Are you confused as to what a Mc 321A Form is and why it's important? If so, you have come to the right place. In this blog post, we will take an in-depth look at everything related to the Mc 321A Form, from what it is used for and how to prepare for filing one. You will also learn about special exemptions that may be granted if certain criteria are met. Our goal is to provide readers with all of the information they need when preparing their form so that they can save time and avoid costly errors. By the end of this article, you should feel confident in your understanding of when and how best to use these forms.
| 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 |
City |
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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City |
Township |
Village |
of: |
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7. |
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 |