State of North Dakota - Vulnerable Adult Protective Services Report - Use this web site only to make a non-urgent report for an adult. If a vulnerable adult is in immediate danger, call local law enforcement.







In this section, you will fill out your contact information so that we can contact
            you if we need additional information.  We must have at least your name and a phone
            number to ensure that we can properly address your concern in case additional information is needed. In this section, you will fill out your contact information so that we can contact you if we need additional information. We must have at least your name and a phone number to ensure that we can properly address your concern in case additional information is needed.

In this section, you will describe what caused you to fill out a report on the Vulnerable Adult. Please be as detailed as possible. Reporter may be called by Vulnerable Adult Protective Services Worker to gather any further details. In this section, you will describe what caused you to fill out a report on the Vulnerable Adult. Please be as detailed as possible. Reporter may be called by Vulnerable Adult Protective Services Worker to gather any further details.
What date did the incident occur?
:

Please describe the incident in details and include the following information. Please describe the incident in details and include the following information.















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