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2. At-Risk Adults Mandated Reporter's Resource Guide

   All Meals on Wheels and Senior Life Center staff members (volunteers are considered unpaid staff) are mandated reporters according to state law.

   Any person employed by any program or service funded in part or in full by the statewide aging program, who has reasonable cause to believe that a disabled adult age 18 or older, or elder person age 65 or older, not residing in a long-term care facility, is being abused, neglected or exploited must report the abuse, neglect or exploitation situation to the Georgia Department of Human Service Division of Aging Services' Adult Protective Services Central Intake and to a law enforcement agency of appropriate jurisdiction. If the adult is a resident of a longterm care facility, the report should be made to the Georgia Department of Community Health Healthcare Facililty Regulation Division.

   By typing your first and last name in the fields below, you acknowledge that you have downloaded and reviewed the At-Risk Adults Mandated Reporter's Resource Guide, available on the previous webpage, and have familiarized yourself with your duties as a mandated reporter.

4. First Name*
5. Last Name*
6. Today's Date*
   Today's Date
8. Training Videos*

   1. Yes
   2. No

   If you have viewed the Mobile Meals app informational video, please select "Yes".

10. Acknowledgment

    By typing your first and last name in the fields below, you acknowledge that you have viewed the Mobile Meals app informational video.

12. First Name*
13. Last Name*
14. Today's Date*
    Today's Date
16. Phone Number*

    Please provide a phone number and/or email address for the Meals on Wheels compliance associate to contact you.

17. Email Address*
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field