Community Overdose Prevention (COP) Program

Must be returned to the OAG by September 1, 2014 to Reserve Funds.

In order to participate in COP, please carefully review the information contained in these materials and complete all sections of this application form. If you have any questions related to this program or the application, please contact:

  • Your form must be received by the OAG by September 1, 2014 to secure your department’s participation in COP. If you submit this form to OAG by that date, your funds will be reserved until December 31, 2014 in order to give your agency time to undergo training and secure naloxone kits for reimbursement. Extensions can be granted in exceptional circumstances.
  • You may submit this form to OAG after September 1, 2014. However, OAG will not guarantee that COP funds will be available for your agency.

Please enter the ORI number listed on the COP program approval letter.  That number can also be found online at



  1. Number of Naloxone Kits:  Please provide the number of naloxone kits your agency will initially need to become fully equipped with naloxone kits. The number of kits necessary to fully outfit your department will depend on the total number of sworn officers who regularly respond to emergency calls that may involve an acute opioid overdose. The OAG asks that naloxone kits are only given to officers meeting this criteria. Naloxone kits may either be carried by officers on their person or in vehicles driven by officers. Please explain your estimate, including the number of sworn officers or vehicles you intend to equip with naloxone. 
  1. Training Costs: Please estimate the costs, if any, of providing an agency-wide training for officers in the proper administration of naloxone. Many NYSDOH registered Opioid Overdose Prevention Programs provide such trainings free of charge. A list of such programs can be found on the NYSDOH’s website . If your agency is seeking reimbursement for training costs, please: (A) describe efforts your agency made to secure free training from an NYSDOH registered program, and (B) identify the entity and/or the individual(s) providing the training, as well as any travel costs necessary to facilitate the training.
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