Vulnerable Adult Financial Exploitation Risk Assessment
Client Information
Full Name
Date of Birth
Assessment Date
Assessor Name
Relationship to Client
Risk Indicators
Unexplained changes in assets or property
Yes
No
Unknown
Unpaid bills despite sufficient resources
Yes
No
Unknown
Coerced or unexplained financial transactions
Yes
No
Unknown
Unusual or frequent bank withdrawals
Yes
No
Unknown
Recent changes in legal documents or signatories
Yes
No
Unknown
Restricted access to the client by family or professionals
Yes
No
Unknown
Dependence on others for financial management
Yes
No
Unknown
Signs of cognitive impairment
Yes
No
Unknown
Other risk indicators
Summary of Findings
Recommendations
Next Steps/Follow Up