Voluntary Statement Web SiteOffice of Sheriff835 East 300 North, Suite 200 (435) 896-2600Sheriff Nathan J. CurtisVoluntary Statement Case # Name * Date * Address * City * State * - Select Province/State -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ====================AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Home Phone Cell Phone Work Phone Date of Birth Social Security Number Driver's License Number Email Address * Notice: Pursuant to section 76-8-504.5, Utah Code Annotated, 1953 as amended, you are notified that statements you are about to make may be presented to a magistrate or judge in lieu of your sworn testimony at a preliminary examination. Any false statement you make and that you do not believe to be true may subject you to criminal punishment as a Class A Misdemeanor.I do give this statement of my own free will. I understand that I have the right to remain silent, that anything I say can be used against me in the court of law, that I have the right to talk to an attorney, and to have him present when I make this statement, that if I cannot afford an attorney on will be appointed for me if I so desire. I understand that I have the right to stop answering questions at any time.I fully understand the rights above I make the following statement. Signature * Confirm * I confirm this is my statement Witness * Confirm * I confirm I am the witness. Statement * Signature * Confirm * I confirm this is my statement Witness * Confirm * I confirm I am the witness. Submit a Tip EmailSubmit a TipAnonymously submit a tip to the Sevier County Sheriff's Office. First Name Not Required Last Name Not Required Email Address Not RequiredHow can we help?If you've got information you think we should know about, leave us an anonymous tip. Comments / Questions *Type your tip or information above and submit to the Sheriff's Office. Driver Exchange Form CompanyDriver Exchange FormFill in information below on YOURSELF and YOUR vehicle only. Accident Location * Date of Accident * Time * Driver's Phone Number * Make of Vehicle * Year * Model * License No. * State * - Select Province/State -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ====================AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Owner's Name * Owner's Address * City * State * - Select Province/State -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ====================AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Driver's Name * Driver's Address * City * State * - Select Province/State -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ====================AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Driver's License No. * State * - Select Province/State -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ====================AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Driver's Age * Sex * Male Female Insurance Company * Policy No. * Car Removed To * Your Car Name of Agent * Investigating Officer * This accident is filed under Sevier County Sheriff Case # Please refer to this case number should you need further information. Providing your insurance company with this case number will help expedite your insurance claim. Reportable Accident The accident in which you have been involved has been classified as a REPORT- ABLE ACCIDENT by the investigating officer. If you need a copy of the report, it will be available at: 835 E 300 N RICHFIELD, UT 84701 Non-Reportable Accident The accident in which you have been involved has been classified as a NON- REPORTABLE ACCIDENT. There has been an investigation made by the Sevier County Sheriff’s Office, which will have a copy of the report on file. We suggest you notify your insurance company immediately for settlement of the damages to your vehicle, which is a civil claim.