Acknowledgment of Mandated Reporter Status
CARS requires the completion of this form by all members as a prerequisite for release as an AIC.
If you have completed a paper form before August 2019, this does not apply to you.
Please read it IN FULL and discuss any questions with a preceptor before signing and submitting.
Email address *
Please read both pages of this document IN FULL.
Cases in the City of Charlottesville
Familiarize yourself with the Charlottesville APS reporting form at the site below
https://www.charlottesville.org/departments-and-services/departments-h-z/social-services/report-abuse/adult-protective-services

You may also call the Charlottesville Department of Social Services using the phone number below:
(434) 970-3400
Save this number in your phone.

For any cases outside of city limits, you may call the state hot-line
State Hotline: 1-888-832-3858
Save this number in your phone.
By typing your full name below, you are signing your name to the Acknowledgment of Mandated Reporter Status.
I affirm that I have read this statement and have knowledge and understanding of the reporting requirements, which apply to me pursuant to § 63.2-1606 of the Code of Virginia. *
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A copy of your responses will be emailed to the address you provided.
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