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Inventory of Mutual Aid Agreements & Related Resources

Mutual Aid Home


Emergency Management

Pacific Northwest Emergency Management Agreement (Executed by Alaska, British Columbia, Idaho, Oregon, Washington, and Yukon) and Annex B to the Agreement (Executed to date by British Columbia and Washington)
International Emergency Management Memorandum of Understanding (Executed by the States of Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont, and the Provinces of New Brunswick, Newfoundland, Nova Scotia, Prince Edward Island, and Quebec) 
Erie–Niagara Cross Border Contingency Plan (Executed by Regional Municipality of Niagara, Province of Ontario, and the Counties of Erie and Niagara in the State of New York)

Public Health Emergency Management

 A Memorandum of Understanding – Public Health Emergencies (Executed by Washington Department of Health and British Columbia Ministry of Health)
Public Health Emergency Mutual Aid Declaration Declaration Among the Department of Health and Human Services of the United States of America, the Department of Health of Canada, the Public Health Agency of Canada, and the Ministry of Health of the United Mexican States.

Public Health Data Sharing

Great Lakes Border Health Initiative Public Health Data Sharing Agreement (Executed by the States of Michigan, Minnesota, New York, and Wisconsin, and the Province of Ontario)

Public Health and Science Cooperation

Agreement of Understanding to Improve and Uphold Public Health Conditions in the Binational Border Region of the States of Chihuahua, Mexico, and New Mexico, United States of America
Furthering collaboration in the development and implementation of a comprehensive strategic plan to improve public health services in the Palomas, Chihuahua-Luna County, New Mexico binational border region.
MOU Between DHHS and Secretariat of Health of the United Mexican States
Memorandum of Understanding between the Department of Health and Human Services of the United States of America and the Secretariat of Health of the United Mexican States on Cooperation in the Fields of Public Health and Science

Pandemic Influenza Preparedness

Joint Declaration of the Department of Health and Human Services of the United States of America and the Secretariat of Health of the United Mexican States Regarding Cooperation in the Field of Pandemic Influenza Preparedness
Declaration of Cooperation Entered into by the Government of the State of Sonora, through the Secretariat of Public Health with the Government of the State of Arizona, through the Arizona Department of Health Services to Establish the Arizona-Sonora Regional Influenza Pandemic Response Plan and to Establish a Formal Protocol to Share Public Health Information Across the Arizona-Sonora Border During a Public Health Emergency

Influenza Surveillance

Fire Protection


Emergency Management

Emergency Management Assistance Compact (EMAC). For information, please click here.
FEMA Medical and Public Health Resource Typing Definitions. For information, please click here.

Public Health Emergency Management

Laboratory Resource Sharing

Template for a "Cooperative Services Agreement During Emergency Situations" (developed by Emergency Preparedness and Response Committee of the Association of Public Health Laboratories)
Memorandum of Understanding between Alaska Department of Health and Social Services, Public Health Laboratory, Idaho Department of Health and Welfare, Public Health Laboratory, Oregon Department of Human Services, Oregon State Public Health Laboratory, and Washington State Department of Health, Public Health Laboratory, referred to as Cooperative of State Labs.

Tuberculosis Treatment and Control

Fire Protection

Mutual Aid Box Alarm System Agreement between the state of Wisconsin and the state of Illinois.


Emergency Management

National Emergency Management Association (NEMA) Model Intrastate Mutual Aid Legislation – Checklist of Best Practices
The Emergency Management Institute (EMI) has issued a new interactive Web-based course providing the basics of intrastate (in-state) mutual aid. You will find the course overview, objectives, target audience, and other information, as well as the link to the course and final exam at:

Public Health Emergency Management

Water/Wastewater Resources Sharing

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