Adult protective services west virginia 2026

1. Click ‘Get Form’ to open the Adult Protective Services Mandatory Reporting Form in the editor.
2. Begin by filling in the 'Referral Number' and the 'Date referral was made to Centralized Intake'. This information is crucial for tracking your report.
3. 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.
4. Next, complete the 'Alleged Perpetrator Information' section with similar details about the individual responsible for the abuse or neglect.
5. In the 'Allegations' section, describe the incident thoroughly. Include dates, times, and specifics of what occurred to ensure a comprehensive report.
6. 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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