Sworn Declaration of Lay Evidence Form
Submit your sworn statement as a lay witness. Please ensure all information is accurate and complete before signing.
Full Name of Witness
*
First Name
Last Name
Contact Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Case or Subject
*
Date of Statement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Subject or Case Reference (if applicable)
Location (City, State)
Sworn Statement
*
Supporting Documents (if any)
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I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge.
*
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