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MEMORANDUM Date:April 17, 2023To:Subrecipient agenciesFrom:Alicia Weatherman Bureau of Maternal & Infant Vitality Ohio Department of Health Subject:Maternal Safety Quality Improvement (MS24) (Sept.
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Start by obtaining the Ohio Collaborative Community-Police Advisory Board incident-based reporting form.
02
Fill in the date and time of the incident.
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Provide the location of the incident, including the city, street address, and any additional details that may be relevant.
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Identify the law enforcement agency involved in the incident.
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Indicate the names and badge numbers of the officers who were present or involved.
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Describe the nature of the incident in detail, including any actions taken by the officers and any resulting injuries or damages.
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Include the names and contact information of any witnesses to the incident.
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If applicable, attach any supporting documents or evidence, such as photographs or video recordings.
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Review the completed form for accuracy and completeness.
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Submit the form to the Ohio Collaborative Community-Police Advisory Board according to their designated process.

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The Ohio Collaborative to Prevent is a framework designed to prevent violence and improve public safety by promoting collaborative efforts among state agencies, community organizations, and law enforcement.
Law enforcement agencies and specific organizations involved in public safety initiatives are required to file with the Ohio Collaborative to Prevent.
To fill out the Ohio Collaborative to Prevent, agencies must complete the designated forms provided by the Ohio Department of Public Safety, ensuring all required information and data are accurately represented.
The purpose of the Ohio Collaborative to Prevent is to foster cooperation between law enforcement and communities to develop strategies that enhance public safety and reduce crime.
The information that must be reported includes crime statistics, community engagement efforts, training programs, and outcomes of initiatives aimed at violence prevention.
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