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eJUROR QUALIFICATION QUESTIONNAIRE

UNITED STATES DISTRICT COURTD istrict of New HampshireWarren B. Rudman US Courthouse55 Pleasant St., Room 110 Concord, NH 03301-1394 eJUROR QUALIFICATION QUESTIONNAIREPLEASE READ CAREFULLYYour name has been drawn by random selection for consideration to serve as a federal juror inthe United States District Court for the District of New Hampshire. Pursuant to federal law, you are required to complete a QUALIFICATION QUESTIONNAIRE by the datenoted on the form. Please submit your answers on-line using our electronic jury system known aseJUROR (instructions in box below), which will allow you to complete your QualificationQuestionnaire in a user-friendly environment by following individual screen prompts. Please note that this is not a notice to serve as a juror at this time. You are only completing aQualification QUESTIONNAIRE to determine your eligibility to serve as a juror on a future date.

The Qualification Questionnaire you are completing is used only by court staff to determine your eligibility to serve as a juror sometime in the future. Except by judicial order for extraordinary circumstances, only court staff will be able to review the information you …

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