Witness Statement Form Template
Collect a witness’s contact details, account of an event, and typed signature. Use it to document incidents, disputes, or other events that need a written statement.
When to use it
- Document a workplace or property incident
- Record what someone witnessed after an accident
- Collect statements about a dispute
- Gather accounts from multiple witnesses
What it asks
- What is your full name?
- What is your email address?
- What is your phone number?
- When did the event happen?
- Where did the event happen?
- Briefly, what did you see?
- Who else was there?
- Please provide your full statement.
- Type your full name as your signature.
- Date signed
Why it should be encrypted
A statement may include personal contact details and sensitive allegations or event details. Only people authorized to handle the matter should be able to read the answers.
Tips
- Ask witnesses to describe what they personally saw and heard.
- Add an incident reference number or organization name if useful.
- Tell witnesses who will review their statement and how to contact them with corrections.