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Statement Forms
This form is available for people to download and complete. You should only use this form if you have already talked with a deputy sheriff and you have his name and the case number or event number that you can add at the top of the page.

Making false or misleading statements is a crime and we will prosecute violations of this law.

        1)    Do not forget to sign at the bottom of the page.
        2)    You may bring the completed statement for to the Sheriff's Office in person, 
                just remember to put the deputy's name and case/event number on the form.
        3)    You can mail it to the deputy, please put the deputy's name on the outside of the 

                Cowlitz County Sheriff's Office
                ATTN: Deputy ____________
                312 SW 1st Ave
                Kelso, WA 98626

Statement Form

Statement Form cont'd (if multiple pages are needed)


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