Login

Inland Regional Center

SIR@inlandrc.org

SeamlessDocs

If you are reporting a special incident involving a victim of crime and/or an allegation of abuse or neglect, please remember your mandated reporting requirements. If a report is made to APS, CPS, Long Term Care Ombudsman, and/or Law Enforcement, please remember to document the communication on Page 2 in the "Other Agencies or Individuals Notified" section of this SIR.
Please check that you agree before continuing.
I understand my reporting requirements as a mandated reporter and agree to fulfill my obligation to report any allegation of abuse/neglect or crime to the proper authorities.

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required