Department on Aging
 

Elder Abuse Referral Form

It's important that everyone take steps to reduce the spread of Coronavirus Disease 2019 (COVID-19). Find out more about COVID-19 and our ongoing response.

Updates in Response to Coronavirus (COVID-19)

Complete details on MCDA services that will be changing at this time as a precaution. 

Elder Abuse Referral Form

Our Elder Abuse 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:

 
Please describe the situation and the concerns you have for this individual's safety. (Provide as much detail as possible.)

 

MILWAUKEE COUNTY DEPARTMENT 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
Email

Services

Connect

Mission

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

This site is powered by the Northwoods Titan Content Management System

Menu

X