Skagit County Sheriff'S Office Witness Statement Form printable pdf download

SKAGIT COUNTY SHERIFF’S OFFICE WITNESS STATEMENT FORM

Case Number_______________

Deputy Handling Case (If Known)____________________

Name________________________________________Address_______________________________

I am_______years old. My date of birth is____________. My phone number is (____)_____________

I have finished the___grade in school. I can read, write and understand the English language__yes __no.

Be sure to sign and date the bottom of the statement form.

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22____________________________________________________________________________________________________

The above information is true to the best of my knowledge and was freely given. No threats or promises have been made

against or to me in order to get me to make this statement. I certify under the penalty of perjury under the laws of the State of

Washington that the foregoing is true and correct.

Signed_______________________________________Date_____________________Time______________

Witness______________________________________Date_____________________Time______________

___DO NOT DISCLOSE

Page______of_______

Skagit County Sheriff'S Office Witness Statement Form