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- Click ‘Get Form’ to open the Adult Protective Services Mandatory Reporting Form in the editor.
- Begin by filling in the 'Referral Number' and the 'Date referral was made to Centralized Intake'. This information is crucial for tracking your report.
- In the 'Alleged Victim Information' section, provide detailed information about the victim, including their name, age, address, and current location. Ensure accuracy as this helps in timely intervention.
- Next, complete the 'Alleged Perpetrator Information' section with similar details about the individual responsible for the abuse or neglect.
- In the 'Allegations' section, describe the incident thoroughly. Include dates, times, and specifics of what occurred to ensure a comprehensive report.
- Finally, fill out your own information in the 'Reporter Information' section. Remember that this information is confidential and should only be shared with DHHR.
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