Witness Statement Form for Prescriptive Rights Survey

WITNESS STATEMENT FORM

Prescriptive Rights Survey Documentation

Form ID: WS--

Witness Full Name:

Contact Information:

Property or Area in Question:

Length of Time Familiar with Property:

Please describe your knowledge of how this property/area has been used:

Include specific dates, frequency of use, and any notable changes over time

Have you observed any of the following? (Check all that apply)

Regular foot traffic or vehicle use

Maintenance or improvements to the area

Posting of signs or notices

Disputes or conflicts regarding use

Changes to physical features or boundaries

Additional Information or Observations:

I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge.

Signature

Date

Survey Company: ___________________________________

Project Number: ___________________________________

Surveyor Name: ___________________________________

Form WS-2023 | For Professional Land Survey Use | Page 1 of 1