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Truck Accident Witness Statement Affidavit Template
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Truck Accident Witness Statement Affidavit Template
This Truck Accident Witness Statement Affidavit (the “Affidavit”) is made on [Date] by:
Witness/Affiant: [Full Name], date of birth (optional): [DOB], address: [Address], phone/email: [Contact].
1. Purpose
1.1 I am providing this sworn statement to document what I personally observed regarding a truck accident that occurred on [Accident Date] at approximately [Time] at/near [Location].
2. Where I Was and How I Observed the Accident
2.1 My Location: [Describe where you were—driving behind, across the street, inside a building, etc.].
2.2 Distance/Visibility: [Approx. distance; any obstructions].
2.3 Weather/Lighting/Road Conditions: [Conditions].
3. What I Saw (Step-by-Step)
3.1 Vehicles involved (as I observed):
Passenger vehicle: [Color/make/model if known]
Truck/commercial vehicle: [Company name/markings, trailer type, unit/plate if known]
3.2 Sequence of events (in order):
[Describe what happened before impact]
[Describe the impact]
[Describe what happened immediately after]
3.3 Traffic signals/signs (if observed): [Green/red/stop sign/yield/etc.].
3.4 Speed observations (if any): [Only if you can estimate—avoid guessing].
3.5 Driver behavior (if observed): [Lane changes, braking, phone use, drifting, etc.].
4. What I Heard (Optional)
4.1 I heard: [Horn, screeching, impact, statements].
4.2 Any statements I heard from drivers or others (quote if possible): “[Statement]” said by [Person], at approximately [Time].
5. After the Accident
5.1 I saw the following after the crash: [Injuries observed, people exiting vehicles, hazards, etc.].
5.2 Emergency response: [Police/EMS/fire arrival + approximate times if known].
5.3 I provided assistance: ☐ No ☐ Yes (describe): [__].
6. Photos, Video, and Other Evidence
6.1 I took: ☐ No photos/video ☐ Photos ☐ Video.
6.2 Stored on: ☐ phone ☐ camera ☐ other: [__].
6.3 I am willing to provide copies: ☐ Yes ☐ No.
6.4 Other evidence I know about (traffic cameras, business cameras): [Describe, if known].
7. Statement Under Oath
7.1 I declare under penalty of perjury that the statements above are true and correct to the best of my knowledge.
Signatures
Witness/Affiant: [Full Name]
Date: [Date]
Signature: ___________________________
Witnesses (If Required)
Witness Name: [Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (Optional)
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Witness Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to this Affidavit, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________
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Truck Accident Witness Statement Affidavit Template
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For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
TRUCK ACCIDENT WITNESS STATEMENT AFFIDAVIT TEMPLATE FAQ
What is a truck accident witness statement affidavit?
A Truck Accident Witness Statement Affidavit is a sworn written statement from a witness describing what they saw or heard related to a truck crash. It can be used to preserve memory, support an insurance claim, or assist in a legal case.
Who should write it?
Any person who directly witnessed the crash or events immediately before or after can write it. The witness should only include facts they personally observed and avoid guessing or repeating rumors.
What should be included?
Include: witness identity, where the witness was located, time and conditions, a step-by-step description of what happened, any statements heard, and whether photos/video were taken. This template includes each of these sections clearly.
Should it be notarized?
Not always required, but notarization can add credibility. This template includes optional notarization and witness sections.
How long should it be?
Usually 1–2 pages. Clear facts matter more than length. This template is designed to be detailed enough without being overwhelming.
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