ONLINE REPORT OF SUSPECTED DEPENDENT ADULT/ELDER ABUSE AND NEGLECT

If your county is not listed, please contact your local APS agency by telephone.

APS Phone Hotlines by County:

IMPORTANT:


Begin Your Online Report Here

Select County

Alameda County Intake Report Form

Contra Costa County Intake Report Form

Glenn County Intake Report Form

Imperial County Intake Report Form

Lake County Intake Report Form

Napa County Intake Report Form

Riverside County Intake Report Form

Sacramento County Intake Report Form

San Bernardino County Intake Report Form

San Diego County Intake Report Form

San Francisco County Intake Report Form

San Joaquin County Intake Report Form

San Luis Obispo County Intake Report Form

Santa Barbara County Intake Report Form

Santa Cruz County Intake Report Form

Solano County Intake Report Form

Trinity County Intake Report Form

Ventura County Intake Report Form

By submitting this report:

*I acknowledge that I am a mandated reporter by provision of the California Welfare and Instituations Code (WIC) and the report I am submitting does not require an emergency response.

*I understand that if I make errors in completing the form, the page will display error messages at the top of the page or next to the phone number. I must resolve the errors before I submit the form. (NOTE: The most error is phone number. Phone numbers must be xxx-xxx-xxxx.)

*I understand that if I did not see a confirmation message stating that my report has been submitted it means my report has not been submitted and I must check for errors or incomplete entries on the form.

*I understand that I will be presented with an option to print the SOC 341 for my records once the report has been submitted. I will not have a chance to print it after that.

For more information on who is a Mandated Reporter visit:


http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15630