ACA-E 2
Code: ACA-E 2
WITNESS DISCLOSURE FORM
Name of witness:_________________________________________________
Position/Grade of witness:_______________________________________
Date of testimony, Interview:____________________________________
Description of Incident witnessed:_______________________________
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Any other information:___________________________________________
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I agree that all of the information on this form is accurate and true to the best of my knowledge.
Signature:_____________________________________
Date:________________________________
Adopted: 8/18/20