Executive Office of Elder Affairs Commonwealth of Massachusetts
HAVE YOU MADE YOUR VERBAL REPORT YET?
This form should ONLY be submitted after a verbal report has been made.
Mandated reporters who suspect that an elderly person is suffering from abuse or neglect should immediately call the Elder Abuse Hotline at 1-800-922-2275.
Use (Ctrl + P) on your keyboard for a printed copy of the completed form.
DOWNLOAD ELDER ABUSE MANDATED REPORTER FORM