Item 1: witness information
Name, home address with ZIP code, e-mail address and work, cellular and home telephone numbers.
SF94
Statement of Witness
- Agency
- GSA
- Revision
- Rev. 11/2020
- Fillable fields
- 26
- Pages
- 3
- Official source
- GSA form page
- Checked
- October 20, 2026
Standard Form 94 (SF 94): Statement of Witness
Standard Form 94 (SF 94), Statement of Witness, is a three-page form printed as STANDARD FORM 94 (REV. 11/2020). The form says it is Prescribed by GSA and cites FMR (41 CFR) 102-34, and GSA's page lists FMR (41 CFR) 102-34.290. GSA hosts it in its forms library. It carries OMB Control Number 3090-0118, expiration date 1/31/2027.
The form asks a witness to an accident for contact details, the date and time of the accident and the time they arrived at the scene, where it happened, an account in their own words, any injuries, apparent damage to private and Government property, road conditions, anything unusual and a diagram. Notes, the witness name, signature, date and time close the form.
The form estimates it will take 20 minutes to read the instructions, gather the facts and answer the questions. You can fill it out free in your browser on this page and download the result without an account.
What's on SF 94
Items 2 and 3: the accident
Whether you witnessed it, its date and time, the time you arrived at the scene, and where it occurred by street location, city and state.
Items 4 to 7: what happened
An account in your own way, any injuries and their extent if known, and the apparent damage to private property and to Government property.
Items 8 and 9: conditions
Road and conditions that influenced the accident, such as weather, terrain, debris, road work and time of day, and anything unusual before or during it.
Item 10: diagram
Diagram boxes with rules for numbering vehicles, solid and broken lines, pedestrians, railroads, street names and a north arrow.
Notes and items 12 and 13
A notes space with prompts about drivers, passengers, police, fire and rescue, then the witness name, signature, date and time.
How to complete SF 94
- 1
Read the Privacy Act statement
Page 1 asks the witness to read the Privacy Act Statement on Page 3.
- 2
Enter contact details
Fill in item 1 with name, home address including ZIP code, e-mail and telephone numbers.
- 3
Describe the accident
Item 4 says to tell in your own way how the accident happened. The form says to attach additional sheets if necessary.
- 4
Draw the diagram
The form says to number the Government Vehicle (GOV) #1 and Private Vehicle (POV) #2, show direction by arrow, use a solid line before the accident and a broken line after, and indicate north.
- 5
Add notes
The notes prompt for how many drivers, vehicles and passengers were involved, whether police, fire or rescue were on the scene, and whether a police report was completed.
- 6
Sign, date and time it
Enter the witness name in item 12, then sign item 13 and add the date and time.
Why fill Form SF94 on indox
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- Works on a phone, tablet or computer
Where it goes and what the form says
Where it goes
The form prints no address for the completed statement. The address in its Paperwork Reduction Act statement is for comments on the time estimate only.
Comments on the time estimate
The form says to send only comments relating to the time estimate to U.S. General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street, NW, Washington, DC 20405.
Time to complete
The form estimates 20 minutes to read the instructions, gather the facts and answer the questions.
OMB control number
OMB Control Number 3090-0118, expiration date 1/31/2027. The form says you do not need to answer these questions unless a valid OMB control number is displayed.
Privacy
The form says the information is subject to the Privacy Act of 1974, 5 U.S.C. § 552a, and that authority to collect it is set forth at 40 U.S.C. § 491 and 31 U.S.C. § 7701.
Related forms
Who fills out SF 94?
The form is written to the witness, and its Privacy Act statement names who uses the information.
Official sources and the blank
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Questions about Form SF94
Who issues SF 94?
The form prints Prescribed by GSA with the citation FMR (41 CFR) 102-34, Rev. 11/2020, and OMB Control Number 3090-0118. GSA hosts it in its forms library.
Where do I send SF 94?
The form prints no address for the completed statement. The GSA Regulatory Secretariat Division address on page 1 is only for comments relating to the time estimate.
How long does SF 94 take to fill out?
The form estimates 20 minutes to read the instructions, gather the facts and answer the questions.
What if I arrived after the accident happened?
Item 2 asks both whether you witnessed the accident and the time you arrived at the scene. The notes ask whether police, fire or rescue were present before or after you arrived.
How do I number vehicles on the diagram?
The form says Government Vehicle (GOV) #1, Private Vehicle (POV) #2, and additional vehicles GOV or POV as #3 and so on, with direction of travel shown by arrow.
What if I need more space?
The form says to attach additional sheets if necessary, and page 3 has a notes space for a detailed account.