Making Reports to Adult Protective
Services (Report of Harm)
How to make a Report of Harm on a vulnerable adult:
- You may call to report suspected abuse of a vulnerable adult to 1-800-478-9996 (in state only) or 907-269-3666.
- You may complete the Report of Harm PDF/Word form on-line, print and submit it by fax or email.
- You may fax a Report of Harm form to 907-269-3648.
of Harm Form (pdf form)
Report of Harm Form (word form)
What Must be Reported to APS?
Any incident in which a vulnerable adult suffers harm from abandonment, abuse, exploitation, neglect or self-neglect. Mandated reporters are encouraged to use the “Report of Harm for the Protection of Vulnerable Adults” form to report incidents to Adult Protective Services. A report must be received by Adult Protective Services within 24 hours
of the reporter becoming aware of the alleged abuse, exploitation, or neglect. Should the form be inaccessible or unusable for any reason, mandated reporters are instructed to not delay reporting and may call Adult Protective Services at 1-800-478-9996 (in state only) or 907-269-3666.
To Whom Should Reports be
Reports should be made to Adult Protective Services within 24 hours. Mandated reporters who knowingly fail to report the abandonment, abuse, exploitation, neglect or self neglect of a vulnerable adult may be found guilty of a class B misdemeanor. In the case of an emergency, reporters may contact their local law enforcement before contacting Adult Protective Services.
How is Confidentiality
Investigatory reports and reports of the abandonment,
abuse, exploitation, neglect or self-neglect of a vulnerable adult
are confidential and are not subject to public inspection and copying.
Investigative reports may be used by appropriate agencies or individuals
inside and outside the state in connection with investigations or
judicial proceedings involving the abandonment, abuse, exploitation,
neglect or self-neglect of a vulnerable adult. Individuals who report
abandonment, abuse, exploitation, neglect or self-neglect of a vulnerable
adult may remain anonymous.
Is there Immunity from
Persons who make reports in good faith are
immune from liability and protected by law from retaliation.