Jury Summons Questionnaire

Please fill out the Jury Summons Questionnaire.

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First Name *

Last Name *

Address 1 *

City *

State *

Zip *

Jury Appearance Date *

Jury Appearance Time *

This is a legal notice; failure to report to the Corinth Municipal Court will be a violation of State Law. If you wish to claim a statutory exemption you should complete the following affidavit (below) and submit in person, by mail or online, IMMEDIATELY to the Court along with your proof to: CORINTH MUNICIPAL COURT, 3300 CORINTH PARKWAY, CORINTH, TEXAS 76208.

ATTN: FAILURE TO APPEAR FOR JURY SERVICE MAY RESULT IN A $100 FINE FOR CONTEMPT

QUALIFICATION FOR JURY SERVICE

(Govt. Code, Section 62.102 except where noted) To serve as a juror you must meet the following qualifications: 1. be at least 18 years of age; 2. be a citizen of this state and a resident of the city; 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 theft (misdemeanor or felony) or any felony; and 8. not be under indictment or other legal accusation of a misdemeanor theft, felony theft, or any other felony charge. 9. be a resident of the municipality for which the court is established. (Government Code, Section 62.501; specific to municipal courts)

EXEMPTIONS FROM JURY SERVICE

(Govt. Code, Section 62.106) You may be excused from jury service if: 1. you are over 70 years of age; 2. you have legal custody of a child or children younger than 12 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 attend college; 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 have served as a juror in the county during the 24-month period prior to the date you are required to appear for this summons (Applies only to counties with populations of at least 200,000 unless the county uses a jury plan under 62.011, Government Code, and the period authorized under Section 62.001(b)(6) exceeds two years.); 8. you are a member of the U.S. military forces serving on active duty and deployed to a location away from your home station and out of your county of residence. * You are not required to claim an exemption. It is your choice.

I DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT I AM

EXEMPT

DISQUALIFIED

Verify *

By checking this box, I certify that the above information is true and accurate to the best of my knowledge and that I am the individual previously identified on the official Jury Summons.

Please give the number for the reason above you are exempt of disqualified

Electronic Signature *

Date *

Please fill out the below information and return to the court 5 to 7 days prior to the day of Jury Service. Jury summons may be returned by mail, fax or may be filled out and submitted online at www.cityofcorinth.com.

Gender *

Male

Female

Race (required by State Law) *

Age *

First Name *

Last Name *

Date of Birth *

Address 1 *

City *

State *

Zip *

Home Phone *

County of Residence *

Occupation *

Work Phone *

Employer *

How long have you worked there? *

Spouse's Name (or N/A) *

Spouse's Occupation (or N/A) *

Spouse's Employer (or N/A) *

How long has your spouse worked there? (or N/A) *

Have you ever served on a civil jury? *

Yes

Have you ever served on a criminal jury? *

Yes

I CERTIFY THAT ALL ANSWERS ARE TRUE AND CORRECT. (Electronic Signature) *

JUROR'S RIGHTS AND RESPONSIBILITIES

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). Terminating an employee for performing jury duty is punishable by up to 180 days in jail and/or a fine not to exceed $2,000 (Civil Practice and Remedies Code, Section 122.002). Failure to Answer Summons and Provisions of False Information: Any person summoned who fails to attend or who fails to remain in attendance until discharged by the Court may be fined an amount not to exceed $100 for contempt (Code of Criminal Procedure, Article 45.027). 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 the notice without reasonable excuse; or (2) files a false claim of exemption from jury service (Government Code, Section 62.111). Furthermore, if a person knowingly provides false information in a request for an exemption to be excused from jury service, the person is subject to a contempt action punishable by a fine not less than $100 or more than $1,000 (Government Code, Section 62.0140). Proper Clothing Required: All persons entering the courtroom should be dressed in clothing reasonably befitting the dignity and solemnity of the court proceedings. Exempt or Disqualified: You do not need to appear in person if you are exempt or not qualified for jury service. To claim an exemption or report your disqualification you must complete the following form below, sign it, and mail or personally bring it immediately to the address printed on the front of this summons. Note: If you claim to be disqualified based on a lack of citizenship or lack of residence in this county, you may no longer be able to vote in this county.