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Juror Qualification and/or Excusal Form
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RCW 2.36.070 states a person is competent to serve as a juror unless that person:
1) Is less than eighteen (18) years of age;
2) Is not a citizen of the United States;
3) Is not a resident of the county in which they have been summoned to serve;
4) Is not able to communicate in the English language; or
5) Has been convicted of a felony and has not had their civil rights restored.
I am qualified to serve as a juror:
No, I am not qualified to serve as a juror under one of the subsection numbers above (list reason below)
No, I am requesting a hardship excuse for the following reason (list reason below)
No, I am requesting a COVID-19 Exemption: I am sick, at high risk, have a compromised immune system, have recently been in contact with someone COVID-19 positive, and/or am currently quarantined
Please list subsection number and/or hardship excuse response.
For qualified jurors; how are you able to take part in the jury selection process?
Number of Children
Your occupation, or if retired, your former occupation:
Spouse's name and occupation if applicable:
Have you or any member of your immediate family been a party to any criminal or traffic litigation in court?
If answered yes, please list when and in which court below.
Thank you for responding to your juror summons.
If you are qualified to serve as a juror, you will be contacted by the court clerk’s office on the Friday afternoon, prior to your week of jury service with further instructions.
If your request for excusal is denied, you will be contacted by the court within 5 days of sending in your request.
If you have not been contacted by the court, you may consider yourself excused for this jury term.
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