Abuse Incident Report Form

Abuse Incident Report Form
Your Name:
Your report will be sent to the current Victim Assistance Coordinator (VAC) for the Diocese of Fairbanks via email. Please feel free to also contact the VAC in person, by phone, or by mail.

Contact: Victim Assistance Coordinator

Phone: (907) 374-9553

Email: vac@cbna.org
Your Phone Number:*
Your E-Mail Address:
Mailing Address:
Report (Required)*
Should be Empty: