* your personal information is confidential under penalty of law except where required to report abuse cases. If you desire to report anonymously, you may do so. Submitting this form does not constitute any legal action nor does it implicate you. It does assist with the compilation of statistical records on clergy sexual crimes/misconduct that occur within COGIC.
Select an option
Your name or anonymous
Location (nearest large town)
Your phone or email
Your COGIC jurisdiction
If media, please insert the entire url to the report
Has the incident been reported to legal authorities?
Has the incident been reported to church authorities?
Please describe the incident with as many facts as