You’re Not Alone — Let’s See If We Can Help

Before the age of 18, were you sexually abused or inappropriately touched by a Catholic priest, deacon, brother, nun, or other church employee or volunteer? *

How old were you when the sexual abuse began? *

What was the name of the Catholic Church, School, or facility where this happened? *

Do you remember the name, job title, or any details about the person who abused you? *

What year or years did the abuse occur? *

Are you currently working with an attorney or law firm for this matter? *

To help the legal team fight for you, we need to understand the extent of the abuse. Can you describe what happened? *

First Name *

Last Name *

Email *

Phone *

Date of birth *

Gender *

Address

Street Address *

City *

State *

Postal Code *

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