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2. Important Information - Please Read

   You may use this form to claim an exemption or disqualification from serving as a juror in the City of Frisco Municipal Court.  A prospective juror must notify the court of a disqualification as a juror.  An exemption may be claimed by a potential juror but is not required.  

   You may call 972-292-5554 after 5:00 P.M. the night before your date of service to determine if your appearance is required for Jury Duty. Please listen to the entire message, as it provides important information regarding your service.

   Exempt or Disqualified: You do not need to appear in person if you are exempt or not qualified for jury service. To claim an exemption or report your disqualification you must complete and file this form immediately.

   Right to Reemployment: A private employer may not terminate the employment of a permanent employee because the employee serves as a juror. An employee whose employment is terminated in violation of this section is entitled to return to the same employment that the employee held when summoned for jury service if the employee, as soon as practical after release from jury service, gives the employer actual notice that the employee intends to return(Civil Practice and Remedies Code, Sec. 122.001).

   State law does not allow a person to be excused for economic or business reasons. Hardships or concerns may be addressed in the Court when you appear.

4. First Name*
5. Last Name*
7. Street Address*
8. Apt. or Suite No.*
10. City*
11. State*
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
12. Zip*
14. Email Address*
16. County of Residence
    -- Select One --CollinDentonOther
17. U.S. Citizen?*
    -- Select One --YesNo
18. Marital Status*
    -- Select One --SingleMarriedWidowedDivorced
19. Education Level Completed
    -- Select One --High School DiplomaGED2yr College4yr CollegePost Graduate
23. Date and Time of Jury Service*
    Date and Time of Jury Service

    Date and Time of Jury Service
25. Claim for Exemption or Disqualification from Jury Service

    Please select the exemption that you want to claim or the disqualification that applies to you.

27. Exemptions From Jury Service (Gov't. Code, Sec. 62.106)
    -- Select One --I am over 75 years of age.I have legal custody of a child under 12yo and service would require leaving the child without adequate supervision.I am a student at a public or private high school.I am enrolled and attend college.I am an officer or an employee in the legislative branch of state governmentI am the primary caretaker of a person who is an invalid unable to care for himself/herself.I have served as a juror in the county during the 24-month period prior to the date to appear for this summons..

    You are not required to claim in exemption. It is your choice. Filing a false claim of exemption is punishable by a fine between $100 and $500 (Gov't. Code Sec. 62.111).

29. Disqualifications for Jury Service (Gov't. Code, Sec. 62.102)
    -- Select One --Under 18 years of age.Not a citizen of the United StatesNot a resident of Texas and of the City of FriscoNot qualified to vote under the Constitution and laws to vote in the City of Frisco.Not of sound mind and good moral character.Not able to read and write.Have served as a juror for six days during the preceding three months in the county court.Have served as a juror for six days during the preceding six months in the district court.Have been convicted of theft or any felony.Under indictment or other legal accusation of a misdemeanor theft, felony theft or any other felony charge.

    State law does not allow a person to be excused from jury duty for business purposes. Any person summoned who fails to attend may be fined an amount not to exceed $100 for contempt (CCP 45.027).

31. I do hereby certify under penalty of perjury that I am*

    1. EXEMPT because of the reason stated above.
    2. DISQUALIFIED because of the reason stated above.
33. Electronic Signature*
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field