Interlocal Agreements

The Interlocal Agreement between City of Tacoma and Pierce County is the basis for the creation and operation of the Health Department. It’s our foundational document and helps establish our policy and priorities.

We also operate under a number of other Interlocal Agreements:

• Metropolitan Park District of Tacoma.
  • Amendment No. 1.
  • Amendment No. 2.
    • Document for Execution.
  • Purchase Order List.
• Chelan-Douglas Health District.
• Clallam County Health & Human Services.
• Grays Harbor County Public Health (2023).
• Grays Harbor County Public Health (2025).
• Island County Public Health (2023).
• Island County Public Health (2025).
• Jefferson County Public Health (2022).
• Jefferson County Public Health (2025).
• Lincoln County Health Department (2024).
• Lincoln County Health Department (2025).
• Northeast Tri County Health District (2024).
• Northeast Tri County Health District (2025).
• Walla Walla County Department of Community Health.
• Walla Walla County Department of Community Health (2025).
• Whatcom County Health and Community Services.
• Yakima Health District.