Ephrata, WA · Grant County
Sworn Statement
This form lets a person provide Ephrata Police Department with a written statement about a case and declare that the information is true.
What this form is
The Sworn Statement form records a person’s account of case facts for the Ephrata Police Department and includes a declaration that the statement is true and correct under penalty of perjury. It asks for the person’s identifying and contact information, case number, statement, signature, date, and place. If more room is needed, the form says to attach plain paper.
Who needs it
A person providing a written statement to the Ephrata Police Department can use this form to record their account of a case.
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 statement is signed without a notary; the signer declares under penalty of perjury that the statement and any attached pages are true and correct.
How to submit this form
- 1
Download The Form
Download the Sworn Statement PDF.
- 2
Complete The Statement
Enter the case number and identifying and contact information, then write your account of the case.
- 3
Gather Attachments
If more space is needed, attach plain paper; the form also refers to accompanying reports or copies of documents.
- 4
Sign And Submit
Sign and date the declaration, enter the place, and submit it to the city department named on the form.
Frequently asked questions
- What is the Ephrata Sworn Statement form for?
- It provides space to record a person’s account of a case and declare that the statement and accompanying information are true and correct.
- What information does the form ask for?
- It asks for a case number, identifying and contact information, the statement, and the signer’s signature, date, and place. Plain paper may be attached if more space is needed.
- Do I need a notary for the Ephrata Sworn Statement?
- No. The form has no notary block; the signer signs and declares under penalty of perjury that the statement and any attached pages are true and correct.
- How do I submit the Ephrata Sworn Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Sworn Statement doesn’t need a notary — but if you have another Ephrata form that does, a commissioned online notary can help.