Are you a Priest or Deacon in need of our help?

If you feel that your rights have been violated, please submit the follow information that will help us to begin the process of justice for you. Please type (if possible) and submit by Email, Fax or Regular Mail.

1.  In order to better serve you, please provide us with some necessary information. Your privacy is assured!


Name:___________________________________________    

Address:_________________________________________

    
City: __________________  State:____  ZipCode:__________

Phone
Home: ____________
Work:____________Cell:____________
    
Fax:________________   Email:__________________________
    
Diocese/ReligiousCommunity:___________________________

Year of Ordination: ___________




2.  Please give us some background on your family, education, and seminary training.
















3. 
Please describe your years in ministry with some details and reasons why you want our help.














4.
  Do you have a civil attorney?
  
Name of civil attorney:_________________________________
   
Address:
   
City:__________________ State:__________ Zipcode:________

Phone  Home:______________Work:____________Cell:_____________

Fax:____________________

Email:___________________________


5. 
Additional  information and details you want to share:


















Rev. Msgr. Michael Higgins, M.A., S.T.D.,  J.C.D.

Justice for Priests and Deacons

P.O. Box 87225

San Diego, CA 92138-7225

Phone: (760) 321-4842

Fax:  (760) 321-4894

Email: justiceforpriests@verizon.net