OMB Control Number 0985-0054 

Expiration Date: 03/31/2026 

CASE COMPONENT DATA 

March 31, 2023 

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) 

Public reporting burden for this collection of information is estimated to average 100 hours per response, 

including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the 

collection of information. 

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information 

unless it displays a currently valid OMB control number. 
 

 

 

 

 

 

Case: The Case Component data is submitted by uploading a data file to the NAMRS website annually. Specific 

instructions will be provided to states on the data file formatting. The reporting period is the federal fiscal year 

(October–September). 

Table 1–Investigation Entity 

Each reporting period submission may have multiple investigations. 

Element 

No. 

Element 

Name 

Element Description Required Cardinality Type/Format Code Values 

Inv1 Investigation ID The unique identifier used by 

the state for each investigation. 

The identifier is assigned to a 

specific investigation and is 

only used once. The 

Investigation ID is encrypted by 

the state for purposes of data 

submission. 

States submitting data for 

multiple agencies should 

include in the identifier a code 

that indicates which agency 

conducted the investigation. 

Document the agency codes in 

the case component mapping. 

Yes Single Encoded ID Not applicable 

Inv2 Report date The month, day, and year the 

agency was notified of the 

suspected adult maltreatment. 

No Single Date 

yyyy-mm-dd 

Not applicable 

Inv3 Report source The role or profession of the 

person who made the report of 

the suspected adult 

maltreatment. Multiple report 

source code values can be 

submitted for the client. 

No Multiple Enumeration 

(code) 

1 = substitute decision 

maker 

2 = in-home caregiver 

3 = nursing home staff 

4 = residential care 

community staff 

5 = education professional 

6 = financial professional 

7 = law enforcement, 

judicial, or legal 

professional 

8 = medical or health 

professional 

9 = mental and behavioral 

health professional 

10 = social services 

professional 

11 = other professional 

12 = relative 

13 = neighbor, friend, 

other nonrelative, other 

nonprofessional 

14 = self 

15 = no role identified 

16 = Anonymous 

C-1 
 

Element 

No. 

Element 

Name 

Element Description Required Cardinality Type/Format Code Values 

Inv4 State/county 

FIPS code of 

investigative 

agency 

The Federal Information 

Processing Series for state (2 

digits) and county code (3 

digits) of the APS agency. 

(Primary agency responsible 

for the determination of the 

investigation) 

No Single FIPS (#####) Code is the unique 

identification number 

assigned to each state and 

county under the Federal 

Information Processing 

Standards (FIPS) 

guidelines. See 

http://www.census.gov/geo 

/www/fips/fips.html 

Inv5 Investigation 

start date 

The date the investigation is 

assigned to an investigation 

worker. If the agency uses 

another date to indicate the 

start of an investigation, that 

date is used. 

No Single Date 

yyyy-mm-dd 

Not applicable 

Inv6 Investigation 

disposition 

date 

The date that the agency 

completed dispositions on the 

allegations of maltreatment 

associated with the 

investigation. 

No Single Date 

yyyy-mm-dd 

Not applicable 

Inv7 Case closure 

date 

The date that the agency 

completed all activities related 

to the investigation of the case. 

Yes Single Date 

yyyy-mm-dd 

Not applicable 

Table 2–Client Entity 

Each investigation may have multiple clients. Each client can be associated with more than one investigation but 

a separate client entity is required for each investigation. 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt1 Client ID The unique identifier used by 

the state for each client. The 

identifier is assigned to a 

specific client and is used 

identify the same client 

across investigations and 

reporting periods. The client 

ID is encrypted by state for 

purposes of data submission. 

Data on multiple clients can 

be submitted for the 

investigation. 

Yes Single Encoded ID Not applicable 

C-2 
 

 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt2 Maltreatment 

setting 

The location where the 

alleged maltreatment 

occurred. 

No Single Enumeration 

(code) 

10 = own residence or 

private residence of 

relative or caregiver 

20 = residential care 

community (non-specific) 

21 = licensed residential 

care community 

22 = unlicensed 

residential care 

community 

30 = nursing home (nonspecific) 

31 = licensed nursing 

home 

32 = unlicensed nursing 

home 

40 = adult day services 

center (non-specific) 

41 = licensed adult day 

services center 

42 = unlicensed adult 

day services center 

50 = place of business or 

other services 

60 = other 

Clt3 State/county 

FIPS code of 

client 

The Federal Information 

Processing Series for state (2 

digits) and county code (3 

digits) of the client’s 

residence at the start of the 

investigation. 

No Single FIPS (#####) Code is the unique 

identification number 

assigned to each state 

and county under the 

Federal Information 

Processing Standards 

(FIPS) guidelines. See 

http://www.census.gov/ge 

o/www/fips/fips.html 

C-3 
 

 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt4 Case closure 

reason 

The primary reason why the 

case was closed. 

No Single Enumeration 

(code) 

10 = investigation 

completed 

20 = investigation 

completed and protective 

services case completed 

30 = investigation unable 

to be completed (nonspecific) 

31 = investigation 

unable to be completed 

due to death of client 

during investigation 

32 = investigation 

unable to be completed 

due to refusal of client 

40 = protective services 

case opened but not 

completed (non-specific) 

41 = protective services 

case closed due to death 

of client 

42 = protective services 

case closed due to client 

decision to not continue 

50 = other 

Clt5 Age The age of the client in years 

(at investigation start date). 

No Single Enumeration 

(code) 

18,19... = actual age 

Clt6 Gender identity The actual or perceived No Single Enumeration 1 = male 

gender-related characteristics (code) 2 = female 

of the client. 3 = transgender male 

4 = transgender female 

5 = nonbinary 

6= other 

Clt7 Sexual 

orientation 

The client’s enduring pattern 

of or disposition to experience 

sexual or romantic desires 

for, and relationships with, 

people of one’s same sex, the 

other sex, or both sexes. 

No Single Enumeration 

(code) 

1 = straight 

2 = gay/lesbian 

3 = bisexual 

4 = questioning 

5 = other 

C-4 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt8 Race The population(s) or group(s) 

that the client identifies as 

being a member. A client may 

have more than one race 

(multi-racial). For example, if 

a client is Asian and White, 

the client should be reported 

with both race values. If 

specific races cannot be 

identified for a multiracial 

client, the client is reported as 

“Other”. 

No Multiple Enumeration 

(code) 

10 = American Indian or 

Alaska Native 

20 = Asian (non-specific) 

21 = Asian Indian 

22 = Chinese 

23 = Filipino 

24 = Japanese 

25 = Korean 

26 = Vietnamese 

27 = Other Asian 

30 = Black or African 

American 

40 = Native Hawaiian or 

Other Pacific Islander 

(non-specific) 

41 = Native Hawaiian 

42 = Guamanian or 

Chamorro 

43 = Samoan 

44 = other Pacific 

Islander 

50 = White 

60 = Other 

Clt9 Ethnicity The affiliation of the client as 

Hispanic or Latino/a or nonHispanic or Latino/a. Multiple 

ethnicity code values can be 

submitted for the client. 

No Multiple Enumeration 

(code) 

10 = yes, Hispanic or 

Latino/a, or Spanish origin 

(non-specific) 

11 = Mexican, Mexican 

American, Chicano/a 

12 = Puerto Rican 

13 = Cuban 

14 = other Hispanic, 

Latino/a, or Spanish origin 

20 = no, not Hispanic or 

Latino/a, or Spanish origin 

Clt10 Primary 

language 

The primary language or 

method that the client uses 

for written and verbal 

communication. 

No Single Enumeration 

(code) 

1 = Arabic 

2 = Chinese 

3 = English 

4 = French 

5 = German 

6 = Korean 

7 = Russian 

8 = Spanish or Spanish 

Creole 

9 = Tagalog 

10 = Vietnamese 

11 = sign language 

12 = assistive technology 

13 = other 

C-5 
 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt11 Marital status The client’s status based on 

state residency laws. 

No Single Enumeration 

(code) 

1 = never married 

2 = married 

3 = domestic partner, 

including civil union 

4 = divorced 

5 = separated 

6 = widowed 

7 = other 

Clt12 Schooling level The highest educational 

degree attained by the client. 

No Single Enumeration 

(code) 

1 = less than high school 

2 = high school diploma or 

equivalent 

3 = associate’s degree or 

bachelor’s degree 

4 = advanced degree 

Clt13 Employment 

status 

The involvement of the client 

in the labor force. 

No Single Enumeration 

(code) 

1 = employed 

2 = unemployed 

3 = not in labor force 

4 = other 

Clt14 Income level The level of annual income of 

the client including all sources 

of income. 

No Single Enumeration 

(code) 

1 = less than $25,000 

2 = $25,000-$49,999 

3 = $50,000-$74,999 

4 = $75,000-$99,999 

5 = $100,000 or more 

Clt15 Benefits The federal and state benefits 

received by the client during 

the investigation. Multiple 

benefit code values can be 

submitted for the client. 

No Multiple Enumeration 

(code) 

1 = Medicaid 

2 = Medicare 

3 = publicly-subsidized 

housing 

4 = Social Security 

Disability Insurance 

(SSDI) 

5 = Social Security 

retirement benefits 

6 = Supplemental Security 

Income (SSI) 

7 = Temporary Assistance 

for Needy Families 

(TANF) 

8 = veterans’ disabled 

benefits 

9 = Supplement Nutrition 

Assistance Program 

10 = other 

Clt16 Veteran status The client’s status related to 

the US Armed Forces. 

No Single Enumeration 

(code) 

1 = veteran 

2 = non-veteran 

C-6 
 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt17 Disabilities The client’s physical, 

emotional, and mental health 

issues that result in limitation 

in activities and restrictions to 

fully participate at school, 

work, or in the community. 

Multiple disability code values 

can be submitted for the 

client. 

No Multiple Enumeration 

(code) 

1 = ambulatory difficulty 

2 = cognitive difficulty 

3 = communication 

difficulty 

4 = hearing difficulty 

5 = independent living 

difficulty 

6 = self-care difficulty 

7 = vision difficulty 

8 = other 

9 = none 

Clt18 ADL score The client’s score on the Katz 

Index of Independence in 

Activities of Daily Living 

(ADL). 

No Single Numeric 

(6 integers) 

Permissible values are 

0-6 

Clt19 IADL score The client’s score on the 

Lawton Instrumental Activities 

of Daily Living (IADL). 

No Single Numeric 

(6 integers) 

Permissible values are 

0-8 

Clt20 Behavioral 

health 

screenings or 

diagnoses 

The results of clinical 

assessments on the client, 

conducted by the APS 

agency. Multiple behavioral 

health code values can be 

submitted for the client. 

No Multiple Enumeration 

(code) 

1 = alcohol use disorder 

2 = anxiety 

3 = bipolar disorder 

4 = dementia 

5 = depression 

6 = schizophrenia and 

other psychotic disorders 

7 = substance use 

disorder 

8 = traumatic brain injury 

9 = client lacks decisionmaking ability (i.e., 

“capacity”) 

10 = other 

11 = none 

Clt21 Living setting at 

start 

The primary residential 

environment of the client at 

the start of investigation. 

No Single Enumeration 

(code) 

10 = own residence or 

residence of relative or 

caregiver 

20 = residential care 

community (non-specific) 

21 = licensed 

residential care 

community 

22 = non-licensed 

residential care 

community 

30 = nursing home (nonspecific) 

31 = licensed nursing 

home 

32 = non-licensed 

nursing home 

40 = other 

C-7 
 

 

 

 

 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt22 Living setting at 

close 

The primary residential 

environment of the client at 

the time of case closure. 

No Single Enumeration 

(code) 

10 = own residence or 

residence of relative or 

caregiver 

20 = residential care 

community (non-specific) 

21 = licensed residential 

care community 

22 = non-licensed 

residential care 

community 

30 = nursing home (nonspecific) 

31 = licensed nursing 

home 

32 = non-licensed 

nursing home 

40 = other 

Clt23 Substitute 

decision makers 

at start 

The authorizations that are in 

effect related to health, 

personal, or financial decision 

making for the client at the 

start of the investigation. 

Multiple substitute decision 

maker code values can be 

submitted for the client. 

No Multiple Enumeration 

(code) 

10 = health care proxy in 

effect 

20 = financial proxy in 

effect 

30 = guardianship or 

conservatorship (nonspecific) 

31 = guardianship or 

conservatorship of person 

32 = guardianship or 

conservatorship of 

property 

40 = representative payee 

50 = supported decisionmaking agreement 

60 = none 

Clt24 Substitute 

decision makers 

at close 

The authorizations that are in 

effect related to health, 

personal, or financial decision 

making for the client at time 

of case closure. Multiple 

substitute decision maker 

code values can be submitted 

for the client. 

No Multiple Enumeration 

(code) 

10 = health care proxy in 

effect 

20 = financial proxy in 

effect 

30 = guardianship or 

conservatorship (nonspecific) 

31 = guardianship or 

conservatorship of person 

32 = guardianship or 

conservatorship of 

property 

40 = representative payee 

50 = supported decisionmaking agreement 

60 = none 

C-8 
Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt25 Services at start The services known to the 

agency that the client was 

already receiving at the start 

of the investigation. Multiple 

service code values can be 

submitted for the client. 

No Multiple Enumeration 

(code) 

1 = care/case 

management services 

2 = caregiver support 

services 

3 = community day 

services 

4 = education, 

employment, and training 

services 

5 = emergency assistance 

and material aid services 

6 = financial planning 

services 

7 = housing and relocation 

services 

8 = in-home assistance 

services 

9 = legal services 

10 = medical and dental 

services 

11 = medical rehabilitation 

services 

12 = mental health 

services 

13 = nutrition 

14 = public assistance 

benefits 

15 = substance use 

services 

16 =transportation 

17 = victim services 

18 = other services 

19 = none 

C-9 
Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt26 Services APS The services that the agency 

provided on behalf of the 

client during the investigation 

or while the agency kept an 

open case. Multiple service 

code values can be submitted 

for the client. 

No Multiple Enumeration 

(code) 

1 = care/case 

management services 

2 = caregiver support 

services 

3 = community day 

services 

4 = education, 

employment, and training 

services 

5 = emergency assistance 

and material aid services 

6 = financial planning 

services 

7 = housing and relocation 

services 

8 = in-home assistance 

services 

9 = legal services 

10 = medical and dental 

services 

11 = medical rehabilitation 

services 

12 = mental health 

services 

13 = nutrition 

14 = public assistance 

benefits 

15 = substance use 

services 

16 =transportation 

17 = victim services 

18 = other services 

19 = none 

C-10 
Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt27 Services referred The services for which the 

agency referred the client. 

Multiple services code values 

can be submitted for the 

client. 

No Multiple Enumeration 

(code) 

1 = care/case 

management services 

2 = caregiver support 

services 

3 = community day 

services 

4 = education, 

employment, and training 

services 

5 = emergency assistance 

and material aid services 

6 = financial planning 

services 

7 = housing and relocation 

services 

8 = in-home assistance 

services 

9 = legal services 

10 = medical and dental 

services 

11 = medical rehabilitation 

services 

12 = mental health 

services 

13 = nutrition 

14 = public assistance 

benefits 

15 = substance use 

services 

16 =transportation 

17 = victim services 

18 = other services 

19 = none 

C-11 
 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt28 Services at close The services known to the 

agency that the client was 

receiving at the time of case 

closure. Multiple services 

code values can be submitted 

for the client. 

No Multiple Enumeration 

(code) 

1 = care/case 

management services 

2 = caregiver support 

services 

3 = community day 

services 

4 = education, 

employment, and training 

services 

5 = emergency assistance 

and material aid services 

6 = financial planning 

services 

7 = housing and relocation 

services 

8 = in-home assistance 

services 

9 = legal services 

10 = medical and dental 

services 

11 = medical rehabilitation 

services 

12 = mental health 

services 

13 = nutrition 

14 = public assistance 

benefits 

15 = substance use 

services 

16 =transportation 

17 = victim services 

18 = other services 

19 = none 

Clt29 Interagency 

coordination 

The agencies to which the 

client or case was referred. 

Multiple interagency 

coordination code values can 

be submitted for the client. 

No Multiple Enumeration 

(code) 

1 = law enforcement or 

prosecutorial offices 

2 = Protection and 

Advocacy or Client 

Advocacy Program (CAP) 

3 = state licensing agency 

4 = State Medicaid Fraud 

Control Unit (MFCU) 

5 = Long Term Care 

Ombudsman Program 

6 = Social Security 

Administration 

7 = Veteran’s 

Administration 

8 = Multidisciplinary 

Teams 

9 = other 

10= none 

C-12 
 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Clt30 Previous report The indication that the 

agency has information that 

No Single Enumeration 

(code) 

1 = yes 

2 = no 

the client was the subject of a 

previous report. 

Clt31 Communication The services that were No Multiple Enumeration 10 = Language 

Assistance necessary to address (code) interpretation 

language or communication 20 = Document translation 

barriers. 30 = Assistive technology 

40 = Other 

Table 3–Maltreatment Allegation Entity 

Each client may have multiple maltreatment allegation entities within a specific investigation but only one of a 

particular maltreatment type. Each maltreatment allegation entity is associated with only one client. Each 

maltreatment allegation entity must be composed of a maltreatment type and maltreatment disposition. 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Mal1 Maltreatment type The alleged maltreatments 

that are investigated. 

Yes Single (per 

entity) 

Enumeration 

(code) 

10 = abandonment 

20 = emotional abuse 

30 = exploitation (nonspecific) 

31= financial exploitation 

32= other exploitation 

40 = neglect 

50 = physical abuse 

60 = sexual abuse 

70 = suspicious death 

80 = self-neglect 

90 = other 

Mal2 Maltreatment 

disposition 

The disposition of each 

alleged maltreatment. 

Yes Single (per 

entity) 

Enumeration 

(code) 

1 = substantiated 

2 = inconclusive 

3 = unsubstantiated 

4 = other 

Table 4–Perpetrator Entity 

Each investigation may have zero, one, or more than one perpetrator. A perpetrator must be associated with at 

least one substantiated maltreatment investigation that is associated with a specific client within the investigation. 

A perpetrator may be associated with more than one investigation but a separate perpetrator entity is required for 

each of the associated investigations. 

C-13 
 

 

 

 

 

 

 

 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Per1 Perpetrator ID The unique identifier used by 

the state for the person who 

is found to be responsible for 

substantiated 

maltreatment(s). The identifier 

is assigned to a specific 

perpetrator and is used to 

identify the same perpetrator 

across investigations and 

reporting periods. The 

Perpetrator ID is encrypted by 

the state for purposes of data 

submission. 

Yes Single Encoded ID Not applicable 

Per2 Age The age of the perpetrator in 

years (at investigation start 

date). 

No Single Enumeration 

(code) 

17 = 17 and younger 

18,19... = actual age 

Per3 Gender identity The actual or perceived No Single Enumeration 1 = male 

gender-related characteristics (code) 2 = female 

of the perpetrator. 3 = transgender male 

4 = transgender female 

5 = nonbinary 

6= other 

Per4 Race The population(s) or group(s) 

that the perpetrator identifies 

as being a member. A 

perpetrator may have more 

than one race (multi-racial). 

For example, if a perpetrator 

is Asian and White, the 

perpetrator should be 

reported with both race 

values. If specific races 

cannot be identified for a 

multiracial perpetrator, the 

perpetrator is reported as 

“Other”. 

No Multiple Enumeration 

(code) 

10 = American Indian or 

Alaska Native 

20 = Asian (non-specific) 

21 = Asian Indian 

22 = Chinese 

23 = Filipino 

24 = Japanese 

25 = Korean 

26 = Vietnamese 

27 = Other Asian 

30 = Black or African 

American 

40 = Native Hawaiian or 

Other Pacific Islander 

(non-specific) 

41 = Native Hawaiian 

42 = Guamanian or 

Chamorro 

43 = Samoan 

44 = other Pacific 

Islander 

50 = White 

60 = Other 

C-14 
 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

Per5 Ethnicity The affiliation of the 

perpetrator as Hispanic or 

Latino/a or non-Hispanic or 

Latino/a. Multiple ethnicity 

code values can be submitted 

for the perpetrator. 

No Multiple Enumeration 

(code) 

10 = yes, Hispanic or 

Latino/a, or Spanish origin 

(non-specific) 

11 = Mexican, Mexican 

American, Chicano/a 

12 = Puerto Rican 

13 = Cuban 

14 = other Hispanic, 

Latino/a, or Spanish origin 

20 = no, not Hispanic or 

Latino/a, or Spanish origin 

Per6 Disabilities The perpetrator's physical, 

emotional, and mental health 

issues that result in limitation 

in activities and restrictions to 

fully participate at school, 

work, or in the community. 

Multiple disability code values 

can be submitted for the 

perpetrator. 

No Multiple Enumeration 

(code) 

1 = ambulatory difficulty 

2 = cognitive difficulty 

3 = communication 

difficulty 

4 = hearing difficulty 

5 = independent living 

difficulty 

6 = self-care difficulty 

7 = vision difficulty 

8 = other 

9 = none 

Per7 Behavioral health 

screenings or 

diagnoses 

The results of clinical 

ssessments on the 

perpetrator, conducted by the 

APS agency. Multiple 

behavioral health code values 

can be submitted for the 

perpetrator. 

No Multiple Enumeration 

(code) 

1 = alcohol use disorder 

2 = anxiety 

3 = bipolar disorder 

4 = dementia 

5 = depression 

6 = schizophrenia and 

other psychotic disorders 

7 = substance use 

disorder 

8 = traumatic brain injury 

9 = c client lacks decisionmaking ability (i.e., 

“capacity”) 

10 = other 

11 = none 

Table 5–Client Perpetrator Relationship Entity 

Each client and perpetrator can have a designated relationship if data on one or more of the entity attributes is 

provided. A client and perpetrator have only one relationship entity within an investigation. 

C-15 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

CPR1 Cohabitation at The indication if the No Single Enumeration 1 = yes 

start perpetrator and client are 

cohabitating at the start of the 

investigation. 

(code) 2 = no 

CPR2 Cohabitation at The indication if the No Single Enumeration 1 = yes 

close perpetrator and client are 

cohabitating at the time of 

case closure. 

(code) 2 = no 

CPR3 Kinship 

relationship 

The indication if the 

perpetrator is related to the 

client by affinity (blood, 

adoption, marriage, etc.). 

No Single Enumeration 

(code) 

10 = yes (non-specific) 

11 = spouse 

12 = domestic partner, 

including civil union 

13 = parent 

14 = child 

15 = sibling 

16 = grandparent 

17 = grandchild 

18 = other relative 

20 = none 

CPR4 Perpetrator 

association at 

start 

The indication if the 

perpetrator has a caregiving 

relationship to the client at the 

start of the investigation. 

No Single Enumeration 

(code) 

10 = nursing home staff 

20 = residential care 

community staff 

30 = relative caregiver 

(non-specific) 

31 = paid relative 

caregiver 

32 = unpaid relative 

caregiver 

33 = Home and 

Community Based 

Services waiver paid 

relative caregiver 

40 = nonrelative 

caregiver (non-specific) 

41 = paid nonrelative 

caregiver 

42 = unpaid nonrelative 

caregiver 

43 = Home and 

Community Based 

Services waiver paid 

nonrelative caregiver 

50 = other relationship 

60 = none 

C-16 
 

 

 

 

 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

CPR5 Perpetrator 

association at 

close 

The indication whether the 

perpetrator has a caregiving 

relationship to the client at 

time of case closure. 

No Single Enumeration 

(code) 

10 = nursing home staff 

20 = residential care 

community staff 

30 = relative caregiver 

(non-specific) 

31 = paid relative 

caregiver 

32 = unpaid relative 

caregiver 

33 = Home and 

Community Based 

Services waiver paid 

relative caregiver 

40 = nonrelative 

caregiver (non-specific) 

41 = paid nonrelative 

caregiver 

42 = unpaid nonrelative 

caregiver 

43 = Home and 

Community Based 

Services waiver paid 

nonrelative caregiver 

50 = other relationship 

60 = none 

CPR6 Perpetrator 

substitute 

decision maker 

at start 

Authorizations that the 

perpetrator has in relation to 

the client, and that are in 

effect, related to health, 

personal or financial decision 

making at the start of the 

investigation. Multiple 

substitute decision maker 

code values can be submitted 

for the client perpetrator 

relationship. 

No Multiple Enumeration 

(code) 

10 = health care proxy in 

effect 

20 = financial proxy in 

effect 

30 = guardianship or 

conservatorship (nonspecific) 

31 = guardianship or 

conservatorship of 

person 

32 = guardianship or 

conservatorship of 

property 

40 = representative 

payee 

50 = none 

C-17 
 

 

 

 

 

Element 

No. 

Element Name Element Description Required Cardinality Type/Format Code Values 

CPR7 Perpetrator 

substitute 

decision maker 

at close 

Authorizations that the 

perpetrator has in relation to 

the client, and that are in 

effect, related to health, 

personal or financial decision 

making at the time of case 

closure. Multiple substitute 

decision maker code values 

can be submitted for the client 

perpetrator relationship. 

No Multiple Enumeration 

(code) 

10 = health care proxy in 

effect 

20 = financial proxy in 

effect 

30 = guardianship or 

conservatorship (nonspecific) 

31 = guardianship or 

conservatorship of 

person 

32 = guardianship or 

conservatorship of 

property 

40 = representative 

payee 

50 = none 

CPR8 Perpetrator legal 

remedy 

recommendation 

The legal remedies that were 

recommended or sought by 

the APS agency regarding the 

status of the perpetrator. 

Multiple legal remedy 

recommendation code values 

can be submitted for the client 

perpetrator relationship. 

No Multiple Enumeration 

(code) 

1 = removal of 

guardianship rights 

2 = restraining order on 

perpetrator regarding the 

client 

3 = eviction of 

perpetrator 

4 = restitution by 

perpetrator 

5 = restorative justice 

6 = perpetrator registry 

7 = other legal remedy 

8 = none 

C-18