WITNESS STATEMENT

1. WITNESS STATEMENT

IN THE HIGH COURT OF JUSTICE

JOHN DOE (Claimant)

- V –

THE SECRETARY OF STATE FOR HEALTH AND SOCIAL CARE
(First Defendant)
&
JCVI - JOINT COMMITTEE ON VACCINATION AND IMMUNISATION

(Second Defendant)

(You are welcome to fill this in for a relative/patient or on behalf of a deceased person.)

Full Name inc. middle names *

Address *

Address 2

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Date / Time

Date