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b) If the information is correct, please check the disclaimer checkbox that all information is correct to the best of           your knowledge and that the report is being made in good faith. 1 Middle Name 2 Doing so will autofill the VA's information and allow only self-neglect allegations to be available. (Click on the Buy a License button.) DHS licensing staff Licensed community program staff CA Note: If the VA is the alleged perpetrator, select Yes. DE TX Witness Olmsted Select one This application uses licensed Geocortex Essentials technology for the Esri ® ArcGIS platform. Beltrami Corrections staff Mahnomen 7 1) Please review the information that has been entered on each screen. 626.557, Subd. Mandated reporters, designated facility reporters, law enforcement, counties, and lead investigative agencies must complete all required fields and successfully submit the report to meet a duty as a mandated reporter. Was the alleged perpetrator providing services licensed by the Minnesota Department of Human Services This reporting form may be unavailable occasionally for system maintenance. Select one Facility staff - residential Impact/Effects on VA ODFW biologists look at harvest, hunting pressure, and the number of people who got a tag but didn’t hunt when they set regulations. WV If your call requires action, the Ministry of Natural Resources and Forestry will follow up appropriately. Attorney The four options below are designed for self-motivated students with good reading and comprehension skills - just choose one. sec. Required notifications to Law Enforcement and Emergency Protective Services will be made by MAARC. Please indicate any safety concerns regarding the current location of the vulnerable adult. AZ After the penalty was announced, reporting rates went from about 40 percent to an average of 80-85 percent for deer and elk tags. Vulnerable Adult (VA) Lincoln Contact: odfw.commission@state.or.us (At least one option under 'Disabilities' OR 'Needs Assistance' must be checked. Hunters that don’t report would need to pay the $25 penalty before they can purchase another license and tag. MN Additional Sources of Information and VA Support Persons *, Date of birth or estimated age is required. No Law enforcement Yes, MDH licensed provider DISCLOSURE: Prior to any disclosure refer to MN Stat. Marshall Unlike general season hunts where anyone can buy a tag over-the-counter, controlled hunts are limited entry hunts that require you... Current conditions and opportunities to fish, hunt and view wildlife. Main Phone (503) 947-6000 (800) 720-6339, Do you have a question or comment for ODFW? You will need to verify / look up your account on the MyODFW.com licensing page. If you want to print or save this form in PDF format for your records, click the "Print" button below. 2012 incentive tag winner and hunting partner with an elk taken in Wenaha Unit. Relationship To Alleged Victim/Alleged Perpetrator* IA Reporter-Information Source Yellow Medicine Date/Time Submitted:    Web Report Number: MAARC is not able to provide any further information regarding the status of submitted reports. (At least one item from the following needs to be selected, select all that apply and provide the applicable information within that field. Murray *   Check all that apply.). Court personnel Financial institution staff Can’t find what you need? Safety Physician - dental Your form has been submitted to the Minnesota Adult Abuse Reporting Center (MAARC). UT 9-1-1 should be called before making a MAARC report when reporting abuse, which is also a suspected crime, such as physical or sexual assault, or caregiver neglect that results in injury or death, so police can protect the victim, gather evidence and talk to those involved in a timely manner. Alleged Perpetrator (AP) Alleged Perpetrator (AP) No, though reporting is also required for any of these tags that are purchased. Day program staff Select one Other Goodhue Public health nurse Safety If yes, a secondary address is required to assist in locating the VA upon discharge, (At least one option under 'Disabilities' OR 'Needs Assistance' must be checked. Winner of 2010 incentive tag with 4-pt buck, A worksheet is available for use in report preparation: Preparation Worksheet (pdf). Nurse Blue Earth Number of Total Perpetrators * Watonwan ID IL ME Salem, OR 97302   Does the Reporter/Information Source wish to receive notification of the status of the report? Norman This person may be a VA based on the following condition or need: This person is unable to meet their own needs or requires assistance for: This person receives services from:* (At least one option must be checked. Becker No    This number stays the same year after year so you can also use an old license or tag. on behalf of a reporter as required by MN Stat. Waseca Otter Tail No   VA has experienced serious injury as a result of maltreatment? 8 All rights reserved. No *, Are you the Designated Facility Reporter for a DHS licensed provider or a MDH licensed provider? Winners can choose to hunt deer, elk or pronghorn in an expanded hunt area and for an extended season. ODFW believes most of these hunts will be reported when hunters report deer and elk tags. If you are reporting an emergency that requires immediate assistance from law enforcement, the fire department, or an ambulance, first call 911. Physician - medical Every hunter who purchased a deer, elk, cougar, bear, pronghorn or turkey tag needs to report. Connect to the Ministry's information pipeline and get access to data and reports directly from the source via our new collaborative online stakeholder platform.

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