Ma Ity - Wa

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Seattlehtma ity206-292-5240 ext:att1ehabitat.orga itaariousCasa Latina206-956-0 9sa-lannasorgclinkenter of Faith C urchn Christ425-869-6000orgVanient253-859-1512ttp://www centeroffait .coChurchTukwilaht ithsr.CSide of thand FenKentices-859kyfs.org206-243-5024vation :1Communityible bfseattIe.orglkeCommnIty for Yout hSeattlehttp.206-325-8480mm tyforyouth org ndSod206-628-0777arious//WWW S.0e ong AIlS miceEast African Co mu ity cs.org131 Centro de la Raza206-329-9442Seattlet p: www. icentrodelarazasorgency Feeding o am206-329-0300Seattlttpi rwwsemergencyfee n0Vario1-800-664-6577.ood .orgI slineortiSeattle206-367-3477tt ehtR dinSeattlett r206-957-1776elong.orgio e us g06-443-9935.orgteC206-726orhoodcooons Lnjstries206-374-0.866.0ity BaihIL866-841-9139 ext 2126ci a

Seattle's Union Gospel MissionSt. Vincent de 253-833-0400http://svdpseatde.or auburSomali Comm nity Service c206-431-5141httpi www.somcss.netiTacoma Community HouseSomali Youth and Family ClubTacoma253-383-3951http://www.tacomacommu house n Red Cross:Urban I de.org/Seattle(206) oiunteerSalvation ArmyUnite Way of King County:Seattle(206) 461-3700https://www.uw]c.org/CovingtonDes MoinesRentonSeattle(206) 587-0503(253) 946-1346(425) 271-9444(206) 767-3150YWCA:SeattlePierce County(206) 461-4851(253) 272-4181AuburnDes MoinesFederal Wayig neKent(253) 833-8925(206) 878-2660(253) 838-6810(206) 433-9900(253) 520-3550Maple ValleySalvation ArmyTukwilaWhite Center(425) 432-8139(425) 255-5969(206) 431-8293(206) 762-2848Auburn&RevueDowntown SeattleFederal Way(253) 833-2770(425) 746-9900(206) 382-5000(253) 838-4708West SeattleShorelineTacoma(206) 395-6000(206) 363-0446(253) 597-6444(253) 931-3018(425) 450-1765(206) 243-3490(253) 630-8761(206) 824-6066FosterKentSkywayTukwila(206) 242-1640(253) 859-3330(206) 772-5541(206) 242-1640 ubumBellevueBurienCovingtonDes Moines

Tukwiia M i,'spa: Court6200 ,Southcenter Blvd, Tukwiia, WA 98188 phone: (206)' 433i840 fax: 06)433-71 0COmumre SERVICE VERIFITION FORMIf you are to perform corn) ant service as a condition of sentence or in lieu of payour fine or penalty, you must adhere to the following rules:Corn unity service must be perfor, ed at a NO RORT orga izatio SUC as apublic school,. church, Red Cross f. od ba K etc. The agency s non-profit statuswill be verified sefore credit is give Certain iretirement/nursing homes may notqualify as no -profit. On-line community service will NOT be accepted.You may not recesa ion for your service.i performei3. Communitywill not receive credit for corndte.service4. Coent date. Youust begin on or after you jnity service erformed prior to your j dgmentthebefore the due date.'ch you perform the service must complete this form and t'5 The a "Icy withcheck sheet :( on the back of this form). As an alternative, the agency may usetheir letterhead; however, it must contain all the information on t e bottom ofthis form. The individual who certifies yo r service ust also ce ti the agencynon-profit.When community service is in lieu of a fine, y r service may credited at 15.00 per hours It may be performed at any hour of the day a: d anywherewithin the State of Washington. You m st have prior written permission from theJudge to perform the community service wit: a on- -of-It organization outsideof Washington. It is your l'aespo sibility to keep track of your hours and ensurethey are submitted and credit to our account.profit agency.re resentative m theThis section is to be completedThishas compto certify thatours of co m nI verify that(Agenrvice during the period ofis a non-profit organization in Washington Stateame)Agency's UBI/Tax IDAgency's Address:Print Representative's Name:Tit'Representative's Signature:Telephone:Defendant's NameDue back to the Court by:Case #:

VERIFICATION OF SERVICE HOURSTOTAL HOURS WORKED:Comments:Defendant's NameCase #:

SRICT COURTG COSIRVICfileorder to ceive proper credit for yo r community service ho rs, youproof wlth the Co rt H:eeting the foiIowiig require ents:Counity service hours may be performed for a registered non-profit servicq age cy,for a city/county/state agency, or for a school or churc H. Community service m st benefitthe general community. If you live out of ashington state seek pre-approval of the judgeto perform your hours outside of the state.]Yo cannot be paid for the co runity service work you paaeComm nity service that you are already'or ing or required to pechurch, or school does not qualify.e t d.Corn, ruty service you pc or or sub: for another courHL case wIllNo o line commu ity service will be accepted.Community service perfor ed at or for events where liquoris served doeslify.Any exce 'lions to these req irements must be pre-approved by a judge,roof of your hours must: I be on the age cy/churchisc oors letterhead; 2) be signedby an authorized erso fro he agency/church/school who has knowledge of the servicework you perfor ed. 3) include verifiable contact information for the authorizing person;5) include a descri tion of t e work) indicate the dates and times when yopc or ed; and 6) in chise your court case n ber on the letter.Any questio s regarding these requirements shout, be directed to the C.urt.Examples of acceptableFood a ksCA/YWCABoys/Girls ClubsnmuOutreach prograHHsHomeless sheltersal sheltersencies 11ed CrossCo mu Ity centersLibrariesIt is YOUR oligationn to provide the Court wth the proof COfliHHUflity service. ffhe Coumay verify this proof. Yo sho Id keep a copy for yourself T e Co rt reserves thediscretio to not accept corn unity service ho rs that fail to eet these requirements.IGINAL LETTE J USKitCommunity Service InforKC IC ove ber 2017E FILED I 1-Pntv istrict CEl

1 Centro de la Raza Seattle 06-443-9935 Seattle 206-329-9442 ht .org t p: www. icentrodelarazasorg C ency Feeding o am Seattle 206-726- Seattl 206-329-0300 ht orhoodcoo ttpi rwwsemergencyfee n ons Lnjstries 0 Seattle 206-374-0.866 Vario

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