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Juror Recertification of Vaccination Status Superior Court, Contra Costa County Juror Name: As part of the Courts' commitment to ensure the safety of its employees and court users, and in compliance
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How to fill out juror self-certification of vaccination

How to fill out juror self-certification of vaccination
01
Step 1: Obtain the juror self-certification of vaccination form from the appropriate authority.
02
Step 2: Read the instructions carefully to understand the requirements and eligibility criteria.
03
Step 3: Fill in your personal details, such as name, address, and contact information.
04
Step 4: Provide information about your vaccination, including the type of vaccine received, date of vaccination, and any relevant supporting documentation.
05
Step 5: Sign and date the form to certify the accuracy of the information provided.
06
Step 6: Submit the completed form to the designated authority as per the instructions provided.
Who needs juror self-certification of vaccination?
01
Jurors who have been vaccinated against a specific disease and are required to provide proof of vaccination for jury duty.
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What is juror self-certification of vaccination?
Juror self-certification of vaccination is a process where jurors are required to declare their vaccination status.
Who is required to file juror self-certification of vaccination?
All potential jurors summoned for jury duty are required to file juror self-certification of vaccination.
How to fill out juror self-certification of vaccination?
Jurors can fill out the self-certification form either online or in person at the courthouse.
What is the purpose of juror self-certification of vaccination?
The purpose of juror self-certification of vaccination is to ensure the safety of all individuals participating in jury duty.
What information must be reported on juror self-certification of vaccination?
Jurors must report their vaccination status, including the type of vaccine received and the date of vaccination.
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