Sexual Abuse in Family Court Cases
For: Mothers of children who've disclosed sexual abuse in a Family Court Case
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NAME *
If you wish to remain anonymous use your first, middle and last initial
EMAIL ADDRESS *
PHONE NUMBER
LOCATION OF FAMILY COURT CASE *
County, State, Country
DATES OF CASE *
Year case began and ended. Say if case is still active.
HOW MANY CHILDREN *
How many of your children disclosed sexual abuse?
PERPETRATOR *
Required
DESCRIPTION OF ABUSE *
Brief description of the sexual abuse
FREQUENCY *
How many times the abuse occurred
Required
CHILD DISCLOSED TO *
List all people and professionals to whom  your child(ren) disclosed sexual abuse (including yourself)
SUBSTANTIATION *
Check all who substantiated the sexual abuse
Required
PROTECTION/CUSTODY *
Protection or lack of protection granted by Family Court judge through final or present custody/visitation order
Required
BRIEF SUMMARY (optional)
Explain anything above further or submit brief summary of case
Submit
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This form was created inside of The Women's Coalition. Report Abuse