Act 13 form 2026

1. Click ‘Get Form’ to open the Act 13 form in the editor.
2. Begin by entering the 'Date of Report/Time' at the top of the form. This indicates when you are preparing the report.
3. Fill in the 'Name of Victim' section with the last name, first name, and middle initial of the individual suspected to have been abused.
4. Provide the victim's 'Address', 'City', 'State', and 'Phone' number to ensure accurate identification.
5. Indicate the 'Date of Birth' and 'Sex' of the victim, ensuring all details are correct for proper reporting.
6. In the 'Abuse Type' section, mark an ‘x’ in the appropriate box that identifies the type of suspected abuse.
7. Continue filling out sections regarding facility information, including names, addresses, and contact details as required by law.
8. Complete sections detailing actions taken by your facility and any pertinent information related to the incident before finalizing your report.

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