DHS 1640 WEB is Hawaii's online report form for suspected abuse, neglect or financial exploitation of a vulnerable adult, or serious self-neglect, sent to Adult Protective Services (APS). Mandated reporters under HRS §346-224 use it alongside a call to the statewide APS reporting line. Submitting it satisfies the written part of their reporting duty.
The reporter completes the whole online form, one report per alleged victim, covering the alleged victim, the alleged perpetrators and the incidents. Members of the public can use it too, but anonymous reports are made by phone.
Download the current version from the source each time; forms change without notice.
Report Form for Vulnerable Adult Abuse
This form is completed online with Hawaii Department of Human Services, Adult Protective Services, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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No. Mandated reporters must make an oral report and a written report. Hawaii's tip sheet says to call the statewide APS reporting line as soon as possible and also submit DHS 1640 WEB, which counts as the written report and can be filed after business hours.
You need an email address. The form logs you in with a verification code sent by email, keeps unfinished drafts on a dashboard for up to 30 days, and emails you a copy of the submitted report. Reporters without email can use a PDF version of DHS 1640 linked from the online form.