Law Enforcement Naloxone Administration Report 1. Question Title Case # Question Title County/tribe State Agency Adams Benton Chelan Clallam Columbia Cowlitz Douglas Ferry Franklin Garfield Grant Grays Harbor Island Jefferson Kitsap Kittitas Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce Skagit Snohomish Spokane Stevens Thurston Walla Walla Whatcom Yakima Yakama Tribe Tribe Please specify Question Title Agency Aberdeen PD Adams County Sheriffs Anacortes PD Benton County Sheriffs Bonney Lake PD Buckley PD Bureau PD Bureau of Reclamation Burlington PD Castle Rock PD Centralia PD Central WA University PD Chehalis PD Chehalis Tribal PD Chelan County Sheriffs Chewelah PD Colfax PD College Place PD Columbia County Sheriffs Colville PD Colville Tribal Police Cosmopolis PD Douglas County Sheriffs East Wenatchee PD Eastern WA University PD Ellensburg PD Elma PD Ephrata PD Ferndale PD Franklin County Sheriffs Garfield County Sheriffs Grand Coulee PD Grandview PD Grant County Sheriffs Grays Harbor County Sheriffs Grays Harbor Drug Task Force Hoquiam PD Island County Sheriffs Jefferson County Sheriffs Kennewick PD Kettle Falls PD Kittitas County Sheriffs Kitsap County Sheriffs Lacey PD Lakewood PD Lewis County Sheriffs Liberty Lake PD Lincoln County Sheriffs Long Beach City PD Lynden PD Mason County Sheriffs Mattawa PD Montesano PD Morton PD Moses Lake PD Mount Vernon PD Napavine PD Newport PD Oak Harbor PD Ocean Shores PD Olympia PD Omak PD Oroville PD Orting PD Othello PD Pacific County Sheriffs Pasco PD Pend Oreille Sheriffs Pierce County Sheriffs Port Townsend PD Pomeroy PD Puyallup PD Puyallup Tribal PD Raymond PD Quinalt Nation PD Quincy PD Richland PD Ritzville PD Royal City PD Sedro Woolley PD Shoalwater Bay Tribal PD Skagit County Sheriffs Soap Lake PD South Bend PD Spokane County Sheriffs Spokane PD Springdale PD Stevens County Sheriffs Sumner PD Sunnyside PD Tacoma PD Thurston County Sheriffs Toppenish PD Twisp PD Walla Walla County Sheriffs Walla Walla PD Warden PD WA State Department of Fish and Wildlife Wenatchee PD West Richland PD Westport PD Whatcom County Sheriffs Whitman County Sheriffs Winthrop Marshals Zillah PD Question Title Date of overdose event Date Date Question Title Location of overdose City Zip Question Title Time of arrival to overdose scene Time Time AM/PM - AM PM Question Title Type of place Outside (park, sidewalk, street, car, camp) Private home/apartment Hotel/motel Business Social service agency Other (please specify) Question Title How were you notified of the incident? Dispatch Citizen alert Saw person down/on view Question Title Were you on the scene before Fire or Medics? Yes No N/A Neither arrived Next