Punxsutawney, PA · Jefferson County

No notary required

Voluntary Statement Form

This form lets a person provide a voluntary statement to the Punxsutawney Borough Police Department and record identifying details, the statement, and signatures.

What this form is

The Punxsutawney Borough Police Department Voluntary Statement Form records information a person provides of their own free will. It asks for contact and identifying details, the statement, the officer taking it, and the statement-giver’s signature and verification; it also includes a witness section. The form does not specify when a statement is required or how to deliver it.

Who needs it

A person providing voluntary information to the Punxsutawney Borough Police Department can use this form to record and verify their statement.

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; it includes an unsworn verification and a witness signature, and the statement-giver dates and signs the form.

How to submit this form

  1. 1

    Download The Form

    Download the Voluntary Statement Form.

  2. 2

    Complete The Form

    Provide the requested identifying details and write the information you are giving voluntarily.

  3. 3

    Review And Sign

    Review the statement, complete the verification, and sign and date it; the form also includes a witness section.

  4. 4

    Submit To The Department

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What is the Voluntary Statement Form for?
It records information a person provides of their own free will to the Punxsutawney Borough Police Department, along with identifying details and signatures.
Who completes this form?
A person providing a voluntary statement completes the form. It asks for personal details, the statement, and the signature of the person giving it, and includes a witness section.
Do I need a notary for the Voluntary Statement Form?
No. The form has no notary block; it includes an unsworn verification and a witness signature, and the statement-giver dates and signs it.
How do I submit the Voluntary Statement Form?
The form names the Punxsutawney Borough Police Department but does not give submission instructions. Check the city website for current contact details.

Need something notarized?

This Voluntary Statement Form doesn’t need a notary — but if you have another Punxsutawney form that does, a commissioned online notary can help.