If you are a mandated reporter, please also complete a Suspected Dependent Adult/Elder Abuse SOC 341 Form
The form contains instructions on how to fill it out. There are 4 options for getting the completed form to the HHSA:
- Bring a copy of the completed form to the front desk of the Willows HHSA office at 420 E. Laurel Street , or the Orland office at 127 E. Walker Street.
- Fax a copy to 530-865-1243.
- Mail a copy to:
Glenn County Adult Protective Services
PO BOX 611, Willows, CA 95988
*Keep a copy for your own records as well.
- Email a copy to: email@example.com