`,/,-Uhl,Oi6,,.
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us .nc :-P..,•,
i
John W.Hickenlooper,Governor 1 Reggie Bicha, Executive Director
/
,� CDHS COLORADO
CO If Office of Economic Security
D vson of Crnld Sur:4ort Se•vic!ti
Larry Desbien,Director
2015 ,
Safeguarding Child Support Information
TRAINING CERTIFICATION
CL I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
CL I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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 law, 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
taws, rules and regulation with respect to child support information. .
❑ New User ❑✓ Annual Cert
Date 11-10-2015 County WELD
Name (print) CHRISTIAN LEOS
Digitally signed by Christian Leos
Christian Leos DN do=US,do CO,do=WELD,dc= O,ou�weld County,
ouHuman Services,ou=Users,cn=Christian Leos
Signature Date:2015.11.1013:0429-07'Oa
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy LaWSOCI Date:2015.11.1312:57:34 DToo'
.,.6v cOO0.
1575 Sherman Street, Denver,CO 60203 P 303.866.4300 http://chitdsupport.state.co.us •^c 'Si.
John W. Hickentooper,Governor I Reggie 9icha,Executive Director * ai
\ '!..iR7G,.:,/
i
CDHS ; COLORADO
'9N W
CO Office of Economic Security
.D;vsu,n of Chart Su(;nG':SBrV,cE:S
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
SL I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
SL I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included 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 Ei Annual Cert
Date 11/30/2015 County Weld
Name(print) Susan M Lira
Digitally signed by Swan M Lira
Susan M Lira DN.cn-Swan M Lira.o=weld County Human Services.
ou=Child Support,email=Iira;asmaweldgov.corn,c=US
Signature Date:2015.11.30 08:39:31-07'00'
Nancy Lawson D
IV-D Administrator Signature
ae 0;s.2010:348-0
VF_c ck,,
1575 Sherman Street,Denver,C080203 P 303.866.4300 http://childsupport.state.co.us I t-�
1 � cj
John W. Hickenlooper,Governor I Reggie Bicha,Executive Director * .
.;
. �R7C ",
CDHS COLORADO
CO Office of Economic Security
:::;,1s,or:of Chad Sonror Beau::.';
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
HM I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
HM I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included therein including how to report data breach incidents.
HM 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.
HM 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.
HM 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.
CINew User D Annual Cert
Date 10/26/15 County Weld
Name (print) Heather McWhorter
Heather McWhorter Digitally signed by Heather McWhorter
Date:2015.10.26 15:46:41 -06'00'
Signature DiIV-D Administrator Signature
Nancy Lawson Date:4015.10.271r1 1 5a`ssoo'
.•Q' cc�r°?,.
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us tc
John W. Hickenlooper. Governor I Reggie Bicha, Executive Director . r;
r r
I Ra0/
IMMINIM 1
CDHs iCOLORADO
CO Office of Economic Security
rs:o:nt of Chip:st..imo, S,xvec;.s
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
EKN I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
EKN I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
EKN 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.
EKN 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.
EKN 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.
U New User 0 Annual Cert
Date 10/27/2015 County WELD
Name (print) ELIZABETH NASH
Digitally signed by Elizabeth K.Nash
Elizabeth K. Nash Supy,Sv ^emaa nash,ldl ,govcomhfc us
Signature Dale 2015.10.27 15A7.43-06'00'
IV-D Administrator Signature
Nancytawson pge:2015.1120092 32-07'00'
9 c CO.
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us '�I'
John W. Hickenlooper. Governor I Reggie Bicha,Executive Director I •'. 1*'
\`�`1876.�'/
A CDHS COLORADO
CO ' Office of Economic Security
r;tos:or.of Child Support se-,-ice,
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
AO I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
AO I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included therein including how to report data breach incidents.
AO 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.
AO 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.
AO 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.
ElNew User D Annual Cert
Date 02/19/2015 County Weld
Name (print) Arilene Ocampo
Digitally signed by Milano Ocampo
Arilene Ocampo ON dc-US.do 0O.do .€LD,do=Ct7,ou=weld County,
ou.Socuat Services.ou=Users,cn=Mibne Ocampo
Signature Oates 2015.02.19 09:51:25-0T0a
Nancy Lawson °'"""°"°" d WN.,/ .
oN s.us.dwco,a.vraLo.dc.CO.ouw.w Canty.
au+8omg Swim*.aPINM.wNa¢y Lawson
IV-D Administrator Signature wr 20%02190e:55nL7'0
pi,: ;0I.q
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://chitdsupport.state.co.us I 5` ,$,
John W. Hickentooper, Governor I Reggie Bicha,Executive Director • 1*
`--s.l ill;i/
CDHS ! COLORADO
CO Office of Economic Security
Divr;:or o1 Chou:Stn::ort Ser,viers
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
JO I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
JO I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
JO 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.
JO
I amaware federaltax and child support information n i n that edera is confidential dential in nature and can only be
used for authorized purposes as permitted by law, rule, or regulation.
JO 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
taws, rules and regulation with respect to child support information.
❑ New User Annual Cert
Date 11-12-15 County Weld
Name (print) Jerry Ochoa
Jerr Oh SuYriy apnadoy,Nrry Otrw�
ycoa DN eeeJany Oceo.o•DapenmaM of Hume,Seneca,owCnild
Support Sarvlus,»maFyoU,o*�wMdpov.cam,t+U5
Signature DON'2016,11.1210:14:De•OT00'Ditas n La igIV-D Administrator Signature
Nancy Lawson Date:015.111.13y12 55 35 07'00'
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us tc �`
C
John W. Hickentooper,Governor i Reggie Bicha,Executive Director * •'
*it ie'/
A CONS ; COLORADO
CO ' i Office of Economic Security
D vtsron of Child Support Services
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
LO I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
LO I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
LO 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.
LO 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.
LO 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 ❑ Annual Cert
Date 11/30/15 County Weld
Name (print) Lydia Olmeda
Digitally signed by Lydia Olmeda
Lydia Olmeda Date: 2015.11.30 08:38:17-07'00'
Signature
Digitally signed by Nancy Lawson'00
IV-D Administrator Signature Nancy Lawson Date:2015.11.301234:34 07 '
o CQ
!cwr <a4 -
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us I •N° 'S':
John W.Hickenlooper.Governor I Reggie 8icha,Executive Director * /*)
`�1s76- .a
A CDHS COLORADO
CO : Office of Economic Security
Dtvts.on of Chili Stir:no:Services
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
ER I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
ER I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
ER 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.
ER 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.
ER 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 ❑ Annual Cert
Date1
December 2015 County Weld
Name (print) Erik A Reveron
Digitally signed by Erik Revaron
Erik Reveron ON.do=US,do=CO,dc=1NELD,dc•CO,ou=weld County,
ou-Social Services.ou=Users,cn=Erik Reveron
Signature Date 2015.12.0109'45:14-07'00'
Nancy Lawson Digitally signed by Nancy Lawson
IV-D Administrator Signature Date:2015.12.01 09:5014-0700
of crt,A,•;,
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us t� ' Qj`,
John W. Hickenlooper,Governor I Reggie Bicha,Executive Director •*
�t\ -.... C,
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Milam I
CDHS -! COLORADO
CO Office of Economic Security
:;,,,,ion at Cht�d S;..pnrt S+`•vu ens
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
CR I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
CR I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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 ❑ Annual Cert
Date 11/20/15 County WELD
Name (print) Concha Rodriguez
Digitally signed by Concha Rodriguez
Concha Rodriguez oN.oats zr us
Signature
015 11.20 09 28.55-ono'
lly by on
IV-D Administrator Signature
Nancy Lawson Dee 0115.11.20 09:3 as o
cti cr.)ro
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us I tr • '
John W.Hickenlooper. Governor I Reggie Bicha, Executive Director • \ ,.."
`_•iRT"6.i•
A CDHS ; COLORADO
ir
Co Office of Economic Security
:nv:;;on of Chd;i Sur;oor:f 'v,ce!s
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
CSG I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
CSG I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
CSG 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.
CSG 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.
CSG 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
taws, rules and regulation with respect to child support information.
❑ New User ❑ Annual Cert
Date 11/12/15 County Weld
Name (print) Christopher Sanchez Gomez
Digitally signed by Christopher Sanchez-
Christopher Sanchez-Gomez Gomez
Signature Date:2015.11.12 07:56:41 -07 00'
IV-D Administrator Signature
Nancy Lawson Dae:2015„d13y12523-0 00'
o.'coj.
A,
1575 Sherman Street, Denver,CO80203 P 303.866.4300 http://childsupport.state.co.us I :,(77/ ..r Y
,6,
John W.Hickentooper, Governor I Reggie Bicha, Executive Director * a
A CDHS COLORADO
CO Office of Economic Security
D s,on o1 Child Suc:no.1 ScevIcec
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
BT I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
BT I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included 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 El Annual Cert
Date 11/13/15 County Weld
Name (print) Beverly Tait
Digitally signed by Beverly Tait
Beverly Tait Date: 2015.11.1314:39:39-07'00'
Signature
IV-D Administrator Signature
Nancy Lawson Dae:201511.13144352 0700
1575 Sherman Street,Denver,C080203 P 303.866.4300 http://childsupport.state.co.us �"
John W. Hickentooper, Governor I Reggie Bicha,Executive Director • -12
` *•
—HS COLORADO
CO ! i Office of Economic Security
Divie:or. ,'Child SW;::o,:Sr'vicdc
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
NT I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
NT I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
NT
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.
NT 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.
NT 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.
ElNew User Ei Annual Cert
Date 11/16/15 County Weld
Name (print) Nicole Taylor
Digitally signed by Nicole Taylor
Nicole Taylor Date: 2015.11.1615:42:42-07'00'
Signature
Nancy Lawson Digitally signed by Nancy Lawson
IV-D Administrator Signature Date:2015.11.18 14:25:48 07'00'
~..1•A ,.9':
1575 Sherman Street;Denver,CO80203 P 303.866.4300 http://childsupport.state.co.us t7
John W.Hickenlooper, Governor I Reggie Bicha,Executive Director . +'
CONS ' COLORADO
4‘ IV
CO i Office of Economic Security
D,vlston of Child Support Service,
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
ST I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
ST I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included therein including how to report data breach incidents.
ST 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.
ST 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.
ST 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.
ElNew User Annual Cert
Date 5/4/201* County Weld
Name(print) Salena Torres
Dg.tatly signed by Selena
Salena DN cn=Satena.D=Chile Support.ou.Enforcement.
emad=tonessegtwebgov com,c=US
Signature Date 201505.041548:5806'00'
Dion AIWA M.ncy L...."
Nancy Lawson DN ee•US Urns0 awNEl.cm... Lawson
waw w ry
ou•Soco.Urns,. a .
IV-D Administrator Signature Dote MI5 0Sas06.w:"'°°°'
)t C2/G�,,
1575 Sherman Street.. Denver, 1.O'30203 D 303 866.4300 blip://childsupport.stat?.co.us I ?John W.Hickenlooper,Governor I Reggie Bicha,Executive Director • +'
'`. 87 `,16„
IMIIIIIIMIONW
* COHS : COLORADO
CO If Office of Economic Security
.ivi;on of Crud S11T;7.,i:Sc•vu:es
Larry Desbien, Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
CLW I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
CLW I have viewed the presentation entitled Safeguarding Child Support Information, and the
reference materials included therein including how to report data breach incidents.
CLW 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.
CLW 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.
CLW 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 ❑ Annual Cert
Date 11-13-2015 County WELD
Name (print) CHERI WATERMAN
Digitally signed by Cheri Waterman
Cheri Waterman Date: 2015.11.13 15:04:59-07'00'
Signature
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Date:2015.11.1315:10:04 07 DO'
of cci04:.,\.
•tip /. .. .
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us I ,e •`�j`
John W.Hickenlooper. Governor I Reggie Bicha,Executive Director .*`.�''•41.`.•!•''•:
'
A CDHS ; COLORADO
CO Office of Economic Security
: n•r<,or:of C.rd S;Ooo"Son,(7(s.
Larry Desbien, Director
2015 •
Safeguarding Child Support Information
TRAINING CERTIFICATION
jdw I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
jdw I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included therein including how to report data breach incidents.
jdw 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.
OW 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.
jdw 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.
ElNew User El Annual Cert
Date 11/17/15 County Weld
i
Name(print) Jo Ann D. Weber
Digitally signed by Jo Ann Weber
Jo Ann Weber ou=H an Services,ou-W County,
Ussers,cn•Jo Ann Weber
Signature Date:2015.11.1715:06:36-0700'
Nancy Lawson
IV-0 Administrator Signature
peed'�;5;;;814:0928 00
1
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://childsupport.state.Co.us t ,,',:
John W. Hickenlooper, Governor I Reggie Bicha,Executive Director • *3
..
'- 1875,!/
A CONS COLORADO
,
CO Office of Economic Security
Division of Child Support Ser,icas
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
JW I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
JW I have viewed the presentation entitled Safeguarding Child Support information, and the
reference materials included 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 ❑ Annual Cert
Date 11/13/15 County Weld
Name(print) Jennifer Witherspoon
Digitally signed by Jennifer Witherspoon
dc=US,do=CO,dc=WELD,dc=C ou=Weld County.
Jennifer Witherspoon DN-Social Services,ou=Users,cn"JemQ ifer W,thxspoon
Signature Date 2015.11.13 16'13:10-Oros
Digitally signed by Nancy Lawson
IV-D Administrator Signature Nancy Lawson Date:2015.11.18 13:41:22-0T00'
01cg4,
1575 Sherman Street, Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us ` �c ` IS'`'
John W. Hickenlooper,Governor I Reggie Bicha,Executive Director I •*, . r L; •/*;
,A CONS
; COLORADO
Office of Economic Securi
CO I= tY
Division of Child Supoor:Servic(s
Larry Desbien,Director
2015
Safeguarding Child Support Information
TRAINING CERTIFICATION
JCW I have viewed the IRS video, Disclosure Awareness Training for Child Support Agencies.
JCW_ I have viewed the presentation entitled Safeguarding Child Support Information, and the •
reference materials included therein including how to report data breach incidents.
JCW 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.
JCW 1 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.
jCW 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.
ElNew User ❑ Annual Cert
Date
06/09/2015 County Weld
Name (print) Jennifer C. Wright
Digitaly signed by Jennifer Wright
Jennifer Wright ON'do=US.dt:=C0.do=WELD,do*CO3 du=Weld County.
w:Soewl Services,ou=Users,en=Jennifer Wnght
Signature Date:2015.06 0914:15.39-050
Nancy Lawson O S,04.04 ''I'M `
ON.Q.YB.Aa.eo.ec•YVEIO.GPOO,aW VV�k CoYiY,.
0.80.04 S.n a..,ouWsrn,cn.W rosy Uwe,
IV-D Administrator Signature OW IlN6O110914174,-0000'
.,:6;t:_4:.A.,
;
1575 Sherman Street,Denver,CO 80203 P 303.866.4300 http://childsupport.state.co.us I �77 r ,:' ,
John W.Hickenlooper.Governor I Reggie Bicha,Executive Director ';* ; �,, i
'`l i i
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 BUDGETED REQUESTED RECOMMEND
LAST FY CURRENT FY NEXT FY NEXT FY
Personnel Services $ 2,469,229 $ 2,545,000 $ 2,600,000 $ 0
Supplies 106,385 120,600 47,000 0
Purchased Services 454,703 400,200 330,000 0
Fixed Charges 67,067 46,100 75,700 0
Contra Expense 0 0 0 0
Capital 0 0 0 0
Gross County Cost $ 3,097,384 $ 3,111,900 $ 3,052,700 $ 0
Revenue 2,351,175 2,300,000 2,306,000 0
Net County Cost $ 746,209 $ 811,900 $ 746,700 $ 0
Budget Positions 30 30 31
SUMMARY OF CHANGES:The Department has requested the addition of one manager within
the Child Support Division.
FINANCE/ADMINISTRATION RECOMMENDATION:
BOARD ACTION:
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