Law Firm Incident Affidavit
Law Firm Incident Affidavit
STATE OF [State]
COUNTY OF [County]
I, [Affiant Name], being duly sworn, depose and state:
Background Information
Residence:
Occupation:
I am over the age of eighteen years and have direct knowledge relevant to the incident described below. I am not a party to the case but an observer of the incident.
Description of the Incident
On the day in question, at approximately [Time], I was located at [Location of the Incident].
I observed the following:
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A vehicle was traveling at what appeared to be a speed exceeding the posted limit. The vehicle collided with a pedestrian crossing the intersection at [Specific Intersection].
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The pedestrian, who had the right of way as indicated by the pedestrian crossing light, was struck on their right side and fell to the ground.
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Immediately following the impact, the driver of the vehicle stopped, exited the car, and approached the pedestrian. Several bystanders also approached to assist.
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Emergency services were called at [Time] and arrived at the scene approximately [Number] minutes later.
Statement of Truth
I certify that the facts stated herein are true and correct to the best of my knowledge and belief. I understand that providing a false statement under oath could result in penalties under the law.
Further Affiant Sayeth Not
I have provided all known information regarding the incident as witnessed and have no further details to add at this time.
Subscribed and sworn to before me this day of , .
Notarized by:
[Name of Notary Public]
[Notary Public, State of [State]]
[My commission expires: [Date]]
Seal:
[Notary Seal]
