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JURY QUESTIONNAIRE

Name:_____Address: _____Email Address:_____ Home Phone:_____Work Phone: _____Cell Phone: _____Date of Birth: _____Age: _____To receive text notifications, list the cell phone carrier:Marital Status:_____Age(s) of Children:_____Number of Children:_____Spouse s Name:_____Spouse s Occ:_____Spouse s Emp:_____Occupation:_____Employer: _____Level of Education: _____Are you a United States Citizen?YesAutomatic exemptions are not allowed for reasons of inconvenience, hardship, or age.** There is not an exemption from jury service based solely on age. Exemptions must be based on some other good cause.

which is on the final landing page after completing your questionnaire. If you believe you are eligible to serve but do not have internet access, please fill out the front of this form and return it to the Jury Manager. When responding to your questionnaire, whether by paper or through the online questionnaire,

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