WV Adult Protective Services Mandatory Reporting Form 2015 free printable template

West Virginia Department of Health and Human Resources Adult Protective Services Mandatory Reporting Form (Use this form to report suspected abuse, neglect, financial exploitation or an immediate

How to fill out WV Adult Protective Services Mandatory Reporting

How to fill out WV Adult Protective Services Mandatory Reporting Form

1. Obtain the WV Adult Protective Services Mandatory Reporting Form from the appropriate agency.
2. Fill in the reporting individual's details including name, contact information, and relationship to the adult in question.
3. Provide the adult's details including name, address, age, and relationship to the reporter.
4. Describe the concerns regarding the adult's safety or well-being, providing specific instances if possible.
5. Include any known information about the alleged perpetrator, if applicable, such as name and relationship to the adult.
6. Sign and date the form to certify the accuracy of the information provided.
7. Submit the completed form to the designated Adult Protective Services agency or office.

Who needs WV Adult Protective Services Mandatory Reporting Form?

1. Mandatory reporters such as healthcare professionals, social workers, law enforcement officers, and educators are required to use the WV Adult Protective Services Mandatory Reporting Form when they suspect abuse or neglect of vulnerable adults.

People Also Ask about

What constitutes elder abuse in WV?

What is. Elder Abuse? Elder abuse includes physical, emotional, or sexual harm inflicted upon an older adult, their financial exploitation, or neglect of their welfare by people who are directly responsible for their care.

Is APS the same as CPS?

Adult Protective Services (APS) has a similar mission to CPS, but they are charged with protecting the elderly and vulnerable in Washington State. They are often called by family members, medical professional, ambulance workers, and others that work with the elderly and infirm.

What is the WV Code 61 2 29?

(a) A caregiver who intentionally and maliciously neglects an incapacitated adult causing death is guilty of a felony and, upon conviction thereof, shall be fined not more than $5000 and be imprisoned in a state correctional facility for a definite term of not less than five nor more than fifteen years.

What is CPS called in California?

The Child Protective Services is the major system of intervention of child abuse and neglect in California. Existing law provides for services to abused and neglected children and their families.

What is Texas version of CPS?

Texas Department of Family and Protective Services (DFPS)

How do I report elder abuse in West Virginia?

Reports can also be made to the Abuse and Neglect Hotline ( 1-800-352-6513 ) 7 days a week, 24 hours a day.

For pdfFiller’s FAQs

How can I send WV Adult Protective Services Mandatory Reporting for eSignature?

When you're ready to share your WV Adult Protective Services Mandatory Reporting, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.

Can I sign the WV Adult Protective Services Mandatory Reporting electronically in Chrome?

You can. With pdfFiller, you get a strong e-signature solution built right into your Chrome browser. Using our addon, you may produce a legally enforceable eSignature by typing, sketching, or photographing it. Choose your preferred method and eSign in minutes.

Can I create an electronic signature for signing my WV Adult Protective Services Mandatory Reporting in Gmail?

You may quickly make your eSignature using pdfFiller and then eSign your WV Adult Protective Services Mandatory Reporting right from your mailbox using pdfFiller's Gmail add-on. Please keep in mind that in order to preserve your signatures and signed papers, you must first create an account.

What is WV Adult Protective Services Mandatory Reporting Form?

The WV Adult Protective Services Mandatory Reporting Form is a document that individuals or professionals must complete when they suspect that an adult may be experiencing abuse, neglect, or exploitation.

Who is required to file WV Adult Protective Services Mandatory Reporting Form?

Mandatory reporters include professionals who work with vulnerable adults, such as healthcare providers, social workers, law enforcement officers, and employees of agencies that provide services to adults.

How to fill out WV Adult Protective Services Mandatory Reporting Form?

To fill out the form, provide detailed information about the suspected abuse, including the adult's identity, the nature of the suspicion, and any relevant observations or evidence. Ensure all required sections are completed clearly.

What is the purpose of WV Adult Protective Services Mandatory Reporting Form?

The purpose of the form is to report suspected abuse, neglect, or exploitation of vulnerable adults to ensure their safety and to initiate investigative procedures by the appropriate authorities.

What information must be reported on WV Adult Protective Services Mandatory Reporting Form?

The form must include the adult's name, address, date of birth, description of the suspected abuse or neglect, details about the alleged perpetrator, and any other relevant information that can assist in the investigation.