HI DHS 1640 2014 free printable template

State of Hawaii DEPARTMENT OF HUMAN SERVICES Social Services Division Adult Protective & Community Services Branch CONFIDENTIAL REPORT FORM FOR SUSPECTED ABUSE AND NEGLECT OF VULNERABLE ADULTS In

How to fill out HI DHS 1640

How to fill out HI DHS 1640

1. Obtain the HI DHS 1640 form from the official website or local office.
2. Fill out your personal information at the top of the form, including your name, address, and contact details.
3. Provide details about your household members, including their names, relationships to you, and ages.
4. Indicate your current income sources and amounts, including wages, benefits, or any other financial support.
5. Complete any sections related to employment history, education, or skills if required.
6. Answer any additional questions about your circumstances that are listed on the form.
7. Review the form for accuracy and completeness before submitting.
8. Sign and date the form as required.
9. Submit the completed form to the designated office either by mail or in person as instructed.

Who needs HI DHS 1640?

1. Individuals or families seeking financial assistance or support services from Hawaii's Department of Human Services.
2. Those who need to apply for specific programs requiring verification of income, household size, or need for assistance.

People Also Ask about

What is considered elder abuse in Alabama?

(a) A person commits the crime of elder abuse and neglect in the first degree if he or she intentionally abuses or neglects any elderly person and the abuse or neglect causes serious physical injury to the elderly person.

How do I report elderly abuse in Hawaii?

To make a report call: To report abuse, neglect, and/or exploitation of vulnerable adults: Call the Statewide APS Reporting Line at (808) 832-5115.

What is the definition of elder abuse in Hawaii?

(1) A person commits the offense of endangering the welfare of an incompetent person if he knowingly acts in a manner likely to be injurious to the physical or mental welfare of a person who is unable to care for himself because of physical or mental disease, disorder, or defect.

How do I report elder financial abuse in Hawaii?

To report abuse, neglect, and/or exploitation of vulnerable adults: Call the Statewide APS Reporting Line at (808) 832-5115.

What are the 5 different forms of elder abuse?

The 7 most common types of elderly abuse include physical abuse, neglect, emotional abuse, financial abuse, sexual abuse, self-neglect, and abandonment. Any of these elder abuse types can be devastating to older people and their families.

What constitutes elder abuse in Hawaii?

PHYSICAL ABUSE: Non-accidental injury, pain, or impairment, such as from hitting, slapping, improper physical restraint, or poisoning. PSYCHOLOGICAL ABUSE: Threats, insults, harassment, humiliation, provocation, or intimidation that profoundly confuse or frighten the vulnerable adult.

What is considered abuse of the elderly?

Examples include humiliation or disrespect, verbal and non-verbal threats, harassment, and geographic or interpersonal isolation. Neglect is the failure to meet an older adult's basic needs. These needs include food, water, shelter, clothing, hygiene, and essential medical care.

How do I report elder abuse in Alabama?

Report Abuse, Neglect and Exploitation Call the Adult Abuse Hotline at 1-800-458-7214 to report suspected mistreatment.

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What is HI DHS 1640?

HI DHS 1640 is a form used by the Hawaii Department of Human Services for reporting specific information related to health and social services.

Who is required to file HI DHS 1640?

Individuals or entities that engage in activities requiring oversight or reporting to the Hawaii Department of Human Services are typically required to file HI DHS 1640.

How to fill out HI DHS 1640?

To fill out HI DHS 1640, provide the required information in the designated fields, ensuring that all sections are completed accurately before submitting the form.

What is the purpose of HI DHS 1640?

The purpose of HI DHS 1640 is to collect data that assists in the administration and monitoring of health and social services programs in Hawaii.

What information must be reported on HI DHS 1640?

Information that must be reported on HI DHS 1640 includes personal identification details, service utilization data, and any other relevant information as specified by the form’s guidelines.