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STATE OF WISCONSIN CIRCUIT COURT MANITOWOC COUNTY STATEMENT OF FACTUAL BASIS CASE NO. Distribution: 1 Court Original 2 Petitioner 3 Respondent 4 Law Enforcement Petitioner m:/forms/CV/Statement of
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How to fill out statement of factual basis

01
Begin by providing your personal information such as your name, address, and contact details. This will help identify you as the author of the statement.
02
State the purpose of the statement clearly. Specify whether it is for legal proceedings, insurance claims, or any other specific purpose.
03
Provide a brief background or context to explain why you are writing the statement and what event or incident it relates to.
04
Present the facts in a chronological order, starting from the beginning and leading up to the present. Include dates, times, and locations to provide a clear timeline of events.
05
Use objective language and stick to the facts. Avoid including any personal opinions or speculations.
06
Include any supporting evidence or documentation that can substantiate the facts mentioned in your statement. This can include photographs, documents, or witness testimonies.
07
Conclude your statement by summarizing the key points and reaffirming the accuracy and truthfulness of the information provided.
08
Sign and date the statement at the end to authenticate it.
09
Review the statement for any errors or inconsistencies before submitting it.

Who needs statement of factual basis?

01
Statement of factual basis is needed by individuals or organizations involved in legal proceedings, such as lawyers, prosecutors, or defendants.
02
Insurance companies may request a statement of factual basis to document accident or damage claims.
03
Law enforcement agencies may require a statement of factual basis from witnesses or victims of a crime.
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Employers may use a statement of factual basis to investigate workplace incidents or disciplinary matters.
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A statement of factual basis is a document that outlines the specific facts and context related to a matter, typically for legal, regulatory, or compliance purposes.
Individuals or entities engaging in certain activities or transactions that require disclosure to regulatory bodies or authorities are generally required to file a statement of factual basis.
To fill out a statement of factual basis, one should provide detailed information regarding the facts pertinent to the case or matter, including relevant dates, events, and supporting documents as necessary.
The purpose of a statement of factual basis is to provide a clear, comprehensive, and factual account of information that supports a specific legal or regulatory position or request.
Information that must be reported includes the nature of the facts, relevant dates, involved parties, and any other details that support the overall context of the statement.
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