Agency Non Disclosure Agreement

							                      NON-DISCLOSURE AGREEMENT
                       STATE EMERGENCY OPERATIONS PLAN
                                   ANNEX Y
                       CATASTROPHIC EVENT (EARTHQUAKE)


The State Emergency Management Agency, Department of Public Safety, has determined that
the Catastrophic Event (Earthquake) Annex Y to the State of Missouri Emergency Operations
Plan (SEOP) is sensitive information and is exempt from the Sunshine Law under 610.021,
RSMo.

By signing this document, you agree to the following:

1.     I hereby agree that the material that I have in my possession and containing information
       covered by this Non-Disclosure Agreement will be handled and safeguarded in a manner
       that affords sufficient protection to prevent the unauthorized disclosure of or inadvertent
       access to such information, consistent with the laws, regulations, or directives applicable
       to this information. I agree that I shall return all information to which I have had access
       or which is in my possession 1) upon demand by an authorized individual from the
       Missouri State Emergency Management Agency or the Missouri Department of Public
       Safety; and/or 2) upon the conclusion of my duties, association, or support to the
       Missouri State Emergency Management Agency; and/or 3) upon the determination that
       my official duties do not require further access to such information.

2.     I hereby agree that I shall promptly report to the appropriate Missouri State Emergency
       Management Agency official, in accordance with the guidance issued for this category of
       information, any loss, theft, misuse, misplacement, unauthorized disclosure, or other
       safekeeping violation, I have knowledge of and whether or not I am personally involved.
       I also understand that my anonymity will be kept to the extent possible when reporting
       such safekeeping violations.

I acknowledge this determination and agree to handle the information accordingly.

On this day ________________________________, _________ (Year), I agree to the above
terms and conditions.



Signature


Please Print Name: First, Middle Initial, Last


Jurisdiction Represented (County/City)



A copy of this agreement will be housed with the State Emergency Management Agency, 2302
Militia Drive, Jefferson City, Missouri.