Disciplinary Witness Statement

IDAHO DEPARTMENT OF CORRECTION
Witness Statement
Name: Inmate #:
Date: Living unit:
The entire statement may be rejected if the following guidelines are not followed:
To be considered, statements must be written within the space provided, legible, specific, and
related to the alleged disciplinary offense.
You are completing this statement of your own free will. Giving false information could lead to
disciplinary action.
I witnessed the following:
Inmate's Signature: Date:
318.02.01.001
(Last updated 08/08/2017)