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JUROR AFFIDAVIT QUESTIONNAIRE COMPLETE BOTH SIDES AND SIGN ON BACK OF FORM DATE JUROR ID 9-Digit Number NAME MARITAL STATUS MARRIED SINGLE EMPLOYED WIDOWED RETIRED DIVORCED NEW NAME/ADDRESS SEPARATED DOMESTIC PARTNERSHIP GOVERNMENT/PUBLIC EMPLOYEE OCCUPATION HOME PHONE EMPLOYER BUS PHONE EXT CELL PHONE SPOUSE/DOMESTIC PARTNER S OCCUPATION PARTNER S EMPLOYER NUMBER OF DAYS YOUR EMPLOYER PAYS DURING JURY DUTY 1-5 YEARS IN USA Revised 4/1/2009 Form 1169 6-10 11-20 NUMBER OF CHILDREN YOUR AGE...

How to fill out juror affidavit form

How to fill out juror affidavit questionnaire:

1. Read the instructions carefully: Before starting to fill out the juror affidavit questionnaire, it is important to thoroughly read the instructions provided. These instructions will guide you in accurately completing the form.
2. Gather all the necessary information: Collect all the information required to fill out the juror affidavit questionnaire. This may include personal details such as your full name, address, date of birth, and contact information.
3. Provide accurate and truthful information: It is essential to provide truthful and accurate information while filling out the juror affidavit questionnaire. Any incorrect or misleading information can have legal consequences.
4. Answer all the questions: Ensure that you answer all the questions in the juror affidavit questionnaire. This may include questions related to your eligibility as a juror, any conflicts of interest, criminal history, or any other relevant information.
5. Review and double-check: Before submitting the juror affidavit questionnaire, carefully review all the information you have provided. Double-check for any errors or omissions that need to be corrected.

Who needs juror affidavit questionnaire:

1. Individuals selected for jury duty: Those called to be potential jurors in a specific case may be required to fill out a juror affidavit questionnaire. This form helps the court assess the eligibility and suitability of potential jurors.
2. Prospective jurors during the jury selection process: As part of the jury selection process, prospective jurors may need to complete a juror affidavit questionnaire. This ensures that the court has relevant information about each potential juror before making a final selection.
3. Court officials and legal professionals: Juror affidavit questionnaires may be needed by court officials and legal professionals involved in the jury selection process. This helps them understand the background and qualifications of potential jurors for a fair and impartial trial.

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What is juror affidavit questionnaire?

The juror affidavit questionnaire is a document that prospective jurors fill out to provide information about themselves that may be relevant to the jury selection process.

Who is required to file juror affidavit questionnaire?

Anyone who is summoned for jury duty is required to fill out the juror affidavit questionnaire.

How to fill out juror affidavit questionnaire?

The juror affidavit questionnaire can usually be completed online or through a paper form provided by the court. It requires providing personal information such as name, address, occupation, and any prior jury service.

What is the purpose of juror affidavit questionnaire?

The purpose of the juror affidavit questionnaire is to gather information about potential jurors to determine their eligibility, qualifications, and potential biases for jury service.

What information must be reported on juror affidavit questionnaire?

The juror affidavit questionnaire typically asks for information such as name, address, occupation, education level, prior jury service, criminal history, and any potential conflicts of interest.