Formstack Submission For: RCW : General Authority Peace Officer-Powers, Circumstances Submitted at 11/02/17 4:40 PM

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From: To: Subject: Date: noreply@formstack.com Deb Gregory RCW 10.93.070: General Authority Peace r-powers, Circumstances Thursday, November 2, 2017 1:41:08 PM Formstack Submission For: RCW 10.93.070: General Authority Peace r-powers, Circumstances Submitted at 11/02/17 4:40 PM Agency Name (Jurisdiction): Roster of Washington State General Authority Law Enforcement : I authorize the following agencies Police Powers in my legally recognized jurisdiction.: Additional : Klickitat County Sheriff's I have reviewed the roster of Washington State General Authority Law Enforcement. I will select individual Bingen/White Salmon Goldendale Police Benton County Sheriff's Clark County Sheriff's Skamania County Sheriff's Yakima County Sheriff's Kititas County Sheriff's Yakima Police Spokane County Sheriff's

Adams County: Asotin County: Benton County: All Benton County Benton County Sheriff's Kennewick Police Prosser Police Richland Police West Richland Police Chelan County: Clallam County: Clark County: All Clark County Clark County Sheriff's Battle Ground Police Camas Police La Center Police Ridgefield Police Vancouver Police Washougal Police WSU Vancouver Police Columbia County: Cowlitz County: Douglas County:

Ferry County: Franklin County: Garfield County: Grant County: Grays Harbor County: Island County: Jefferson County: King County: Kitsap County: Kittitas County: Klickitat County: All Kittitas County Kittitas County Sheriff's Central WA University Cle Elum/Roslyn Police Ellensburg Police Kittitas Police All Klickitat County Klickitat County Sheriff's Bingen/White Salmon Goldendale Police Lewis County: Lincoln County: Mason County:

Okanogan County: Pacific County: Pend Oreille County: Pierce County: San Juan County: Skagit County: Skamania County: All Skamania County Skamania County Sheriff's Snohomish County: Spokane County: All Spokane County Spokane County Sheriff's Airway Heights Police Cheney Police Eastern WA University Liberty Lake Police Spokane Airport Police Spokane Police Spokane Valley Police Stevens County: Thurston County: Wahkiakum County: Walla Walla County:

Whatcom County: Whitman County: Yakima County: Name of Authorizing Individual: Job Title of Authorizing Individual: Email Address of Authorizing Individual: Agency Name: All Yakima County Yakima County Sheriff's Grandview Police Granger Police Mabton Police Moxee Police Selah Sunnyside Police Tieton Toppenish Police Union Gap Police Wapato Police Yakima Police Zillah Robert Songer Sheriff bobs@klickitatcounty.org Klickitat County Sheriff's Date of Form Completion Completion : Nov 02, 2017 By providing this information you are providing an electronic signature authorizing your consent. RCW 9A.04.110(24) establishes "signature includes any memorandum, mark, or sign made with intent to authenticate I have read and acknowledge this statement.

any instrument or writing, or the subscription of any person thereto.": This form will be posted to the WASPC website and will be available for public access and review. Each agency should maintain a signed hard copy of their consent form.: I have read and acknowledge this statement. Copyright 2017 Formstack, LLC. All rights reserved. This is a customer service email. Formstack, 8604 Allisonville Road, Suite 300, Indianapolis, IN 46250