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Report a Complaint Online

This form may be used to present an allegation that a cleric (bishop, priest, deacon) has committed an act of sexual abuse of a minor. The completed form is CONFIDENTIAL and is to be submitted via e-mail.

(*Required)  
I. INFORMATION AS TO THE COMPLAINANT
Full Name
Address
City, State, Zip
Date of Birth
Name and Address of Parents/Guardian
(if complainant is a minor)
Phone
Name of School(if complainant is a minor)
II. INFORMATION AS TO ACCUSED
Name
Parish/Place of employment
Has the accused been confronted or informed of allegation? * No
  Yes
If Yes, when and by whom?
III. INFORMATION AS TO ALLEGATIONS
Brief description of alleged abuse
(time, place, and acts):
Have the allegations been reported to any civil authorities or Church personnel? * No
  Yes
If yes, when, how, and to whom?
Date of Report
PERSON REPORTING
Name
City, State Zip
Phone
E-mail
 
* All contact information submitted will be handeled with the utmost discretion.