(a)
(1) The written abuse reports required for the reporting of abuse, as defined in this chapter, must be submitted on forms adopted by the Department of Human Services after consultation with representatives of the various law enforcement agencies, the Department of Health, professional medical and nursing agencies, hospital associations and district welfare agencies. The Department of Human Services and the ombudsman programs shall distribute these reporting forms. The reporting form may also be used for documenting the telephone report of a known or suspected instances of abuse of an elder or dependent adult by the Department of Human Services, ombudsman program, and local law enforcement agencies.
(2) The forms required by this section must contain all of the following items:
(A) The name, address, telephone number, and occupation of the person reporting;
(B) The name and address of the victim;
(C) The date, time, and place of the incident;
(D) Other details, including the reporter's observations and beliefs concerning the incident;
(E) Any document relating to the incident made by the victim;
(F) The name of any individuals believed to have knowledge of the incident; and
(G) The name of the individuals believed to be responsible for the incident and their connection to the victim.
(b)
(1) Each district of the Department Human Services shall report to the Commissioner of the Department of Human Services monthly on the reports received under to this chapter. The reports must be made on forms adopted by the Department. The information reported must include, but must not be limited to, the number of incidents of abuse, the number of persons abused, the type of abuse sustained, and the actions taken on the reports. For purposes of these reports, sexual abuse must be reported separately from physical abuse.
(2) The department shall refer to the Department of Health monthly data summaries of the reports of elder or dependent adult abuse, neglect, abandonment, isolation, and financial abuse, and other abuse it receives from district adult protective services agencies.