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COMPLAINT INVESTIGATION WITNESS STATEMENT OF FACTS BEFORE THE KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC State of Kansas, County.

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How to fill out the Ane Witness Form online

The Ane Witness Form is a crucial document for recording witness statements in investigations conducted by the Kansas Department for Aging and Disability Services. This guide will provide you with clear and concise instructions to successfully fill out the form online.

Follow the steps to complete the Ane Witness Form online.

  1. Press the ‘Get Form’ button to obtain the document and open it in your online editor.
  2. Begin by filling in your witness information. Enter your job title and the name of the facility where you were employed.
  3. Specify the date of the incident. Use the format for the date accurately, and ensure that you provide the correct year.
  4. In the provided section, describe the incident you witnessed. Be as detailed as possible, including when it happened, how it transpired, any harm done to the resident(s), and other witnesses if available.
  5. Review your statement for accuracy. It's important that the information you have provided is truthful and correctly detailed.
  6. Sign the form where indicated. Ensure that you are doing this in the presence of a notary public, as required.
  7. After signing, provide your address and phone number in the specified sections.
  8. The notary public will need to complete their section of the form, including their signature and appointment expiration date.
  9. Once all information is complete, you can save your changes, download the form, print it, or share it as necessary.

Complete your Ane Witness Form online today for a seamless filing experience.

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Write your witness statement in numbered paragraphs. State your name, address and occupation in the first paragraph. Try to describe events, actions and specific dates when detailing your account. For more information, see witnesses and witness statements.

Do not guess or speculate. On the other hand, give positive, definite answers when you clearly remember what happened.

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.

TL;DR: A witness statement should include the facts of the incident or event, as seen or heard by the witness, as well as their personal details such as name, address, occupation, and any other relevant information.

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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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232