Legal & declarations
Witness statement template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
Fill in this template- Written for US law, with your state left to fill in
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Preview — US standard
Witness Statement
Case or matter: Case Name, Number or Matter Description
Witness
| Item | Details |
| --- | --- |
| Full name | Witness Full Name |
| Address | Witness Address |
| Phone and email | Witness Phone and Email |
| Occupation | Witness Occupation |
| Relationship to the parties | Relationship to the Parties or None |
Statement
1. On Event Date, at about Event Time, I was at Event Location because Reason for Being There.
2. I saw and heard the following: What the Witness Saw and Heard, in Order, Using the Witness's Own Words.
3. Other people present: Other People Present.
4. Conditions at the time: Conditions, such as lighting, weather and distance.
5. After the event: What Happened Next.
6. Documents or photos I have: Documents or Photos, or None.
I have stated only what I personally saw, heard or did, except where I say otherwise. I am willing to testify to these facts if needed.
Declaration
Many states accept an unsworn declaration in the form below; check what your state and court accept.
I declare under penalty of perjury under the laws of the State of State that the foregoing is true and correct.
Signed on Signing Date at City and State.
Witness signature: Witness Signature
Printed name: Witness Printed Name
For a sworn affidavit, sign before a notary instead:
Subscribed and sworn to before me on Notarization Date by Witness Full Name.
Notary signature: Notary Signature My commission expires: Commission Expiration Date