Jury Summons Juror Questionnaire (Page 2 of 2) in pdf

Directions Regarding Jury Duty: You must serve on a jury unless you (1) are not qualified to serve; (2) claim an exemption from jury service; or

(3) are excused from serving by a court. The general qualifications for jury service and the exemptions from jury service are listed on this card. If

you do not meet the qualifications for jury service, please circle the qualification(s) you do not meet and then sign the form to certify that you are

disqualified. If you wish to claim an exemption from jury service, please circle the appropriate exemption(s) and then sign the form to certify that

you are entitled to the exemption(s). Then please mail or bring the completed questionnaire to the address printed on this jury summons. You do

not have to appear for jury service. If you are not disqualified and you are not claiming any exemption(s), then you must report for jury duty. You

may ask a judge to consider excusing you from jury service for a reason other than that you are disqualified or exempt at that time. Please bring your

completed questionnaire with you when you report for jury service.

GENERAL QUALIFICATIONS FOR JURY SERVICE

A summons also includes the

(Govʼt Code, Section 62.102)

Code Crim. Proc., Articles 35.16, 35.19)

minimum qualifications for jury

To be qualified to serve as a juror you must:

service ...

1. be at least 18 years of age;

2. be a citizen of this state and a resident of the county in which you are to serve as a juror;

3. be qualified under the Constitution and laws to vote in the county in which you are to serve as a juror (Note: You do not have to be

registered to vote to be qualified to vote);

4. be of sound mind and good moral character;

5. be able to read and write;

6. not have served as a juror for six days during the preceding three months in the county court or during the preceding six months in the

district court;

7. not have been convicted of a felony, and, not be under indictment or other legal accusation of a misdemeanor theft or any felony; and

8. (for service on a jury in a criminal case) not have been convicted of theft.

I DO HEREBY CERTIFY THAT I AM DISQUALIFIED FROM JURY SERVICE FOR THE REASON(S) CIRCLED ABOVE.

__________________________________

___________________________________________

Date

Signature

... as well as a list of conditions

EXEMPTIONS FROM JURY SERVICE

that may exempt an individual

(Govʼt Code, Section 62.106)

from service.

You may be exempted from jury service if:

1. you are over 70 years of age;

2. you have legal custody of a child or children younger than 10 years of age and service on the jury would require leaving the child or

children without adequate supervision;

3. you are a student at a public or private high school;

4. you are enrolled and in actual attendance at an institution of higher education;

5. you are an officer or an employee of the senate, the house of representatives, or any department, commission, board, office, or other

agency in the legislative branch of state government;

6. you are the primary caretaker of a person who is an invalid unable to care for himself or herself (This exemption does not apply to health

care workers);

7. you are a member of the United States military forces serving on active duty and deployed to a location away from your home station and

out of your county of residence;

8. you have served as a juror in a county during the 24-month period prior to the date you are required to appear for this summons.

(Applies in counties of at least 200,000 unless the county uses a jury plan under Section 62.011, Government Code, and the period

authorized under Section 62.011(b)(5) exceeds two years.); or

9. you have been summoned for service in a county with a population of at least 250,000 and you have served as a petit juror in the county

during the three-year period preceding the date you are to appear for jury service, unless the jury wheel in your county has been

reconstituted after the date you served as a juror.

I DO HEREBY CERTIFY THAT I AM EXEMPT FROM JURY SERVICE FOR THE REASON(S) CIRCLED ABOVE.

_______________________________________________

___________________________________________

Date

Signature

Right to Reemployment: A private employer may not terminate the employment of a permanent employee because the employee serves as a

juror. An employee whose employment is terminated in violation of this section is entitled to return to the same employment that the employee

held when summoned for jury service if the employee, as soon as practical after release from jury service, gives the employer actual notice that

the employee intends to return. (Civil Practice and Remedies Code, Section 122.001).

Failure to Answer Summons and Penalties: A person who fails to comply with this summons is subject to a contempt action punishable by a

fine of not less than $100 nor more than $1,000 (Government Code, Section 62.0141). Additionally, a person shall be fined not less than $10 nor

more than $100 if the person: (1) fails to attend court in obedience to this summons without reasonable excuse; or (2) files a false claim of

exemption from jury service. (Government Code, Section 62.111).

Proper Clothing Required: All prospective jurors should dress in clothing befitting the dignity and solemnity of the court proceedings.

Jury Summons Juror Questionnaire Page 2

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