NEW ALBANY POLICE DEPARTMENT - New Albany, Ohio

OFFICER'S REPORT
This form provides a suggested incident report to local law enforcement agencies for all
domestic incidents. It contains information required to insure complete, accurate reporting of
domestic violence incidents for preparation of monthly summaries to the Bureau of Criminal
Identification and Investigation ("BCI & I").
This Officer's Report should not be forwarded to BCI & I. It should be maintained by your
local agency for its own records and documentation, and may be modified to include
additional information required by your agency.
Definitions
Domestic Violence Incident ("DVI") - For reporting purposes only, defined as any incident
where one or more parties allege a violation or R.C. 2919.25 (Domestic Violence), 2919.27
(Protection Order or Consent agreement Violation), or an equivalent local ordinance.
Non-Spousal Relationship with Child in Common - An alleged victim who shares
biological parenthood of a child with an alleged offender or an alleged offender who shares
biological parenthood of a child with an alleged victim, but where the alleged victim and
alleged offender were never married and never lived together as spouses.
Other Family or Household Member - Any person not specifically listed in Section II who is
related by blood or marriage and is residing or has resided with the offender, including
relatives step-parents and step-children.
Instructions for Completing the Officer's Report
Section I. "Name and Location of Domestic Violence Incident"
This block is for agency use in data collection. It reflects the location and nature of the
call, run, or police activity for each domestic violence incident that becomes known to police.
Section II. "Relationships of Persons Involved"
Identify the alleged victim and the alleged offender/primary physical aggressor in the
domestic violence incident as identified by the signed or filed complaint taken at the time of
the incident. Note under the appropriate heading the fatal, non-fatal injury, or lack of injury for
both the alleged victim and the alleged offender/primary physical aggressor.
Section III. "Race/Ethnicity"
Identify the race/ethnicity of the alleged victim and the alleged offender/primary physical
aggressor.
Section IV. "Age"
Identify the age of the alleged victim and the alleged offender/primary physical aggressor.
Section V. "Sex"
Identify the sex of the alleged victim(s) and primary offender(s).
Section VI. "Action Taken by Officer"
Check one of the following:
Box A - When a charge for a violation of R.C. Section 2919.25 (Domestic Violence or
2919.27 (Protection ( Order or Consent Agreement), g ) or other equivalent local
ordinance results from this incident
Box B - Where an arrest for a different crime results from this incident.
Box C - When no charges are filed.