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Witness Statement Template
Record facts, events, or testimony accurately with this Witness Statement Template.
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Witness Statement Template
This Witness Statement is made on [Date] by:
Full Name of Witness: [First Name Last Name]
Address: [Full Address]
Phone/Email: [Contact Information]
Occupation: [Job Title or “N/A”]
Relationship to Case/Parties: [State if applicable]
1. Introduction
I, [Witness Name], make this statement to record my account of the events described below. This statement is true to the best of my knowledge and belief.
2. Event Details
Date of Incident: [MM/DD/YYYY]
Time: [Time]
Location: [Address or description of location]
People Involved: [List names if known]
3. Statement of Facts
[Provide a clear and chronological description of what was witnessed. Include specific details, observations, and actions taken. Example: “At approximately 8:30 a.m., I saw a blue car traveling at high speed….”]
4. Supporting Evidence
The following documents or exhibits are attached in support of this statement:
[Exhibit A: Photographs]
[Exhibit B: Medical Report]
[Exhibit C: Police Report]
5. Declaration of Truth
I declare that the facts stated in this witness statement are true to the best of my knowledge and belief. I understand that making a false statement may result in penalties under perjury laws.
Signature
Witness Signature: _______________________ Date: ___________
Printed Name: ___________________________
Witnessed/Certified by (if applicable): ________________________
Role/Title: ______________________________ Date: ___________
Details
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Witness Statement Template
WITNESS STATEMENT FAQ
What is a Witness Statement?
A Witness Statement is a written account of facts or events given by someone who observed them directly. It is often used in legal proceedings, investigations, or administrative hearings to provide evidence in support of a case.
Why is a Witness Statement important?
It ensures a witness’s testimony is documented accurately and can be reviewed later, even if the witness is unavailable for live testimony. It also provides clarity, reduces disputes over recollection, and can serve as evidence in court.
When should you use a Witness Statement?
Use it whenever a factual record of events needs to be preserved—such as after an accident, workplace incident, criminal activity, or in civil disputes.
What should a Witness Statement include?
It should include the witness’s full name, contact details, relationship to the case, a chronological account of the events observed, and a signed declaration of truth. Supporting exhibits may also be referenced.
Is a Witness Statement legally binding?
While not legally binding in itself, a signed statement is considered sworn evidence in many jurisdictions, and knowingly making false statements can result in penalties for perjury.
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