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2. Williamson County Jury Duty Questionnaire
4. First Name:
5. Middle Name:
6. Last Name:
8. Date of Birth:
   Format 00/00/0000 please.
10. Address:
11. City:
12. State:
13. zipcode:
15. Email Address:
17. Home Phone:
18. Work Phone:
19. Cell Phone:
21. Employer:
22. Occupation:
24. Spouse First Name:
25. Middle:
26. Last:
28. Spouse Occupation:
30. Number of Children:
32. 1. Have you lived in Williamson County for at least one year?

    1. Yes
    2. No
34. 2. Are you a U.S. Citizen?

    1. Yes
    2. No
36. 3. Have you ever been convicted of a felony?

    1. Yes
    2. No
38. 4. Do you have lawsuits pending in this Court?

    1. Yes
    2. No
40. 5. Have you previously served on a jury?

    1. Yes
    2. No
42. The answers provided are truthful and complete to the best of my ability. I understand that knowingly giving a false answer may subject me to the penalties for perjury.
44. ADA: If you need assistance or accommodations because of a disability, please call the ADA coordinator at 615-790-5466
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field