Being summoned for jury duty is a fundamental aspect of participating in the American judicial system, a system that relies heavily on the involvement of its citizens to ensure fair and just legal proceedings. The MC 321A form, known as the Juror Qualification Questionnaire, plays a pivotal role in this process. Sent to prospective jurors whose names are drawn randomly from Secretary of State records, this form is the first step in determining an individual's eligibility for jury service. It seeks basic information, such as name, address, and phone number, along with more specific details regarding citizenship, understanding of the English language, physical and mental ability to serve, and any past convictions. Importantly, it highlights the legal obligation to respond truthfully, underlining the potential consequences of refusing to answer or providing false information, which can include fines, imprisonment, or both. Moreover, it accommodates those 70 years of age or older, giving them the option to decline service, and inquires about any recent jury duty participation to prevent frequent summons within a 12-month period. This form not only facilitates the jury selection process but also underscores the significance of each citizen's contribution to the maintenance of justice and fairness within the community.
| Question | Answer |
|---|---|
| Form Name | Mc 321A Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | mc321a state of michigan mc321a form |
Approved, SCAO
STATEOFMICHIGAN
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE
JUROR QUALIFICATION
QUESTIONNAIRE
JURORNO.
Dear Prospective Juror: Your name has been drawn by random selection for jury service from Secretary of State records. The full cooperation of every citizen is necessary if our system of justice is to function fairly and efficiently. You are required to answer and return this Qualification Questionnaire within 10 days after receiving it. Refusing to answer or making untruthful answers could result in fine, imprisonment, or both for contempt of court.
PLEASE PRINT CLEARLY
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Last name |
First name |
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Middle initial |
2. Date of birth |
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Mailing address |
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State |
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Zip code |
4. Round trip miles from home to court |
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In what county do you live? |
6. Indicate city, township, or village in which you live. |
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Township |
Village |
of: |
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Home phone no. |
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Work phone no. |
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Check the boxes that apply.
9.Are you a United States citizen?
10.Do you understand English?
11.Do you speak English? If no, explain:
12.Are you physically and mentally able to carry out the functions of a juror? If no, explain:
13.The law states that if you are 70 years of age or older you do not have to serve on jury duty unless you want to. If you are 70 years of age or older, do you want to serve on jury duty?
14.Have you been paid as a juror during the past 12 months?
If yes, where? |
When? |
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
15. Have you ever been convicted of a felony? |
Yes |
No |
If yes, what state? |
When? |
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A felony means a violation of a penal law of this state, another state, or the United States for which the offender, upon conviction, may be punished by death or by imprisonment for more than 1 year, or an offense expressly designated by law to be a felony.
I declare that the statements above are true to the best of my information, knowledge, and belief.
Date |
Signature |
FOR USE BY JURY BOARD ONLY
Qualified
Unqualified
Exempted
Date |
Signature of jury board member |
MC 321a (3/12) JUROR QUALIFICATION QUESTIONNAIRE |
MCL 600.1307a, MCL 600.1313 |