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Jury Duty Questionaire
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Williamson County Jury Duty Questionnaire
First Name:
Middle Name:
Last Name:
Date of Birth:
Format 00/00/0000 please.
Address:
City:
State:
zipcode:
Email Address:
Home Phone:
Work Phone:
Cell Phone:
Employer:
Occupation:
Spouse First Name:
Middle:
Last:
Spouse Occupation:
Number of Children:
1. Have you lived in Williamson County for at least one year?
Yes
No
2. Are you a U.S. Citizen?
Yes
No
3. Have you ever been convicted of a felony?
Yes
No
4. Do you have lawsuits pending in this Court?
Yes
No
5. Have you previously served on a jury?
Yes
No
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.
ADA: If you need assistance or accommodations because of a disability, please call the ADA coordinator at 615-790-5466
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