Clergy Abuse Survivors

Were you or a loved one sexually abused by someone affiliated with a church or clergy member in Baton Rouge or Lafayette, Louisiana?(Required)

Loved one name

Is your loved one deceased

Please specify the Louisiana Parish(es) where the abuse took place (select all that apply)(Required)

Was the perpetrator someone in an official capacity at a church or religious institution — such as a clergy member, staff, or volunteer — or a fellow parishioner?(Required)

Please write your (loved one’s) age at the time of abuse(Required)

Approximately what year did the abuse start?(Required)

Approximately what year did the abuse end?(Required)

Please select the type of abuse that occurred(Required)

Vaginal or anal penetration (including digital or with a foreign object)

Oral copulation

Groping

Fondling

Touching of the genitalia

Verbal Abuse

Other physical abuse

None of the above

Are you able and willing to provide identifiable details of the perpetrator and witnesses and/or individuals confided in regarding the abuse where applicable?(Required)

Are you currently represented by another attorney or have you signed any documents with another attorney for this matter?(Required)

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