Witness Statement – Fill Out and Use This PDF

A witness statement is a written record of information received by a law enforcement officer.

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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.

Question	Answer
Form Name	Witness Statement
Form Length	1 pages
Fillable?	Yes
Fillable fields	38
Avg. time to fill out	7 min 51 sec
Other names	statement form, police statement template word, police statement example, blank witness statement template

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Form Preview Example

	Commanding Officer	16W215 83rd Street, Suite D
	United States Coast Guard	Burr Ridge, Illinois 60527
	United States Coast Guard	Phone: (630) 986-2155
	Marine Safety Unit Chicago	Phone: (630) 986-2155
	Marine Safety Unit Chicago	FAX: (630) 986-2120
		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:

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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.

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SIGNATURE	DATE

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