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Use additional paper if necessary. penalty of perjury I affirm that the statement provided is true and correct to the best of my knowledge and belief. Signature Date IF STATEMENT IS TRANSCRIBED BY SOMEONE OTHER THAN THE WITNESS I have read the foregoing statement and under penalty of perjury affirm that the statement is true and correct to the best of my knowledge and belief.. If more space is needed use other side of this form. TITLE NAME PHONE NUMBER WORKERS COMPENSATION SPECIALIST CENTER...
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The witness statement form is a document used to record the testimony or statement provided by a witness in a legal or formal proceeding.
The individuals required to file a witness statement form are usually the witnesses themselves, or their legal representatives, in accordance with the specific requirements of the legal or administrative process.
To fill out a witness statement form, the person providing the statement should carefully read the instructions provided on the form, accurately record their personal information, and provide a complete and truthful account of the events or facts they witnessed.
The purpose of the witness statement form is to document firsthand accounts or information provided by witnesses, which can be used as evidence or support in legal proceedings or investigative processes.
The specific information required on a witness statement form may vary depending on the jurisdiction or the nature of the legal process. Generally, it may include the witness's full name, contact details, date and place of the witnessed events, a detailed description of what was observed, and an affirmation of the truthfulness of the statement.
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