Witness Disclosure Form
Name of witness: ________________________________________________
Position of witness: ________________________________________________
Date of testimony, interview: ________________________________________________
Description of incident witnessed: ________________________________________________
Any other information: ________________________________________________
I agree that all of the information on this form is accurate and true to the best of my knowledge.
________________________________________________
Signature:
________________________________________________
Date:
Approved: 11/16/2020 Reviewed: 10/19/2020 Revised: 10/19/2020
