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Attachment 1 <br /> STATEWIDE MUTUAL AID AGREEMENT <br /> Type or print all information except signatures <br /> Form B <br /> PART I <br /> TO BE COMPLETED BY THE REQUESTING PARTY <br /> k ' <br /> Date: Time: Mission No: <br /> HRS <br /> (local <br /> E-mail <br /> Point of Contact: Telephone No: address: <br /> Assisting Party: <br /> Requesting Party: <br /> Incident Requiring Assistance: • <br /> Type of Assistance/Resources Needed(use Part IV for additional space) <br /> � E <br /> Date&Time Resources Location <br /> Needed: (address): <br /> Approximated Date/Time Resources <br /> Released: <br /> � 3 <br /> Authorized Official's Name: Signature: <br /> ' I <br /> - Title: Agency: <br /> PART II <br /> TO BE COMPLETED BY THE ASSISTING PARTY <br /> E-mail <br /> Contact Person: Telephone No: address: <br /> Type of Assistance Available: <br /> Date&Time Resources Available To: <br /> a � <br /> Location(address): <br /> Approximate Total cost for mission: $ <br /> Equipment& <br /> Travel: $ Personnel: $ Materials: $ Contract Rental: $ <br /> Logistics Required from Requesting Party Yes (Provide information on attached Part IV) No <br /> 9 r <br /> Authorized Official's Name: Title: <br /> Date: Signature: Local Mission No: <br /> PART III <br /> TO BE COMPLETED BY THE REQUESTING PARTY <br /> Authorized Official's <br /> Name: Title: <br /> Signature: Agency: <br /> Revised:March 2018 Page 1 <br />