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County Clerk

Linda Coburn
Governmental Center
400 Boardman Avenue
Traverse City, MI 49684
Phone: (231)922-4760
FAX: (231) 922-4794
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Jury Questionnaires

JURY QUESTIONNAIRES ARE REQUIRED TO BE COMPLETED AND RETURNED WITHIN 10 DAYS OF THE POST MARK.  PLEASE NOTE THIS IS A TWO-SIDED FORM.

IF YOU BELIEVE THAT YOU SHOULD BE EXCUSED FROM JURY DUTY, ADDITIONAL DOCUMENTATION IS REQUIRED.

REASON TO BE EXCUSED
                     DOCUMENTATION NEEDED

70 years old or older    If you do not want to serve, check NO on number 13 of questionnaire

Physically/Mentally unable to serve

Current
doctor/caseworker's note indicating inability to serve

Moved out of Grand Traverse County

Copy of current driver's license or state ID showing new address
Convicted of a Felony
The state where the felony occurred and the date must be listed on the questionnaire

Active Military Duty

Branch of service and where stationed

Served as a juror in the past 12 months

Where and when you served must be listed on number 12 of the questionnaire
Religious Reasons                                  
Not excused.  If you are called for jury duty the judge will determine if you should be excused
College Student
Not excused.  You will be scheduled during your breaks

FORM MUST BE SIGNED EVEN WHEN ADDITIONAL DOCUMENTATION IS INCLUDED.