Form Center

2. 

3. PARK COUNTY SHERIFF’S OFFICE
   PO Box 604
   Fairplay, CO 80440
   719-836-2494
   Sheriff Tom McGraw

5. Case #
9. Witness Statement
11. Name:*
12. Date of Birth*
14. Address:*
15. Phone*
17. Date/Time:*
18. Email Address*
20. STATEMENT
22. .

    1. I have read this statement and I certify that the facts contained herein are true and correct.
24. Signature of person making statement
    
    ___________________________________________
25. Witness
    
    ___________________________________________
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field