Milton, WA · Pierce County
Voluntary Statement Form
This form lets a person provide a voluntary statement to the Milton Police Department about an incident and indicate whether they want charges filed.
What this form is
Use this form to give the Milton Police Department information for a police report, identify your role and the incident, and provide contact or vehicle details where relevant. It asks for a written statement, whether you want charges filed, and your signature and date; the signer also certifies the statement under penalty of perjury. The form does not describe a separate submission process.
Who needs it
A person providing a voluntary statement to the Milton Police Department about an incident may use this form.
How to submit it
Submit it to the Milton Police Department, 1000 Laurel Street, Milton, Washington 98354; the form also lists telephone and fax numbers.
About notarization
This document is signed without a notary; the signer certifies the statement under penalty of perjury, but the form does not call for notarization.
How to submit this form
- 1
Download The Form
Download the Voluntary Statement Form.
- 2
Complete The Form
Fill in your role, incident details, requested contact or vehicle information, and statement.
- 3
Review And Sign
Indicate whether you want charges filed, then print your name, sign, and provide the date, time, and location.
- 4
Submit To The Police Department
Submit the completed form to the Milton Police Department at 1000 Laurel Street, Milton, Washington 98354.
Frequently asked questions
- What is the Voluntary Statement Form for?
- It lets a person provide incident information to the Milton Police Department, describe their role, and indicate whether they want charges filed.
- Do I need a notary for the Voluntary Statement Form?
- No. The form is signed without a notary, though the signer certifies the statement under penalty of perjury.
- How do I submit the Voluntary Statement Form?
- Submit it to the Milton Police Department at 1000 Laurel Street, Milton, Washington 98354. The form also lists telephone and fax numbers.
Need something notarized?
This Voluntary Statement Form doesn’t need a notary — but if you have another Milton form that does, a commissioned online notary can help.