Police Statement Form

Police statement form is the legal tool which is used to report social, official and personal disputes & unsettled matters. Furthermore, a police statement form can be considered in case of making important legitimate declarations in terms of public information or to proceed in professional matters.

Sample police Statement Form:

Page No: ___________________

Document Reference Number:  _______________

Date:____________ Place: __________________

Time statement recorded between ______ AM to _______PM

I, the undersigned:  _________________________________

Postal Address: ____________________________________

ZIP: _____________________________________________

Valid Landline Number: _____________________________

Date of Birth (DD/ MM/YY): ________________________

Current Age: _____________________________________

Occupation: _____________________________________

Legal Reason behind submitting a statement form:

_____________________________________

_____________________________________

Legitimate Identification Proof:

____________________________________

I, hereby make the following statement at the best & True to my knowledge:

Numbers of witness present:________________________________________________

Signature of Witness:  ______________________________________________________

Address of the witness: ____________________________________________________

ZIP: __________

Contact Number: _________________________________

Signature of the person recording voluntary statement: ___________________________

________________________________________

Time Statement Finished at _______ AM to __________PM

Date: _________________

Statement prepared_______________

By: _____________________

Signature of the in- charge Police Officer: __________________

Category: Statement Forms