Zillah, WA · Yakima County
Police Sworn Statement Form
This bilingual form lets a person provide a written or officer-recorded statement about an incident to the Zillah Police Department.
What this form is
The form records a statement for the Zillah Police Department and asks for the declarant’s name, contact details, incident date, statement date, and statement. The declarant identifies how the statement was provided, confirms it is truthful and voluntary, and signs and dates it; a witness also signs. The form does not say when the department requires a statement or how to submit it.
Who needs it
A person providing an incident statement to the Zillah Police Department can use this form to record their account and sign the declaration.
How to submit it
The form names the Zillah Police Department. 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; the declarant signs and dates the perjury declaration, and a witness also signs.
How to submit this form
- 1
Download The Form
Download the Police Sworn Statement Form.
- 2
Complete The Statement
Fill in the requested personal and incident details, provide your statement, and select how it was provided.
- 3
Review And Sign
Read or have each page read to you, sign each page, initial corrections, and complete the declaration and date.
- 4
Have A Witness Sign
Ask the witness to the statement to sign the witness signature line.
- 5
Submit To The Department
Submit the form to the Zillah Police Department; check the city website for current contact details.
Frequently asked questions
- What is the Zillah Police Sworn Statement Form for?
- It records a person’s statement about an incident, including identifying details, the statement, how it was provided, and the declarant’s signed declaration.
- Who uses this form?
- A person giving a statement to the Zillah Police Department can fill it out. The form also has a signature line for a witness to the statement.
- Do I need a notary for the Zillah Police Sworn Statement Form?
- No. The form has no notary block. The declarant signs and dates the perjury declaration, and a witness also signs.
- How do I submit the Zillah Police Sworn Statement Form?
- The form names the Zillah Police Department but gives no submission address or method. Submit it to the department named on the form and check the city website for current contact details.