West Jefferson, OH · Madison County
Voluntary Statement
This fillable form records a voluntary statement made to the West Jefferson Police Department, including the signer’s identifying details and signatures.
What this form is
The West Jefferson Police Department Voluntary Statement form records a statement made to an officer. It has fields for the date, time, case number, officer name, location, and the person’s identifying and contact information. The form also includes spaces for the person’s signature and the officer’s signature.
Who needs it
A person making a voluntary statement to a West Jefferson police officer can use this form to record the statement and identifying details.
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 fillable Voluntary Statement form.
- 2
Complete The Fields
Enter the date, time, case number, officer name, location, and requested identifying and contact information.
- 3
Sign The Statement
Sign the form; it also has a space for the officer’s signature.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Voluntary Statement form for?
- It records a voluntary statement made to a West Jefferson police officer, with fields for the case, officer, location, signer’s information, and signatures.
- What information does the form ask for?
- The form includes fields for the date, time, case number, officer name, location, Social Security number, date of birth, address, phone number, and signatures.
- Do I need a notary for the Voluntary Statement?
- No. This form has signature fields for the person making the statement and the officer, but no notary block or notarized attachment is shown.
- How do I submit the Voluntary Statement?
- Submit it to the city department named on the form; check the city website for current contact details.