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Or 7384 Transmittal of this referral form via facsimile is strictly prohibited. Please print clearly using black or blue ink. REFERRAL INFORMATION TYPES OF ABUSE (Enter check in appropriate box) Referral taken by: Abandonment Mental/Emotional Material/Financial Neglect Physical Sexual Date: Time: Referring Person: Anonymous (Enter check if appropriate) Agency: Other: Self Neglect Phone No.: Contact Person: ALLEGED ABUSER INFORMATION Phone N.

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To report adult abuse, call (within New York State only): 1-844-697-3505 between 8:30 a.m. and 8 p.m. or contact the local, county social services department's Adult Protective Service bureau.

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.

To report adult abuse, call (within New York State only): 1-844-697-3505 between 8:30 a.m. and 8 p.m. or contact the local, county social services department's Adult Protective Service bureau.

WHAT DOES APS DO? Receives reports of alleged abuse, neglect, self-neglect or financial exploitation and determines if the client is eligible. Investigates the allegations through interviewing the client, collateral contacts, alleged abuser(s) and through examining evidence such as medical and bank records.

If you or someone you know needs help, please refer them to APS by calling APS Central Intake Unit at 718-557-1399.

This includes, but is not limited to, abandonment, deprivation of food, medication, water, heat, cleanliness, eyeglasses, dentures, or health-related services.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232