Attachment B: Mutual Aid Agreements/Memorandum of Understanding <Insert list of existing mutual aid agreements (MAA) and/or memorandum of understanding (MOUs)> MAAs/MOUs are stored <Insert location>. Table : Memorandum of Understanding/Mutual Aid Agreements Facilities/Agencies Nature of Expiration Date Date Verified/POC in Agreement Agreement (if applicable) Sysco* Emergency None* Food Supply* XYZ Hospital* Shelter* transport Transport* Ben’s service* Additional MOUs * Examples Attachment C: Routes to Evacuation Sites and Facility Floor Plans <Insert evacuation routes, floor plans, maps, and written directions to evacuation sites> Attachment D: Sample Hospital Incident Command System Forms Hospital Incident Command System (HICS) Forms can be provided by the Emergency Planner HICS 203 Organization Assignment List – HICS 207 Hospital Incident Management Team Chart – HICS 254 Disaster Victim/Patient Tracking – HICS 255 Master Patient Evacuation Tracking – HICS 257 Resource Accounting Record – HICS 260 Patient Evacuation Tracking Form –
Attachment B: Mutual Aid Agreements/Memorandum of Understanding <Insert list of existing mutual aid agreements (MAA) and/or memorandum of understanding (MOUs)> MAAs/MOUs are stored <Insert location>. Table : Memorandum of Understanding/Mutual Aid Agreements Facilities/Agencies in Agreement Nature of Agreement Expiration Date (if applicable) Date Verified/POC Sysco* Emergency Food Supply* None* XYZ Hospital* Shelter* Ben’s transport service* Transport* Additional MOUs * Examples Attachment C: Routes to Evacuation Sites and Facility Floor Plans <Insert evacuation routes, floor plans, maps, and written directions to evacuation sites> Attachment D: Sample Hospital Incident Command System Forms Hospital Incident Command System (HICS) Forms can be provided by the Emergency Planner HICS 203 – Organization Assignment List HICS 207 – Hospital Incident Management Team Chart HICS 254 – Disaster Victim/Patient Tracking HICS 255 – Master Patient Evacuation Tracking HICS 257 – Resource Accounting Record HICS 260 – Patient Evacuation Tracking Form