This form is used for: 1. In the space provided, record the date in a two-number format for the month, two-number format for the day, and a four-number format for the year, as indicated.The Department of Elder Affairs administers programs and services for elders across the state of Florida through 11 Area Agencies on Aging. How do I fill this out? DOEA Forms 701S, 701A, and 701B are used to conduct screenings and assessments for applicants and recipients of DOEA-funded programs and services. If you are seeking assistance for an older adult, and calling from Florida, please call 1-800-96-ELDER. For more information about Elder Options, please complete the form below. We will be in touch shortly. Name. Phone. Email. County. Step 1: Call your local area agency on aging (AAA). These agencies are also referred to as "aging and disability resource centers" (ADRC).