This government document is issued by Department of Aging for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:p5rt2izphxk&q=https://www.aging.pa.gov/publications/policy-procedure-manual/Documents/Chapter%2520VII_%2520Protective%2520Services%2520(7-2022)/Appendix%2520E.5.%2520Mandatory%2520Abuse%2520Reporting%2520Packet%25202019.pdf&sa=U&ved=2ahUKEwiZg_mx7K_8AhWNRMAKHYA6Ay44KBAWegQIBxAB&usg=AOvVaw0lVlrMjEbd3r7dg04k5qLW