Wa statement pacific form print 2025

1. Click ‘Get Form’ to open the wa statement pacific form print in the editor.
2. Begin by entering your name in the designated field at the top of the form. Ensure that it is spelled correctly for accurate documentation.
3. Next, fill in your date of birth (DOB) using the format provided (MM/DD/YYYY). This information is crucial for identification purposes.
4. Input your case number in the corresponding field. If you do not have a case number, leave this section blank.
5. Provide your address, home phone, and an alternate phone number. This contact information is essential for follow-up communications.
6. In the declaration section, write your statement clearly and concisely. Make sure to affirm that it was made freely and voluntarily.
7. Sign and date the form where indicated. An officer's signature is also required; ensure this is completed before submission.

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