Get Ma Disabled Persons Protection Commission Abuse Reporting Form 2018-2026

This guide provides clear instructions on how to complete the MA Disabled Persons Protection Commission Abuse Reporting Form online. It is essential to accurately fill out this form to ensure proper reporting and assistance for individuals facing abuse or neglect.

Follow the steps to accurately complete the form

1. Click the ‘Get Form’ button to access the MA Disabled Persons Protection Commission Abuse Reporting Form and open it in your document editor.
2. Begin by providing your reporter information. Fill in your name, occupation, agency, address, telephone number, and alternate telephone number in the respective fields.
3. Next, move to the section for the alleged victim of abuse. Input the victim's name, address, telephone number, date of birth or approximate age, gender, and social security number as requested. Be sure to note any preferred language or communication needs and any disabilities they may have.
4. Describe the nature of the assistance the person requires due to their disability in the specified field.
5. In the 'Description of Abuse' section, provide a detailed account of the incident of alleged abuse or neglect. Include names, dates, times, and any specific facts relevant to the situation.
6. Detail any injuries witnessed, including their size, shape, and location, along with information about any medical treatment that was necessary.
7. If applicable, describe any emotional injuries and the impact these had on the victim’s ability to function.
8. If the abuse is sexual in nature, indicate whether the police were notified and if medical treatment was provided.
9. Fill in the information about the person responsible for the victim's care at the time of the incident, including their name, telephone number, and relationship to the victim.
10. Provide details regarding the alleged abuser, filling in their name, telephone number, address, date of birth or approximate age, gender, social security number, and their relationship to the victim.
11. Include information about any persons or agencies that may have knowledge of the victim and their relationship to the victim.
12. In the 'Risk' section, address whether the alleged abuser still has access to the victim and describe any protective actions already taken.
13. Conclude the form by indicating whether an oral report was filed. If yes, provide the date and time of that filing.
14. After all sections are complete, save your changes, then download, print, or share the form as needed.

Complete your reporting online to ensure timely assistance and protection for those in need.