First Name

Last Name

Email

Christian Church / Christian Faith-Based Organization Name

Federal Tax ID Number

Does the IRS require your organization to submit a Form 990?

Yes

No

Lead Pastor / Exective Director

Phone #

Is your chuch currently engaged in fighting human trafficking?

Yes

No

If yes, describe your initiatives and when they began

Thanks for submitting!

REPORT HUMAN TRAFFICKING

Trafficking Hotline (888) 373-7888

In case of Emergency dial 911

3660 Grandview Parkway, Suite 400

Birmingham, Alabama 35243

(205) 215-6111