The Spokane County Land Use Application is a form that must be filled out by all applicants who are looking to change the land use designation on their property. The form can be obtained from the Spokane County Planning Department, and it is important to read through all of the instructions before filling it out. There are many different sections on the form, and each one needs to be completed correctly in order for your application to be processed. Make sure you have all of the required documentation ready before submitting your application, as it will save you time and hassle down the road. If you have any questions about the form or how to complete it, don't hesitate to contact the Planning Department for help.
If you want to first find out how much time you need to complete the spokane county and how many pages it's got, here's some basic data that will be useful.
| Question | Answer |
|---|---|
| Form Name | Spokane County |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | spokane county org, ryweb, cp spokanecounty org jury web, juryweb |
Juror Information Form |
Juror #_____________________ |
SPOKANE COUNTY SUPERIOR COURT |
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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)___________________________________________________________________________ |
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2. |
Mailing Address, City, Zip Code______________________________________________________________________ |
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3. |
Home telephone #: |
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4. |
Date of Birth: _________________________ |
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5. |
Social Security #: ______ / _____ / ______ |
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6. |
Education: __________ years |
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7. |
Marital Status: Married Single Widowed |
Other |
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8. |
Employment Status: Employed |
Unemployed |
Self Employed Retired |
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9. |
Occupation: ________________________________ |
10. |
Have you ever served on Jury Duty? Yes |
No |
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11. |
Residence in Washington: _________ years |
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Spokane County: ____________ years |
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12. |
Related to Law Enforcement officer: Yes |
No |
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13. |
How will you get to the Courthouse? |
Bus (If riding bus, Permit will be mailed to you.) Vehicle Other |
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14.Organizations and clubs you and your spouse belong to: __________________________________________________
15. |
Spouse/significant other’s Name (First, Middle, Last) _____________________________________________________ |
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16. |
Spouse/significant other’s Employment Status: Employed |
Unemployed Self Employed Retired |
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17. |
Spouse/significant other’s Occupation __________________ 18. Ages of Children: Boy(s)_______ |
Girl(s) _______ |
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19. |
Have you, your spouse, or your children ever: |
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a. been a party to a lawsuit? |
Yes No |
b. |
suffered serious bodily injury? |
Yes |
No |
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c. made claim for personal injury? Yes No |
d. |
made claim for property damage? |
Yes |
No |
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20. |
Have you had a conviction other than a minor traffic violation? |
Yes No |
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a. If yes, please list the charge: ___________________________________________ Year of Conviction: _________ |
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21. |
I need the following ADA special needs addressed to facilitate my jury service: |
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Wheelchair access |
Sign Language Interpreter |
Other ________________________________________ |
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JUROR QUALIFICATIONS |
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The laws of the State of Washington provide that an individual is qualified to serve as a juror if that person . . . |
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1. |
is 18 years or older; |
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4. |
is able to communicate in the English language; and |
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2. |
is a citizen of the United States; |
5. |
is not in custody of Washington Department of |
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3. |
is a resident of Spokane County; |
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Corrections (DOC) or on DOC community custody. |
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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):
Medical – requires 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
Military – should 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 |