The phrase "a form stating" is correct and usable in written English.
It can be used when referring to a document or paper that provides specific information or declarations.
Example: "Please fill out a form stating your availability for the upcoming project."
Alternatives: "a document indicating" or "a paper declaring".
All employees must sign a form stating they will not eat nuts or things with traces of nuts at work.
In January 2006, the bank received a form stating that Mr. Napolitano had met personally with Mr. Schrammel.
Each institution is required to fill out a form stating its objectives for the next year and how much money will be required to accomplish them.
All patients receiving the vaccine will be required to sign a form stating that they have been informed of the immunization's benefits and risks.
We signed a form stating that any embryos created through the process could be brought to term only with both parties' consent.
Even key targets such as cleanliness are a result of self-assessment by trusts filling out a form stating whether or not they are meeting the required standards.
In a recent case, Mr. Manley said, a form stated the reason for return simply as "boring".
Labor is demanding the Australian federal police investigate whether Bishop made a false statement when she signed a Department of Finance form stating the charter was claimed for "official business".
Invite faculty, GSIs, and undergraduate students to nominate candidates on a special form stating their reasons for nominating the GSI.
Companies that contract for $600 or more in services are required by the IRS to send you a 1099 form stating what they paid you.
At the end of every fiscal year, the government would send me a W2 form stating exactly how much money they had withheld, which I dutifully forwarded to Dick.
