Statement of Truth (Formal Written Statement)

Subject: Written statement – [Topic]

Name: [Your full name]
Address: [Your address]
Date of birth (optional): [DD Month YYYY]
Date: [DD Month YYYY]

Statement

I, [Your full name], of [Your address], state as follows:

• [Point 1 – what happened, with date/time where possible]
• [Point 2]
• [Point 3]

I attach the following evidence (if applicable): [List evidence]

Statement of truth

I believe that the facts stated in this written statement are true.

Signed: _______________________
Name: [Your full name]
Date: [DD Month YYYY]