Park City, UT

Please complete this page only when you have received an incident number from a police officer and have been instructed to do so. All other types of correspondence can be accomplished from the “Contact Us” page.

Incident Number:*

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Email Address:

Witness Statement: Instructions to the Witness: The statement you are about to make may be presented to a judge in lieu of your sworn testimony at a preliminary hearing. Any false or untrue statements may subject you to criminal punishment as a Class A Misdemeanor. You are providing this statement of your own free will. No promises, threats, or coercion of any kind have been expressed. Please write the information as detailed as possible.

I (witness) attest that the statement on this form is true and accurate to the best of my knowledge. Please check the box to acknowledge:

To receive a copy of your submission, please fill out your email address below and submit.

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