Skip to Main Content
Do Not Show Again
Create a Website Account
- Manage notification subscriptions, save form progress and more.
Website Sign In
How Do I...
Abuse or Exploited At-Risk Adult Notification
Leave This Blank:
Abused or Exploited At-Risk Adult Notification
CASE REPORT NUMBER:
DATE OF REPORT:
Abused or Exploited At-Risk Elder
Date of Birth:
At-Risk Elders Caretaker
Nature And Extent Of Inury, Whether Physical Or Financial If Any:
Nature And Extent Of The Condition That Required The Report To Be Made:
Narrative: (Briefly describe how this person is being abused or exploited)
NOTE: Not more than twenty-four hours after receiving a report of abuse or exploitation of an at-risk elder, a law enforcement agency shall provide a notification of the report to the county department of the at-risk elder's residence and the district attorney's office of the location where the abuse or exploitation occurred.
* indicates required fields.
Job Interest Card
Agendas & Minutes
Slideshow Left Arrow
Slideshow Right Arrow