Mandated reporting forms mn

Minnesota Adult Abuse Reporting Center (MAARC) Mandated Reporter Form DISCLOSURE: Prior to any disclosure refer to MN Stat. sec. 13.02 and MN Stat. sec. 626.557, Subd. 12b

Refer to the MAARC Mandated Reporter Guide for information on using the web-based reporting system.

Instructions - Do not save a copy of this form for future use. Successful submissions must be created directly from this site.

This reporting form may be unavailable occasionally for system maintenance. To meet mandated reporter duties, an oral report may be made 24 hours a day, seven days a week, by calling the Minnesota Adult Abuse Reporting Center at 1-844-880-1574.

If you are reporting an emergency that requires immediate assistance from law enforcement, the fire department, or an ambulance, first call 911.

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.

This form is only for use by mandated reporters. 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.

• Do not use the browser buttons. If you use the browser button, you could lose all of the information that has been entered.
• Do not use the Internet Explorer browser as it is no longer supported.
• Partially completed reports cannot be submitted or saved for later completion.
• Data entered on each page is saved as you navigate between pages. Navigating to pages in the report can be completed by selecting the page from the dropdown menu or by clicking >.
• The Web Report number is the confirmation number that will appear after successful submission of the report.
• A copy of the completed report may be printed or saved after successful submission of the report.