Witness Statement PDF Details

Most states require a witness statement form to be filled out in the event of an accident or crime. The form is used to collect information from witnesses who may have seen or heard something related to the incident. The information collected can be used by law enforcement officials to investigate the crime or accident. The form can also be used in court as evidence. The witness statement form typically includes spaces for the name and contact information of the witness, as well as details about what they saw or heard. It is important to fill out the form accurately and completely, so that law enforcement officials have all of the information they need to investigate the incident. Filling out the form can also help protect you if you are later called as a witness in court.

We have compiled some general details about the witness statement. Our suggestion is that you read this info before you decide to begin fiddling with the PDF.

QuestionAnswer
Form NameWitness Statement
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespolice statement form, how to write a police statement templates, police statement format, witness document example

Form Preview Example

Commanding Officer

16W215 83rd Street, Suite D

United States Coast Guard

Burr Ridge, Illinois 60527

Phone: (630) 986-2155

Marine Safety Unit Chicago

FAX: (630) 986-2120

 

WITNESS STATEMENT

WITNESS NAME:__________________________

EMPLOYERS NAME:_________________________

STREET ADDRESS:________________________

EMPLOYER ADDRESS:_______________________

CITY/STATE/ZIP:__________________________

CITY/STATE/ZIP:____________________________

PHONE NUMBER:_________________________

PHONE NUMBER:___________________________

POSITION:________________________________

LICENSE/DOC. #:____________________________

I, the undersigned, make the following statement voluntary, without threat, duress or promise of reward:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

I have read my statement as documented above (and if applicable, on continuation pages), and to the best of my knowledge and belief, it is true and correct.

____________________________________

________________________________

SIGNATURE

DATE

PAGE 1 OF ___

Watch Witness Statement Video Instruction

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .