Transcription of JURY QUESTIONNAIRE
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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.
* There is not an exemption from jury service based solely on age. Exemptions must be based on some other good cause. An example of good cause would be pursuant to Iowa Code section 235F.1 concerning a “vulnerable elder;” “Vulnerable elder” means a person sixty years of age or older who is unable to protect himself or herself from
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