AG 15-150 - WA State Dept. of Health Il RETURN TO: EXT:
I CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: POLICE DEPARTMENT
2. ORIGINATING STAFF PERSON: LYNETTE ALLEN EXT: 6701 3. DATE REQ.BY: APRIL 13,2015
4. TYPE OF DOCUMENT(CHECK ONE): •
❑ CONTRACTOR SELECTION DOCUMENT(E.G,RFB,RFP,RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
X PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT(E.G.BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACTAMENDMENT(AG#): ❑ INTERLOCAL
❑ OTHER v 7�\
(w►V— J
5. PROJECT NAME: MOII`SETWEEN THE WASHINGTON STATE
DEPARTMENT OF HEALTH AND THE FEDERAL WAY POLICE
DEPARTMENT(FWPD)
6. NAME OF CONTRACTOR: , it% Wit it
ADDRESS: TELEPHONE
E-MAIL: FAX:
SIGNATURE NAME: TITLE
7. EXHIBITS AND ATTACHMENTS:❑ SCOPE,WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑
ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: JANUARY 1,2015 COMPLETION DATE: ON-GOING
9. TOTAL COMPENSATION N/A (INCLUDE EXPENSES AND SALES TAX,IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE:❑YES ❑NO IF YES,MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑YES ❑NO IF YES,$ PAID BY:❑CONTRACTOR❑CITY
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED
❑ PROJECT MANAGER
At DIRECTOR 1 c/& /s
❑ RISK MANAGEMENT (IF APPLICABLE)
X LAW 3e C, 3171'1/5-
11. COUNCIL APPROVAL(IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS
INITIAL/DATE SIGNED
❑ LAW DEPARTMENT
❑ SIGNATORY(MAYOR OR DIRECTOR)
❑ CITY CLERK
ASSIGNED AG# AG#
SIGNED COPY RETURNED DATE SENT: I, 91
COMMENTS: `t
IKAULA- 4r.
MOU: WA Department of Health and Law Enforcement Agency
ar
Memorandum of Understanding I
Between the 2015
ch
Washington State Department of Health ofmuntty ai
office And c�a Health SrtemS fp"
Federal Way Police Department
This Memorandum of Understanding(henceforth referred to as an "MOU") is established between the
Washington State Department of Health (the department) and the Federal Way Police Department
to provide the department access to the agency's incident case report data on homicides,suicides,
unintentional firearm deaths, deaths of undermined intent, and legal interventions for inclusion in the
Washington Violent Death Reporting System (WA-VDRS). WA-DVRS is the state component of the
Center for Disease Control and Prevention's (CDC) National Violent Death Reporting System (NVDRS).
The purpose of WA-VDRS and NVDRS is to produce information that helps public health and law
enforcement officials understand the extent, cause and circumstances of violent deaths. This
information will be used to develop,target and evaluate violence prevention strategies. WA-VDRS
collects information on violent deaths from three primary sources: death certificates, medical
examiner/coroner(ME/C) records, and law enforcement reports.
The Washington State Legislature recognizes that violence in our society causes great concern for the
immediate health and safety of our citizens and our social institutions. They find that a public health
and public safety approach can be effective in addressing the problem of violence and authorize the
department in 43.70.545 RCW to collect and report data relating to acts of violence that result in
homicide and suicide.
This MOU can be reviewed with thirty(30) days' notice by either party to assess processes and needed
changes between the collaborating agencies. This MOU can be terminated by either party with 30 days'
notice to the other party.
A. The Federal Way Police Department agrees to:
1. Coordinate with the department to establish a process to permit access by the department
to incident reports on homicides, suicides, deaths of undetermined intent, unintentional
deaths from firearms, and legal interventions investigated by the agency beginning January
1,2015 onwards.
2. Provide incident reports or summaries in an electronic format or paper-based format
(circle one)on a quarterly (every three months) basis or before. Electronic records will be
transmitted through a secure FTP site maintained by the department. Paper-based records
will be abstracted directly by WA-VDRS abstractors or submitted by the agency through a
secure, scanned file transfer program into the department's confidential secure file folder.
B. The Washington State Department of Health agrees to:
1. Abide by all applicable state laws and regulations pertaining to protection of confidential
information. Data transmitted to the NVDRS will be stripped of identifiers prior to transfer.
MOU: WA Department of Health and Law Enforcement Agency
2. At least annually, disseminate WA-DVRS data reports,fact sheets and publications to data
suppliers,the public, and organizations working to prevent violence.
This MOU is contingent on the receipt of funding from the CDC Cooperative Agreement for the National
Violent Death Reporting System. In the event sufficient appropriations are not made to support the
WA-VDRS,the MOU shall terminate without further obligations of the parties.
7.9Tr"",7i Acicst Cris
Signature and Title Date Sl�s Contract Office Date
f lQ-p CAL 4.4_ W u /"D 41 C-E -15er , Washington State Department of Health
Agency Name Betty Brickl
333.25.- errs Ave -s Contract Specialist
Fc-ocs,2.44._ 9,5P45,2,3-
Mailing Address
253. d3s • 6 7e /
Phone
agar.A /� n /�
440d �J Ci17�Ty%6 �.`�J •�h
Email Address ✓ :✓
For additional questions or concerns please contact Taylor Schraudner, WA-VDRS Program Manager at
360.236.2875 or email tavlor.schraudner @doh.wa.gov
Please mail signed MOU to:
Department of Health
Community Health Systems
Attn: WA-Violent Death Reporting System
PO BOX 4753
Olympia, WA 98504-7853
WA-VIOLENT DEATH REPORTING SYSTEM: LAW ENFORCEMENT
FILLABLE DATA FORM
Police Agency investigating the death: County:
Email Address:
Today's Date: / / Name of Investigator:
Police Case#:
#of deaths associated in this incident:
#of nonfatal firearm victims in incident: ME/C#
VICTIM(S) INFORMATION
Last Name: Race: ❑ White ❑ Black ❑ Asian
First Name:
Middle Name: ❑ Pacific Islander❑ American Indian ❑ Other
❑ Unspecified Hispanic: 00. Not Hispanic
Date of Birth: / / 01. Hispanic 09. Unknown
Age: Indicate: ❑ min., ❑ days, o months, ❑years Residential Address:
Sex: ❑1. Male 02. Female 09. Unknown
Transgender: 00. No 01.Yes 09. Unknown City: County:
State: Zip Code:
Country:
Marital Status:
01. Married 02. Never Married 03. Widowed
04. Divorced 05. Married, but separated Alternative Sexual Orientation:
06. Single, not otherwise specified 00. Straight/Heterosexual 0 1. Gay 02. Lesbian
09. Unknown 03. Bisexual 09. Unknown
Last Name: Race: ❑ White ❑ Black El Asian
First Name:
Middle Name: ❑ Pacific Islander❑ American Indian ❑ Other
❑ Unspecified Hispanic: 00. Not Hispanic
Date of Birth:
Age: Indicate: ❑ mins. , ❑ days, o months, [1]/. Hispanic 09. Unknown
o years
Residential Address:
Sex: ❑1. Male 02. Female 09. Unknown
Transgender: 00. No 01. Yes 09. Unknown City:
Marital Status: County:
Et Married 02. Never Married 03. Widowed State: Zip Code:
04. Divorced 05. Married, but separated Country:
06. Single, not otherwise specified
09. Unknown
Alternative Sexual Orientation:
00. Straight/Heterosexual 01. Gay 02. Lesbian
03. Bisexual 09. Unknown
1 2015 WA-VDRS: Law Enforcement Fillable Data Form March 2015
Actual Date of Death: / / Geographic Description of Incident Location
Date Body Found: / / (select all that apply):
01. House, apartment 02. Street, road,sidewalk, alley
Manner of Death:
01. Natural 02.Accident 03. Suicide 03. Highway/freeway 04. Motor vehicle (excluding 15&21)
04. Homicide 05. Pending Investigation 05. Bar, nightclub 06. Service station 07. Bank, credit union,
06. Could Not be Determined ATM 08. Liquor store 09. Other commercial establishment
07. Legal Intervention 09. Record Unavailable or Blank (e.g., grocery store) 010. Industrial/Construction areas
❑ Victim was killed by another person who attempted or 011. Office building 012. Parking lot/public parking garage
committed suicide. (check if yes) 013. Abandoned house/building/warehouse 014. Sports or
athletic area 015. School bus 016. Child care center, daycare,
Place of Death: pre-school 017. Elementary or middle school (i.e., K-8)
01. Hospital inpatient 02. ED/Outpatient 03. DOA 018. High school 019. College/University, including dormitory,
04. Hospice facility 05. Nursing home/long-term care facility fraternity 020. Unspecified school 021. Public transportation
06. Decedent's home or station (e.g., bus, train) 022. Church, temple, synagogue
❑7. Other, specify:
09. Unknown/Undetermined 023. Hospital or medical facility 024. Supervised residential
facility (e.g., shelter, halfway house) 025. Farm
State of Death:
026. Jail, prison, detention center
Address of Injury: 027. Park, playground, public use area 028. Natural area (e.g.,
field, river, beaches, woods)029. Hotel/motel 030. Railroad
City of Injury: tracks 031. Bridge 099. Unknown
State of Injury: Zip Code: 066. Other
County of Injury:
Incident occurred at victim's residence: Homeless?: 00. No 01. Yes 09. Unknown
00. No 01.Yes 09. Unknown Current occupation status: 01. Employed* 02.
Injured at work: 00. No 01.Yes Unemployed
03. Homemaker 04. Retired 05. Student 06. Disabled
08. N/A(e.g., child, retiree, unemployed) 09. Unknown
08. N/A (under 14) 09. Unknown
EMS at scene: 00. No 01. Yes 09. Unknown *If employed, list occupation:
Time of Injury: : (military time)
Date of Injury: Victim in custody when injured: 00. Not in custody ❑
Survival time: 1. In jail or prison 02. Under arrest, but not in jail 03.
Indicate whether minutes, hours, days, months,years Committed to mental hospital
(e.g., 0 minutes, 2 hours, 6 months, 9 years, etc.)
04. Resident of other state institution 05. In foster care 06.
Injured prior to arrest 08. Other(includes house arrest,
State of Birth: electronic monitoring, legal home confinement) 09. Unknown
Country of Birth (if not U.S.): Recent release from institution: 00. No evidence or
recent release 01. Jail, prison or detention facility 02. Hospital
03. Psychiatric hospital 04. Other psychiatric treatment 05.
Long term residential health facility (e.g., nursing home) 06.
Supervised residential facility related to alcohol or substance
treatment 07. Supervised residential facility not related to
alcohol or substance treatment(e.g., halfway house, work release)
08. Other type 099. Unknown
2 2015 WA-VDRS: Law Enforcement Fillable Data Form March 2015
SUICIDE, HOMICIDE, UNDETERMINED, OR LEGAL UNINTENTIONAL
INTERVENTION DEATH CIRCUMSTANCES FIREARM DEATH
Check all that apply: Check all that apply: Context of Injury: What
ry�
Mental Health and Substance Abuse Arguments, Conflicts, Previous was the shooter doing at
❑ Current depressed mood Exposure to Violence the time of the injury?
❑ Mental health problem ❑ Argument (Check all that apply):
If so, check type (Choose up to 2): El Jealousy (lover's triangle)
❑1. Depression 02. Bipolar Disorder ❑ Abuse or neglect led to death ❑ Hunting
03. Schizophrenia 04.Anxiety Disorder ❑ History of abuse or neglect as a ❑ Target shooting
05.Post-traumatic stress disorder 06.ADD or child ❑ Self-defensive
hyperactivity disorder 07. Eating disorder ❑ Previous perpetrator of violence (in shooting
08. Obsessive-compulsive disorder past month) ❑ Celebratory firing
088. Not applicable 099. Unknown ❑ Previous victim of violence (in past ❑ Loading/unloading
066. Other month)
gun
❑ In current treatment for mental illness ❑ Cleaning gun
O 1 Ever treated for mental illness Suicide Markers El Showing gun to others
❑ Alcohol problem ❑ History of suicide attempts ❑ Playing with gun
❑ Other substance problem ❑ Recently disclosed intent to die by ❑ Other context of injury
El Other addiction suicide
El Left a suicide note Mechanism of injury:
Relationship Problems El History of expressed suicidal Why did the injury occur?
thoughts / plans apply):
❑ Intimate partner violence — Homicide (Check all that pp y):
only
❑ Intimate partner problem — Suicide only Life Stressors ❑ Thought safety was
❑ Family relationship problem El Crisis within past 2 weeks engaged
❑ Other relationship problem (recent/impending) ❑ Thought gun was
El Contributing criminal legal problem unloaded, magazine
Crime Related El Civil legal problems was disengaged
El
by another crime El Contributing physical health ❑ Thought gun was
problem unloaded, other
Nature of other crime: (Choose up to 2) ❑ Job problem ❑ Unintentionally pulled
01. Drug trade 02. Robbery o3. Burglary ❑ Financial problem trigger
El Bullet ricochet
05. Motor vehicle theft 06.Arson 07. Rape, r0 School problem
❑ Eviction/loss of home ❑ Gun defect or
sexual assault 09. Gambling o10.Assault,
homicide ❑ Suicide of a friend or family malfunction
o il. Witness intimidation/elimination ❑66. ❑ Other death of friend or family ❑ Fired while holstering/
Other(note in narrative) 088. Not applicable El Anniversary of a traumatic event unholstering
❑ Dropped gun
O 99. Unknown
Other Conditions: Misc. Circumstances El Fired while operating
progress ress at time of the ❑ Justifiable self-defense safety/ lock
❑ Crime was in ro ❑ Gun mistaken for a
homicide
El Victim was a police officer on duty toy
El Stalking ❑ Victim was a bystander, not ❑ Other mechanism of
El Prostitution or sex trafficking intended target
El Terrorist attack
❑ Random violence injury
El
assault ❑ Victim used a weapon
❑ Gang related ❑ Victim (not law enforcement officer)
El
involvement was an intervener assisting victim
El Brawl (physical fight, more than 3 ❑ Mercy killing
people) ❑ Hate crime
El Physical fight (2 people) ❑ Mentally ill suspect
❑ Drive-by shooting
3 2015 WA-VDRS: Law Enforcement Fillable Data Form March 2015
SUSPECT INFORMATION (CLOSED CASES)
SUSPECT INFORMATION Suspect#1 Suspect#2 Suspect#3 Suspect#4
Last Name
First Name, MI
Street Address
City, State,Zip
Date of Birth
Age •
Sex:
1=Male 2=Female 9=Unk - -
Race: (Check all that apply) o White o Black o White o Black o White o Black o White o Black
o Asian o Asian o Asian o Asian
o Pacific Islander o Pacific Islander o Pacific Islander o Pacific Islander
o American Indian o American Indian o American Indian o American Indian
o Other oUnspecified o Other oUnspecified o Other oUnspecified o Other oUnspecified
Ethnicity:
0=Not Hispanic/Latino/Spanish
1=Hispanic or Latino or
Spanish
9=Unknown
Suspect attempted suicide?
0=No 1=Yes,Completed
2=Yes,Attempted
FOR ALL HOMICIDES AND ACCIDENTAL FIREARM DEATHS, choose up to two of the choices
from the Relationship Codes List* below that best describe the relationship between each suspect and the victim.
The victim is the_ Suspect is Caretaker Evidence of
Victim Name Suspect Name/Age of the suspect of Victim Ongoing Abuse
(Choose up to 2
relationship codes
below)
❑Yes ❑No [Dunk ❑Yes ❑No ['Link
EYes ❑No plink ❑Yes ❑No punk
❑Yes ❑No Dunk ❑Yes ❑No plink
*Relationship Codes List:
1. Spouse 2. Ex-spouse 3. Girlfriend or boyfriend 4. Ex-girlfriend or ex-boyfriend 5. Girlfriend or boyfriend, unspecified whether
current or ex 6. Parent 7. Child 8 Sibling 9. Grandchild 10. Grandparent 11. In-law 12. Stepparent 13. Stepchild 14. Child
of suspect's boyfriend/girlfriend (e.g.,child killed by mom's boyfriend) 15. Intimate partner of suspect's parent(e.g., teenager kills his
mother's boyfriend) 16. Foster child 17. Foster parent 18. Other family member(e.g., cousin, uncle, etc.) 19. Babysitter(e.g.,
child killed by babysitter) 20.Acquaintance 21. Friend 22. Roommate (not intimate partner) 23. Schoolmate 24. Current or
former work relationship(e.g., co-worker, employee, employer) 25. Rival gang member 26. Other person, known to victim
27. Stranger 28. Victim was injured by law enforcement officer 29. Victim was law enforcement officer injured in the line of duty
30. Suspect is not a suspect for this victim 31. Relationship unknown
4 2015 WA-VDRS: Law Enforcement Fillable Data Form March 2015
WEAPON TYPE USED IN SUICIDE OR HOMICIDE:
(Check all that apply)
01. Firearm 05. Non-powder gun ❑6. Sharp instrument [17. Blunt instrument ❑8. Poisoning [19. Hanging/strangulation/
suffocation ❑10. Personal weapon (foot, fist) ❑11. Fall 012. Explosive 013. Drowning ❑14. Fire or burns 015. Shaking
(e.g., shaken baby syndrome) ❑16. Motor vehicle (includes buses&motorcycles) 017. Other transport vehicle (e.g., trains, planes,
boats) 018. Intentional neglect(e.g., starving a baby) ❑19. Biological weapons 066. Other ❑99. Unknown
If Firearm Death, complete information below for injury or suspected injury gun.
FIREARM INFORMATION Firearm #1 1 Firearm#2 Firearm#3 Firearm #4
Firearm Information Known ❑ ❑ ❑ ❑
(Check if yes)
Evidence recovered ogun obullet ogun obullet ogun obullet ogun obullet
(Check all that apply)
ocasing ocasing ocasing ocasing
Type of Firearm (Choose from list
below*)
Make/Manufacturer or NCIC code
Model
Cartridge specifications for
recovered casings (e.g., .40 S&W,
.22 LR) •
Caliber
Gauge (Shotguns only)
Serial number
Trace attempted? O=No, gun made
before 1969 1=No, other reason
2=Yes, successful 3=Yes, not
successful 9=Unknown
Listed/reported stolen?
O=No 1=Yes 9=Unknown
*Type of Firearm List:
1. Submachine Gun 2. Handgun, Unknown Type 3. Handgun, Pistol- Bolt Action 4. Handgun, Pistol- Derringer 5. Handgun,
Pistol- Single Shot 6. Handgun, Pistol-Semi-automatic 7. Handgun, Revolver 8. Rifle, Unknown Type 9. Rifle,Automatic
10. Rifle, Bolt Action 11. Rifle, Lever Action 12. Rifle, Pump Action 13. Rifle, Semi-automatic 14. Rifle, Single Shot 15. Rifle-
Shotgun Combination 16. Shotgun, Unknown Type 17. Shotgun,Automatic 18. Shotgun, Bolt Action 19. Shotgun, Double Barrel
20. Shotgun, Pump Action 21. Shotgun, Semi-automatic 22. Shotgun, Single Shot 23. Long gun, Unknown type 66. Other(e.g.,
handmade gun) 99. Unknown
5 2015 WA-VDRS: Law Enforcement Fillable Data Form March 2015
COMPLETE FOR ALL SHOOTERS AND THE FIREARMS THEY USED TO CAUSE
INJURY
Shooter(name): Shooter(name):
Firearm # Firearm #
Owner of Firearm: (Choose from list 'A'below) Owner of Firearm: (Choose from list `A'below)
Firearm Stored Loaded: (Choose from list `B'below) Firearm Stored Loaded: (Choose from list `B'below)
Firearm Stored Locked: (Choose from list `C'below) Firearm Stored Locked: (Choose from list `C'below)
(Note: Include a brief summary of where and from whom (Note: Include a brief summary of where and from whom
firearm was obtained, and if the individual had authorized firearm was obtained, and if the individual had authorized
access to firearm.) access to firearm.)
A) Owner of Firearm: B) Firearm Stored Loaded: C) Firearm Stored Locked:
1. Shooter 0. Not loaded 0. Not locked
2. Parent/guardian of shooter 1. Loaded 1. Locked
3. Other family member of shooter 6. Other(note in narrative) 6. Other(note in narrative)
6. Friend/acquaintance of shooter 9. Unknown 9. Unknown
7. Stranger to shooter
66. Other(note in narrative)
99. Unknown
IF DRUG/POISON, COMPLETE INFORMATION BELOW:
Drug/Poison Information Drug/Poison Drug/Poison 2 Drug/Poison 3
1
Type of druglpoison (Indicate by number all that apply):
1. Street/recreational drugs 2. Alcohol 3. Pharmaceuticals-prescription
4. Pharmaceuticals-over-the-counter 5. Pharmaceuticals-unknown
6. Carbon monoxide or other gas, vapor 66. Other poison (e.g., rat poison,
insecticide, lye) 88. Not applicable (not a poisoning) 99. Unknown
Name of druglpoison
(e.g., Prozac, Fluoxetine, Paxil, Sominex, etc.)or 99999 for Unknown
Patient drug obtained for(Indicate by number all that apply):
1. Self(Victim) 2. Spouse 3. Ex-spouse 4. Girlfriend or boyfriend 7. Ex-girlfriend
or Ex-boyfriend 8. Girl/Boyfriend, unspecified whether current 10. Parent 11.
Child 12. Sibling 13. Grandchild 14. Grandparent 15. In-law 16. Stepparent
17. Stepchild 18. Child of victim's boyfriend/girlfriend 19. Intimate partner of
victim's parent(e.g., teenager) 29. Other family member(e.g., cousin, uncle) 30.
Babysitter 31.Acquaintance 32. Friend 33. Roommate (not intimate partner) 34.
Schoolmate 35. Current or former work relationship (e.g., co-worker) 44. Other
person, known to victim 45. Stranger 88. N/A(e.g., not a medication) 99.
Relationship unknown
If CO, carbon monoxide source:
1. Car, truck, bus 2. Other 8. Not applicable 9. Unknown
6 2015 WA-VDRS: Law Enforcement Fillable Data Form March 2015
Copy, paste or include a brief narrative: (Include details to support circumstances checked on Page 2)
Contact Taylor Schraudner to set up an electronic secure file transfer system for your agency at:
360.236.2875
Taylor.Schraudner c(D,doh.wa.gov
OR
Mail this form to:
WA Department of Health: Office of Community Health Systems
ATTN: Taylor Schraudner, WA-VDRS Program Manager
PO BOX 47853
Olympia, WA 58504-7853
7 2015 WA-VDRS: Law Enforcement Fillable Data Form March 2015
COUNCIL MEETING DATE: May 19,2015 ITEM#:
CITY OF FEDERAL WAY
CITY COUNCIL
AGENDA BILL
SUBJECT: MOU BETWEEN THE WASHINGTON STATE DEPARTMENT OF HEALTH AND THE FEDERAL WAY
POLICE DEPARTMENT(FWPD).
POLICY QUESTION: Should the City of Federal Way/Federal Way Police Depaitluent inter into a MOU with
the Washington State Department of Health for the inclusion of case report data in the Washington Violent
Death Reporting System (WA-VDRS)?
COMMITTEE:PARKS,RECREATION,HUMAN SERVICES& PUBLIC MEETING DATE: 05/12/2015
SAFETY COUNCIL COMMITTEE(PRHS&PS)
CATEGORY:
® Consent ❑ Ordinance ❑ Public Hearing
❑ City Council Business ❑ Resolution ❑ Other
STAFF REPORT BY:DEPUTY CHIEF KYLE SUMPTER DEPT: Police
Attachments:
1. PRHS&PS Memo
2. MOU
3. WA-VDRS Law Enforcement Fillable Data Form
4. National Violent Death Reporting System Brochure
Options Considered:
1. Accept Proposal
2. Reject Proposal
MAYOR'S RECOMMENDATION: Option
' #1
MAYOR APPROVAL: _ 7/,�e�� ?�lrs�DI7/�)ECTOR APPROVAL: %L.7 /u//c-
�CO+{imittee of cil / /iS Initial
CHIEF OF STAFF: (,7� �l r
co mi e Counc
COMMITTEE RECOMMENDATION: "I move to forward the MOU between FWPD and the WA. State
Dep rtment of Health to the 117141-21417 2015 Co 'l Consent genda. "
1.4- — " tcl ) , , 11 I I
k i r Afv ,,efte_i
Committee Chair Committee Member Committee M- ber
PROPOSED COUNCIL MOTION: "I move approval of the MOU between FWPD and the WA. State Department
of Health and authorize Chief Andy Hwang to sign the MO U. "
(BELOW TO BE COMPLETED BY CITY CLERKS OFFICE)
ACTIO4
*UNCIL
APPROVE 5(1i i(s COUNCIL BILL#
❑ DENIED 1ST reading
❑ TABLED/DEFERRED/NO ACTION Enactment reading
❑ MOVED TO SECOND READING(ordinances only) ORDINANCE#
REVISED—08/12/2010 RESOLUTION#
CITY OF FEDERAL WAY
CITY COUNCIL COMMITTEE STAFF REPORT
DATE: May 12, 2015
TO: Parks, Recreation, Human Services and Public Safety Council Committee
VIA: Jim Ferrell, Mayor
FROM: Andy J. Hwang, Chief of Police
SUBJECT: MOU between the Washington State Department of Health and the Federal Way
Police Department (FWPD).
The purpose of this MOU is for FWPD to provide, per RCW 43.70.545, the WA State
Department of Health access to FWPD's incident case report data on homicides, suicides,
unintentional firearm deaths, deaths of undermined intent, and legal interventions for inclusion in
the Washington Violent Death Reporting System (WA-VDRS).
When police agencies provide this information it can help law enforcement and public health
officials understand the extent, cause and circumstances of violent deaths.
1