You’re Almost Done — Check Eligibility

Contact Information

Full Name *

Email Address *

Phone Number *

ZIP Code *

Did the child meet the abuser through Roblox? *

Yes No Unsure

Was the child under 18 when the abuse began? *

Yes No Unsure

Was your child abused by the person they met? *

Online and Physical Online Only Unsure

Which form of sexual abuse did your child suffer from as a result of gaming on the Roblox platform? *

Attempted rape or attempted statutory rape Rape or statutory rape Sent/received explicit images Sex trafficking Sexual assault

Are you or your child currently being represented by an attorney for this matter? *

Yes No

No obligation. Secure submission.

This form is for informational purposes only and does not constitute legal or medical advice.