1
Case Context
What matter is this statement related to?
Rep guidance
Complete this section first so the statement is tied to the right matter in the file. Grievance number is optional β leave it blank if one hasn't been assigned yet.
e.g., Unannounced classroom observations by AP Milton, MarchβApril 2026
2
Witness Information
Who is giving this statement?
Rep guidance β confidentiality
If the witness has concerns about being identified, note that in your assessment section. The union controls who sees this document. The witness's name will appear in the statement but this document stays in the union file.
3
The Incident
Basic facts about what this statement concerns.
4
Witness Account
What the witness personally observed β in their own words.
Rep guidance β capturing the account
Ask the witness to tell you what they saw and heard in their own words. Record as close to verbatim as possible. Then ask follow-up questions:
- "What did you see happen?"
- "What exact words did you hear?"
- "Were there others present who saw this?"
- "Has this happened before that you know of?"
Facts only β what they saw, heard, or experienced firsthand.
If the witness has seen similar conduct before, document it here.
5
Witness's Own Words (Optional)
Anything the witness wants to add in their own voice.
Rep guidance
Ask the witness: "Is there anything else you want to say about this situation in your own words?" This section lets the witness speak directly and will be clearly marked as their personal statement in the output.
6
Rep's Assessment
Your professional judgment β internal to the union file.
Internal only β do not share with administration or the witness
This section is your candid assessment for the officer and grievance committee. It stays in the union file.
How credible did the witness appear? Were they consistent, specific, and composed?
β Rep: Review this statement carefully before filing. Send to Jeffrey Cunningham at (234) 208-6180 or jcunningham@ghbulldogs.org. Do not share with administration.
Internal Witness Statement
Review and edit as needed. The rep assessment section is separated and marked internal only.