REPORT OF SUSPECTED DEPENDENT ADULT/ELDER FINANCIAL ABUSE
FINANCIAL INSTITUTIONS ONLY
PURPOSE OF THE FORM
This form is to be used by officers and employees of financial institutions (“mandated reporter(s)”) to report suspected
financial abuse suffered by a dependent adult or elder. Other types of dependent adult or elder abuse may be reported
using form SOC 341. This form is available on http://www.dss.cahwnet.gov/cdssweb/On-lineFor_298.htm#SOC.
An “elder is any person residing in California who is 65 years of age or older. A “dependent adult” is anyone residing in
California who is between the ages of 18 and 64 years, who has physical or mental limitations that restrict his or her
ability to carry out normal activities or to protect his or her rights, including, but not limited to, persons whose physical or
mental disabilities have diminished because of age. It also includes any person between the ages of 18 and 64 who is
admitted as an inpatient to a 24-hour health facility.
The oral or written report may be made to the adult protective services agency (APS) in the county where the apparent
victim resides, or to a law enforcement agency in the county where the incident occurred. If the mandated reporter knows
the apparent victim resides in a long-term care facility, the report must be provided to the local ombudsman or local law
enforcement agency. The mandated reporter must first report the incident by telephone, followed by a written report with-
in two working days, using the form. See http://www
.dss.cahwnet.gov/pdf/apscolist.pdf for a list of APS offices by county
.aging.state.ca.us/html/programs/ombudsman_contacts.html for county ombudsman offices.
WHAT TO REPORT
Any mandated reporter who, in his or her professional capacity, or within the scope of his or her employment has observed,
suspects, or has knowledge of an incident that reasonably appears to be financial abuse, or is told by an elder or a
dependent adult that he or she has experienced behavior constituting financial abuse, shall report the known or
suspected instance of abuse by telephone immediately, or as soon as practicably possible, and by written report sent
within two working days to the appropriate agency.
REPORTING PARTY DEFINITIONS
Officers and employees of financial institutions are mandated reporters of suspected financial abuse of an elder or
dependent adult residing in California (WIC 15630.1). Financial abuse of an elder or dependent adult generally means the
taking of real or personal property of an elder or dependent adult to a wrongful use, or assisting in doing so (WIC
15610.30). A mandated reporter who has direct contact with the elder or dependent adult, or who does not have direct
contact but reviews or approves the elder’s or dependent adult’s financial documents, records, or transactions, and who
reasonably believes that financial abuse has occurred, must report the incident by telephone immediately, or as soon as
practicably possible, and by written report sent within two working days to the local adult protective services agency or the
local law enforcement agency (WIC 15630.1(d)(1)).
IDENTITY OF THE REPORTING PARTY
The identity of all persons reporting suspected financial abuse shall be confidential and only disclosed among APS
agencies, local law enforcement agencies, Long-Term Care Ombudsman (LTCO) coordinators, Bureau of Medi-Cal Fraud
and Elder Abuse of the Office of the Attorney General, licensing agencies or their counsel, Investigators of the Department
of Consumer Affairs who investigate elder and dependent adult abuse, the Office of the District Attorney, the Probate Court,
and the Public Guardian, or upon waiver of the confidentiality by the mandated reporter or by court order.
When two or more mandated reporters are jointly knowledgeable of a suspected instance of abuse of a dependent adult
or elder, and when there is agreement among them, the telephone report may be made by one member of the group. Also,
a single written report may be completed by that member of the group. Any person of that group, who believes the report
was not submitted, shall submit the report.
SOC 342 (12/06) GENERAL INSTRUCTIONS
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