Spokane County PDF Details

In preparation for jury duty, potential jurors in Spokane County are provided with a comprehensive Juror Information Form by the Spokane County Superior Court, designed to gather essential information for court use only. This form covers a wide range of topics including personal identifiers like name, address, and contact numbers, to more detailed questions regarding marital status, employment, educational background, and previous jury service. Additionally, the form delves into specifics such as the juror's means of transportation to the courthouse, involvement in legal disputes, past convictions, and any affiliations with law enforcement or community organizations. It also inquires about family details, including information about spouses or significant others and children. Importantly, it addresses the need for any special accommodations under the Americans with Disabilities Act (ADA) to ensure all jurors can serve comfortably. The document outlines the qualifications required for jury duty as mandated by Washington State law, including age, citizenship, residency, language ability, and legal status. It further provides an option for individuals to certify their eligibility or disclose any disqualifications, along with the procedure for requesting a hardship excuse from jury service or a postponement, highlighting the conditions under which these requests can be made. The form emphasizes the impartial nature of jury service by reminding potential jurors that professional exemptions do not exist, underscoring the civic duty of all community members to participate in the judicial process. This detailed Juror Information Form represents the first step in fulfilling one's civic responsibility and participating in the foundational process of justice within Spokane County.

QuestionAnswer
Form NameSpokane County
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesjutyweb, https cp spokanecounty org juryweb, spokanecounty org juryweb, juryweb

Form Preview Example

Juror Information Form

Juror #_____________________

SPOKANE COUNTY SUPERIOR COURT

 

All Prospective Jurors - PLEASE enter below data on secure Website: https://www.spokanecounty.org/JuryWeb or complete form and RETURN at least 2 weeks prior to date of service. (All information is intended for court use only.)

1.

Name (First, Middle, Last)___________________________________________________________________________

2.

Mailing Address, City, Zip Code______________________________________________________________________

3.

Home telephone #: (_____)______-__________ Business telephone #: (_____)______-__________ ext. ___________

4.

Date of Birth: _________________________

 

5.

Social Security #: ______ / _____ / ______

 

6.

Education: __________ years

 

7.

Marital Status: Married Single Widowed

Other

8.

Employment Status: Employed

Unemployed

Self Employed Retired

 

9.

Occupation: ________________________________

10.

Have you ever served on Jury Duty? Yes

No

11.

Residence in Washington: _________ years

 

Spokane County: ____________ years

 

12.

Related to Law Enforcement officer: Yes

No

 

 

13.

How will you get to the Courthouse?

Bus (If riding bus, Permit will be mailed to you.) Vehicle Other

14.Organizations and clubs you and your spouse belong to: __________________________________________________

15.

Spouse/significant other’s Name (First, Middle, Last) _____________________________________________________

16.

Spouse/significant other’s Employment Status:  Employed

Unemployed Self Employed Retired

17.

Spouse/significant other’s Occupation __________________ 18. Ages of Children: Boy(s)_______

Girl(s) _______

19.

Have you, your spouse, or your children ever:

 

 

 

 

 

a. been a party to a lawsuit?

Yes No

b.

suffered serious bodily injury?

Yes

No

 

c. made claim for personal injury? Yes No

d.

made claim for property damage?

Yes

No

20.

Have you had a conviction other than a minor traffic violation?

Yes No

 

 

 

a. If yes, please list the charge: ___________________________________________ Year of Conviction: _________

21.

I need the following ADA special needs addressed to facilitate my jury service:

 

 

 

Wheelchair access

Sign Language Interpreter

Other ________________________________________

 

 

 

JUROR QUALIFICATIONS

 

 

The laws of the State of Washington provide that an individual is qualified to serve as a juror if that person . . .

 

 

1.

is 18 years or older;

 

4.

is able to communicate in the English language; and

 

2.

is a citizen of the United States;

5.

is not in custody of Washington Department of

 

3.

is a resident of Spokane County;

 

Corrections (DOC) or on DOC community custody.

I, THE UNDERSIGNED, DO HEREBY CERTIFY UNDER PENALTY OF PERJURY

that I am qualified to serve as a juror.

that I am not qualified to serve as a juror due to failure to meet Juror Qualifications (*circle) 1, 2, 3, 4 and/or 5 above.

Signature____________________________________________

Date ___________________________________

TO REQUEST A HARDSHIP EXCUSE FROM JURY SERVICE, PLEASE COMPLETE BELOW: I ask to be excused for the following reason (*letters to be included with this completed form):

Medicalrequires a letter from your physician/health care provider (Not needed if age 65 or above)

Financial Hardship - requires letter from your employer stating pay policy while serving on jury duty

Student - requires a copy of your class schedule hours during the term of scheduled service

Non-Resident - requires verification of new permanent address outside of Spokane County

Militaryshould include notification of base assignment or copy of deployment order

Other ______________________________________________________________________________________

Please be advised that Washington law recognizes no exemptions on the sole basis of profession.

FOR POSTPONEMENT, please request a specific date (Monday) within six months: Month_____________ Day___.

(Only one postponement allowed.)

NOTE: You will ONLY be notified within ten (10) days if your written request was NOT granted.

*Excuse requests are not allowed through the website. You may sign into the above secure website after 10 days to check your status.

UPON COMPLETION, PLEASE RETURN THIS FORM to:

Jury Management

INCLUDE ANY ADDITIONAL DOCUMENTATION if making a request.

W 1116 Broadway Ave

*Requests must be received 2 weeks prior to term.

Spokane, WA 99260-0350

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Write down the details in the a been a party to a lawsuit, Yes No, b suffered serious bodily injury, c made claim for personal injury, d made claim for property damage, Have you had a conviction other, a If yes please list the charge, I need the following ADA special, Wheelchair access Sign Language, JUROR QUALIFICATIONS, The laws of the State of, is years or older is a citizen of, is able to communicate in the, Corrections DOC or on DOC, and I THE UNDERSIGNED DO HEREBY area.

spokanecounty org juryweb a been a party to a lawsuit, Yes  No, b suffered serious bodily injury, c made claim for personal injury, d made claim for property damage, Have you had a conviction other, a If yes please list the charge, I need the following ADA special, Wheelchair access  Sign Language, JUROR QUALIFICATIONS, The laws of the State of, is  years or older is a citizen of, is able to communicate in the, Corrections DOC or on DOC, and I THE UNDERSIGNED DO HEREBY fields to insert

Note down any details you are required in the segment Please be advised that Washington, FOR POSTPONEMENT please request a, NOTE You will ONLY be notified, Only one postponement allowed, UPON COMPLETION PLEASE RETURN THIS, and Jury Management W Broadway Ave.

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