WITNESS STATEMENT OF [FULL NAME OF WITNESS]

Name [Full name of witness]

Address [Address of witness. This can be a

business address if the witness

statement is being made in relation to a

work-related matter or in a work-

related capacity.]

Occupation [Occupation]

Date [Date]

I make the following witness statement:

1 I believe that the contents of this my witness statement are true and

accurate. My name, address and occupation are as stated above.

2 [Optional – see affidavits.info for help about using documents with witness

statements: For the purposes of this statement, I refer to a paginated

bundle of documents marked “JD 1”.  Where I refer to page numbers in

this statement, I am referring to pages in "JD 1”.]

Use headings like this to divide topics in the witness statement

3 [add the text of the witness statement in numbered paragraphs such as

this one]

4 etc

Signature ____________________________________ Date ________________