South Bend, WA · Pacific County
Witness/Suspect Statement
This form lets victims, witnesses, and suspects provide incident details and a written statement to the South Bend Police Department.
What this form is
The Witness/Suspect Statement form records information about an incident and a victim, witness, or suspect. It asks for contact and identifying details, the incident location and date and time, and a statement that the signer reviews, signs, and dates. The form includes a certification that the statement is true and correct to the signer’s knowledge.
Who needs it
Victims, witnesses, or suspects who are providing a written statement to the South Bend Police Department can use this form.
How to submit it
The form lists the South Bend Police Department at 1102 W First St, South Bend, WA 98586, and phone number 360-875-5444. It does not specify a submission method.
About notarization
This statement is signed and dated without a notary; the signer certifies under penalty of perjury that the statement is true and correct to the best of their knowledge.
How to submit this form
- 1
Download The Form
Download the Witness/Suspect Statement PDF.
- 2
Complete The Form
Fill in the incident, contact, and identifying information and provide your statement.
- 3
Review And Sign
Read each page, then sign and date the form and complete the certification.
- 4
Submit To The Police Department
The form lists the South Bend Police Department at 1102 W First St, South Bend, WA 98586; it does not specify how to submit it.
Frequently asked questions
- Do I need a notary for the Witness/Suspect Statement?
- No. The form is signed and dated without a notary. The signer certifies under penalty of perjury that the statement is true and correct to the best of their knowledge.
- Who can use this statement form?
- The form identifies victims, witnesses, and suspects and includes fields for their information and a written statement about an incident.
- How do I submit the Witness/Suspect Statement?
- The form lists the South Bend Police Department at 1102 W First St, South Bend, WA 98586. It does not state a submission method.