Free Affidavit Witness Statement Form Template

Affidavit Witness Statement Form

For providing a sworn statement as a witness.

STATE OF [State]

COUNTY OF [County]

I, [Your Name], residing at [Your Address], being of legal age and competent to testify, do hereby declare under penalty of perjury the following:

WITNESS INFORMATION

Name

    Date of Birth

      Address

        INCIDENT/EVENT DETAILS

        Date & Time of Incident/Event

          Location of Incident

            Description of What Was Witnessed

            Provide a clear and detailed statement about what you saw or experienced.

              AFFIRMATION & SIGNATURE

              I declare under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge.

              Name:

              Date:

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