Department on Aging
 

Elder Abuse Referral Form

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Elder Abuse Referral Form

Our Adult Protective Services Unit investigates allegations of abuse, neglect, financial exploitation and self-neglect. If you are concerned about the safety of an older adult in Milwaukee County, please complete this referral form and the information will be reviewed by our staff. The assigned investigator will contact you if further information is needed.

All referrals are kept anonymous.

Your Name:
Phone:
Email:
 
*Name of Individual You Are Concerned About:
Date of Birth:
Street Address:
City:
 
*Zip:
Phone:
 
Please describe the situation and the concerns you have for this individual's safety. (Provide as much detail as possible.)

 

MILWAUKEE COUNTY DHHS DIVISION ON AGING

1220 W. Vliet St., Suite 300
Milwaukee, WI 53205

Phone: (414) 289-6874
Toll Free:  1-866-229-9695
Fax: (414) 289-8568
TRS: 711
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Mission

Committed to the Independence and Dignity of Older Adults Through Advocacy, Leadership and Service

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