West Jefferson, OH · Madison County
Voluntary Statement
This West Jefferson Police Department form records a voluntary statement and is completed by the person making the statement.
What this form is
The Voluntary Statement form provides spaces for the statement maker’s name, Social Security number, date of birth, address, phone number, and signature. It also records the date, time, case number, officer name, location, and officer’s signature. The document does not state when the city requires it or provide submission instructions.
Who needs it
A person making a voluntary statement to the West Jefferson Police Department can use this form to provide identifying details and signatures.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the person making the statement and the officer sign, and the form includes a date field.
How to submit this form
- 1
Download The Form
Download the Voluntary Statement PDF.
- 2
Complete The Fields
Enter the requested date, time, case, officer, location, and personal information.
- 3
Sign The Statement
The statement maker and officer sign the form; no attachments are identified.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Voluntary Statement form request?
- It has fields for the date, time, case number, officer name and location, plus the statement maker’s name, Social Security number, date of birth, address, phone number, and signature.
- Do I need a notary for a West Jefferson Voluntary Statement?
- No. The form has signature fields for the person making the statement and the officer, but no notary block or notarized attachment is indicated.
- How do I submit the Voluntary Statement?
- The document does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.