REPORT AN INCIDENT

If you have witnessed an incident involving an individual with a developmental disability, please fill out the form below or call us immediately.

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Report an Incident BROKEN CAPTCHA

Name (optional)
Individual's name if possible
Tell us what you witnessed. Provide as much detail as possible including when and where the incident occurred; who was involved; and whether or not law enforcement was contacted.
Max. file size: 16 MB.
If you are a provider, please submit an incident report.
This field is for validation purposes and should be left unchanged.

When in doubt, file a report!

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