This is an example of a completed witness statement in a car accident case. It is important to complete this statement using your own details and based on your own circumstances. If you need more help, get legal advice.
For instructions on preparing a statement see, Instructions for preparing witness statements.
Case study - Rob and Mick
Rob parked his car at a shopping centre. After checking his mirrors, Rob slowly reversed out of a parking spot at the shops when he suddenly felt a bump. Rob had run into a car that was behind him. Rob does not have comprehensive car insurance. Rob tried to resolve the dispute with Mick and sent him a letter of demand to pay for the cost of repairs to his car. Mick has ignored Rob's phone calls and has not responded to the letter of demand. Rob has started a claim in the Small Claims Division of the Local Court. At the pre-trial review, the court gave directions to Rob and Mick to file their witness statements before the hearing date. Rob has asked his witness to write a witness statement.
Statement of Anna Rossi
I, Anna Rossi, of 3 Arthur Street, Croydon Park NSW 2133, home duties, state:
On 1 December 20xx at about 3:30pm, I was about to get into my car in the car park next to the shops on Burwood Road, Burwood NSW 2134.
I noticed that a red Toyota Yaris was driving down the lane behind me.
I saw a black Mazda 3 reverse out of a car space and collide with the red Toyota Yaris. The red car was moving at the time of the collision.
My car was parked opposite where the accident happened.
The driver of the black car got out of his car. He did not seem to be hurt.
The driver of the red car drove away from the scene.
The driver of the black car said "Did you see the accident?". I said words to the effect "I saw it". He then said "Can you give me your contact details, just in case I need a statement from you". I replied "Yes". I then gave him my contact details.
It was a sunny day.
The speed limit in the car park was 20km per hour. The red car was travelling at about 40km per hour.
I noticed damage to the back left side of the black Mazda 3.
I believe that the contents of this statement are true and correct.
Signed: A. Rossi
Dated: 7 December 20xx