division of Aging and Adult Services

File an APS report

Please review this page before accessing the online form link at the bottom of this page. Many fields on the form are mandatory and will not allow you to file a report unless completed.

 

Why report online?

  • Our online reporting form is available 24 hours a day, seven days a week.
  • The Central Intake Unit (CIU) is available via telephone Monday-Friday 7 a.m. to 7 p.m. & Saturday-Sunday 10 a.m. to 6 p.m.
  • There are no hold times when filing online!
 

What should I expect?

  • Once received, any report meeting investigative criteria (abuse/neglect/exploitation & vulnerability) will be forwarded to the proper field office for investigation within eight [8] hours of receipt. 
  • Field investigators will make initial contact with clients within two [2] business days.
  • If your report is not sent to a local office for investigation,  that means the information you provided did not meet the guidelines for assignment according to Arizona Revised StatutesExternal Link Icon . Be sure you have answered all the questions as thoroughly as possible. Providing detailed and descriptive information about the situation you are reporting helps the Central Intake Unit more accurately assess the need for an investigation. Be sure to include your email address and phone number for follow-up contact.
 

Can I file a report anonymously?

  • Our policy requires the CIU to assess and accept 100% of reports on abuse, neglect and exploitation of a vulnerable adultExternal Link Icon
  • On-line reporting is not able to accept anonymous reports.
  • If you do not feel comfortable filling out the online report with identifying information, we encourage you to call our hotline during business hours at 1(877) SOS-ADULT. Trained CIU staff are able to take anonymous reports via the telephone.
 

More online report basics:

  • To ensure the information you report is confidential, we have designed our web site so the information cannot be saved on your computer. You may print your report just prior to submitting it. 
  • ONLY the trained professionals at the Central Intake Unit can assess the information you submit via the Internet. They are the same intake workers you are accustomed to speaking with on the phone. 
  • This Web site's security is sufficient to permit HIPAA-covered entities to file reports of adult abuse, neglect or exploitation, as mandated by state law. The session between the reporter and the server is encrypted, using Secure Socket Layer technology (SSL). The transmission is secure. The data flow is one way, from the reporter to the server. The reporter sees only a blank form. The reporter, cannot access any data submitted, including his/her own.
 

Access the APS online Abuse / Neglect / Exploitation Form

 

Adult Abuse / Neglect / Exploitation Reporting Form

Do not wait for APS to respond if this is a true emergency situation. Call 911 immediately!


 

If you close this window prior to submitting the form, your information will be lost and you will have to start over.  

To submit a report anonymously, please call the Central Intake Unit at (877) 767-2385 during normal business hours. Faxes can be sent to (602) 277-4984. You may download the APS Intake form in English (180 KB Word Doc) or Spanish (203 KB Word Doc).


 

Directions:

  • Use the <TAB> key to navigate through the form.
  • Please don't use the <ENTER> key! It could accidently submit an erroneous / incomplete report and you'll have to start over.

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