Juror Qualification Questionnaire

Juror Qualification Questionnaire

  1. Have you ever held office in any state, county, or municipality, or have you ever been a law enforcement officer?*
  2. Marital Status*
  3. Do you drive?*
  4. Check if you are:
  5. Have you, a family member, or a close friend ever been involved in a serious traffic accident?*
  6. Who was injured?*
  7. Was alcohol involved?*
  8. Have you ever been a victim, witness, plaintiff, or defendant in a criminal or civil suit?*
  9. Have you ever been convicted of a crime?*
  10. Are there any special accommodations the court needs to make to assist you in serving as a juror?*
  11. Are you a United States citizen?*
  12. Do you understand English?*
  13. Do you speak English?*
  14. Are you physically and mentally able to carry out the functions of a juror?*
  15. The law states that if you are 70 years of age or older you do not have to serve on jury duty unless you want to. If you are 70 years of age or older, do you want to serve on jury duty?*
  16. Have you been paid as a juror during the past 12 months?*
  17. Have you ever been convicted of a felony?*
    A felony means a violation of a penal law of this state, another state, or the United States for which the offender, upon conviction, may be punished by death or by imprisonment for more than 1 year, or an offense expressly designated by law to be a felony.
  18. Signature

  19. Leave This Blank:

  20. This field is not part of the form submission.