Flood Claim Witness Statement Form
Witness Information
Full Name
Address
Phone Number
Email
Flood Incident Details
Date of Flood
Time of Flood (if known)
Location of Flood
Name of Property Owner/Claimant
Witness Statement
Describe what you witnessed
Describe the damage you observed
Other witnesses (if any)
Additional information
Declaration
I declare that the information provided above is true to the best of my knowledge.
Signature
Date