Ricky W. Morris, Jr. P.C.
Attorneys at Law
WITNESS STATEMENT FORM
State of Georgia vs. _______________________
Name: _______________________________________________________________________
Address: ______________________________________________________________________
Date of Birth: ________________ Social Security: ____________________________________
Race: ________ Sex: _________ Height: __________ Weight: __________
Employer: ____________________________________________________________________
Address: ______________________________________________________________________
Home:______________________ Work:___________________ Cell:____________________
****Details (Who, What, When, Where, Why, How) Sign & Date upon completion.
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Date: _________________ Signature: _______________________________________
Witness Statement, Continued Page _____ of ______
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Signature: _______________________________________