Witness Statement

Witness Statement - (Forms/Publications)
Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title   Witness Statement (28 KB PDF)
Description

Use this form only on accident investigations, fatalities and catastrophies. This form is used to obtain statements from the witness to the accident or personnel who did not witness the accident but have information regarding the incident.

Detail
Form number F416-093-000
Availability
Online only. See document above to download.
Keywords witness statement
Languages English
Valid dates 10-2006
Contact information

End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.