Non-profit victim service agencies, advocates, and partnerships that provide services to survivors of domestic violence, dating violence, sexual assault and stalking may adapt these forms, policies and agreements for immediate use.  Use Step-by-step easy instructions!

Template Memorandum of Understanding: Partnership Agreement for Community Collaborations

This Memorandum of Understanding (MOU) was created for non-profit victim service agencies in co-located partnerships. This MOU addresses policies to govern the partnership between non-profit organizations and programs that provide services to survivors of domestic and dating violence, sexual assault, and stalking and other community agencies. It details the individual partner's roles and responsibilities, as well as information sharing and confidentiality obligations for the domestic/dating violence and/or sexual assault agency, law enforcement, prosecutor, court partner, medical partner, faith-based and community organizations, and a confidentiality monitor. All partners must sign to acknowledge the agreement.

Non-profit victim service agencies that provide services to survivors of domestic violence, dating violence, sexual assault and stalking in innovative partnerships are encouraged to use this adaptable MOU agreement. Agencies may change wording to match organizational language or to reflect the language that the partnership prefers (e.g. client, victim, survivor, program participant).

To adapt the template simply:

  • add information relevant to your specific agency, partnership and funders;
  • insert your [program/agency/partnership/collaboration names] and letterhead; and,
  • remove generic template blue instruction notes and other notices.

Distribution Permissions: Published June 2008. May be reproduced or adapted for nonprofit or educational uses with acknowledgement of authors and/or publisher.

Request this Template: We do not post this template online, but you may request that we email it to you. Please contact us here to request the template. (Select "Safety Net/Technology Safety" under Subject to ensure that it goes to the right team.) This template is also available in Spanish.