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THESE FORMS ARE AVAILABLE THROUGH THE OFFICE OF CHILD AND YOUTH PROTECTION OR CLICK FORM IMAGE TO DOWNLOAD. CONTACT 909-475-5128 TO ORDER YOUR COPIES.

Diocesan Report of Child Sexual Abuse - English -

Regarding filling out the Sex Abuse Report to the Diocese:

1.) Se puede competar el formulario entrando la información así como por la computadora.
2.) Acuérdese que se tiene que firmar este formulario, y por eso, hay que imprimirlo cuando esté completo.
3.) Firme el formulario y mándelo por correo postal (USPS) al: o

Sr. Rosaline O’Connor,
Victim Assistance Coordinator
Diocese of San Bernardino
1201 East Highland Avenue
San Bernardino CA 92404

4.)  Do not use the email contacts in the form to send it.  The email addresses cannot be used for a signed document. They are a connection in case you want an immediate emergency response.
You can use the email addresses to advise the person you are sending your signed report to them by mail. You may also use the emails to ask questions

Diocesan Report of Child Sexual Abuse - Spanish -

Regarding filling out the Sex Abuse Report to the Diocese:

1.) Se puede competar el formulario entrando la información así como por la computadora.
2.) Acuérdese que se tiene que firmar este formulario, y por eso, hay que imprimirlo cuando esté completo.
3.) Firme el formulario y mándelo por correo postal (USPS) al: o

Sr. Rosaline O’Connor,
Victim Assistance Coordinator
Diocese of San Bernardino
1201 East Highland Avenue
San Bernardino CA 92404

4.)  Do not use the email contacts in the form to send it.  The email addresses cannot be used for a signed document. They are a connection in case you want an immediate emergency response.
You can use the email addresses to advise the person you are sending your signed report to them by mail. You may also use the emails to ask questions

Suspected Child Abuse Report - Fill out this form. When you talk to the intake worker on the abuse hotline, they will give you an address where to send the form. Please note that there is a place near the top under reporting party to sign the report.