This is an example of a completed witness statement. It is important to complete your witness statement using your own details and based on your own circumstances. If you need more help, get legal advice.
For instructions for preparing a witness statement, see Instructions for preparing witness statements - car accidents.
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. 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:
Signed: A. Rossi
Dated: 7 December 20xx