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Incident/Accident Report Form Witness s Report of Injury Please answer all questions and complete this report in ink. Please ensure that this report is accurate to the best of your knowledge and is.
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FAQ
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When completing the witness statement, it is important to include: your name, address, occupation and telephone number. the evidence to be given set out in a logical order. labelled attachments if you refer to documents in your statement. the date and your signature. numbered paragraphs and pages for easy reference.
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How to Draft a Witness Statement Carefully recall the events of the incident reporting. ... Write down the relevant facts you recall. ... Make your statement short and use simple language. ... Carefully present your statement examples in pdf. ... Avoid making paragraphs. ... Review and revise your statement as necessary.
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We will go through some of the major elements that should be in any car accident witness statement. Witness's Name and Contact Information. ... Who, What, When, and Where of the Accident. ... Perspective About How the Crash Occurred. ... Observations of Injuries and Property Damage. ... Other Relevant Information. ... Witness's Signature.
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Witness Testimony by Letter who the witness is–name, age (or adult or minor status), county of residence, and relationship to the plaintiff or defendant. the date of the event, and. what that person saw, heard, smelled, felt, or tasted, and where and how it transpired.
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Format of witness statement The statement should normally be typed on one side of the paper only. Pages should be numbered consecutively. The statement must be divided into numbered paragraphs. References to document pagination should be given in the margin or the body of the text in bold.
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Witness Statements Start with the name of the case and the claim number; State the full name and address of the witness; Set out the witness's evidence clearly in numbered paragraphs on numbered pages; End with this paragraph: 'I believe that the facts stated in this witness statement are true.
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What should you include in an incident report? When & where did it happen? Your report should contain the date, time and location where the accident took place. ... Who were involved? ... What did they do? ... Why did it happen? ... Were there any witnesses? ... What is the extent of damage to a person or property?
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The person who has been injured, any witnesses to the incident and the direct supervisor should all complete the form. If the person involved in the incident is unable to complete the form for any reason, it should be completed by the person's direct supervisor.
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