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.
If there is an emergency, and you believe that a child is in imminent risk, please call 911, and then contact the New York State Hotline (1-800-342-3720). The Director of the Archdiocese Safe Environment Office can be contacted outside of business hours by email: email@example.com. You will be contacted within one business day.
To report a complaint of sexual abuse by a member of the clergy or anyone acting in the name of the Church, recently or in the past, please complete the form below and return it to the Archdiocese of New York. You may print the form and mail it to the Archdiocese, or you may send the form via email.
Online Form: Submit Complaint Online
After you submit the completed form, the Victim's Assistance Coordinator for the Archdiocese of New York will contact you within one business day. To ensure a follow-up, please include a means of communication in your form (i.e. email or phone). We are unable to follow up on cases where a means of communication are not included.
Please respect that this form is not meant to be used for anything
other than the presentation of a case of the sexual abuse of a minor.
Other Methods to Submit a Complaint
U.S. Postal Service: Submit Complaint via U.S. Mail
If you select to mail your form via the US Postal Service please select one of the following printable versions:
E-Mail: Submit Complaint via E-Mail
If you would like to send your complaint as an attachment utilizing your e-mail service, please use the following Word form document.