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APPENDIX C DECLARATION OF ADULT ABUSE REGISTRY AND/OR CHILD ABUSE REGISTRY RECORDS This form is to be completed by persons applying to provide day services supports and/or transportation services
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How to fill out declaration of adult abuse
How to fill out declaration of adult abuse
01
Obtain the declaration of adult abuse form from the appropriate agency or organization.
02
Fill in the personal information of the person making the declaration, including name, address, and contact information.
03
Provide details of the alleged abuse, including dates, locations, and descriptions of the incidents.
04
Sign and date the declaration in the presence of a witness, who must also sign and provide their contact information.
05
Submit the completed declaration to the appropriate authorities or agency for further investigation.
Who needs declaration of adult abuse?
01
Individuals who suspect or have witnessed abuse of an adult may need to fill out a declaration of adult abuse.
02
Caregivers, family members, healthcare professionals, social workers, and other concerned parties may also need to fill out this form if they have knowledge of potential abuse.
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What is declaration of adult abuse?
Declaration of adult abuse is a form used to report instances of abuse or neglect of vulnerable adults.
Who is required to file declaration of adult abuse?
Anyone who knows or suspects that a vulnerable adult is being abused or neglected is required to file a declaration of adult abuse.
How to fill out declaration of adult abuse?
To fill out a declaration of adult abuse, one must provide details about the alleged abuse or neglect, the circumstances surrounding it, and any supporting evidence.
What is the purpose of declaration of adult abuse?
The purpose of declaration of adult abuse is to ensure that vulnerable adults are protected from abuse and neglect by providing a formal mechanism for reporting and investigating such cases.
What information must be reported on declaration of adult abuse?
Information such as the name of the abused adult, the nature of the abuse or neglect, the date and location of the incident, and any witnesses or evidence should be reported on the declaration of adult abuse.
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