Volunteer Juror Request

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Volunteer Juror Request
To:
Court Clerk of ______________________ County
Date:
____________________________
Please be advised that by my signature below I am expressing my desire to be considered
for Grand or Petit jury duty in _____________________ County.
Being a citizen of the United States, eighteen (18) years of age or older, and a resident of
_____________________ County, I certify that, to the best of my knowledge, I meet all other
qualifications for jury service. I therefore respectfully request that my name as shown below
be included with those other residents of this county from which the necessary jurors will be
randomly selected for service in 20_____. I understand that jurors are randomly selected,
and that submitting this form does not guarantee that I will be selected for jury service.
Printed Name: ____________________________________________________
Address:
____________________________________________________
____________________________________________________
City
State
Zip
DOB:
____________________________________________________
I hereby certify and affirm that the foregoing facts are true and correct to the best of my
knowledge.
Dated this ______ day of ______________________, 20_____.
_________________________________
Signature
INSTRUCTIONS TO COURT CLERK: Provide a copy of this form to the AOC for processing.
By Regular Mail to:
Or by Email to:
Administrative Office of the Courts
Attn: Jury Management Team
AllJuryManagementTeam@oscn.net
2100 N. Lincoln Blvd, #3
Oklahoma City, OK 73105
Revised 8/2014

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