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): ___________________