Abuse Incident Report Form

Name:


Phone Number:


E-Mail Address:


Mailing Address:


Report - Required Field:




Your report will be sent to the current Child Protection Officer for the Diocese of Fairbanks via email.  Please feel free to also contact the Child Protection Officer in person, by phone, or by mail.

Catholic Bishop of Northern Alaska
Madeline Nance
Safe Environment Coordinator
1316 Peger Rd
Fairbanks, AK 99709-5199
907-374-9551
reportabuse@cbna.org