DuBois, PA · Clearfield County
Voluntary Statement
This form lets a person give a voluntary statement to a DuBois City Police Officer and sign to affirm that its contents are true and correct.
What this form is
The DuBois City Police Department form records a person's voluntary statement to an officer. It includes a date, time, incident number, the person's name and date of birth, and a space to write the statement. It also describes rights related to questioning and includes signature lines for the person making the statement, an officer, and a witness.
Who needs it
A person giving a voluntary statement to a DuBois City Police Officer can use this form to record and sign the statement.
How to submit it
The form says the statement is given to the identified DuBois City Police Officer; it lists the Police Department at 16 West Scribner Avenue, DuBois, PA 15801.
About notarization
This document is signed without a notary; the signer affirms the statement is true and correct, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Form
Download the DuBois City Police Department Voluntary Statement form.
- 2
Complete The Statement
Fill in the date, time, incident number, personal details, and statement.
- 3
Review And Sign
Read the statement and sign the form; it also has spaces for an officer and a witness to sign.
- 4
Give It To The Officer
Give the statement to the DuBois City Police Officer identified on the form.
Frequently asked questions
- What is the DuBois Voluntary Statement form?
- It is a DuBois City Police Department form for recording a person's voluntary statement to an officer, with spaces for details and signatures.
- Who uses this form?
- A person giving a voluntary statement to a DuBois City Police Officer can complete and sign the form.
- Do I need a notary for the Voluntary Statement?
- No. The document has signature lines and an affirmation that the statement is true and correct, but it does not require a notary or mention a notarized attachment.
- How do I submit the Voluntary Statement?
- The form says the statement is given to the DuBois City Police Officer identified on it. The listed department address is 16 West Scribner Avenue, DuBois, PA 15801.