Adult Protective Services Web Inquiry Form

This form is not to be used for making a report of abuse, neglect or exploitation.

Use this link to make a report of abuse, neglect or exploitation.

The form below allows you to e-mail Adult Protective Services (APS) with your questions and concerns.

Adult Protective Services takes every inquiry and comment very seriously and asks that you fill out the form as completely as possible so your questions or problem can be addressed.

Emails will be responded to in a timely manner.

Please note that the State Offices are open for business Monday through Friday from 7:45 am to 4:30 pm except for Holidays, and are closed on the weekends.

Fields marked with a red * are "required" fields.

Your Name

Enter your First and Last names.

Your Email Address

Enter your Email Address.

Your Phone Number

Enter your Phone Number, please include the Area Code. List your phone number in the following way: 802-123-4567

Subject

Enter a few words about your inquiry.

Questions/Comments

Please provide a brief message.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.