OFFICIALJURYSUMMONS
Forinformationregardingjuryservicecall(713)755-6392Fax:(713)755-4899
24hour,7-dayinformationincludingautomaticresetOnline:Http://www.hcdistrictclerk.com
E-Mail:jury@hcdistrictclerk.com
RidingMetrofreetojurydutyiseasy.Pleasepresentsummonstodriverondateofsummonsonlyforafreeridetojuryservice.
ForMetroinformation,call713.635.4000orvisitwebsite www.ridemetro.org.
IMPORTANT -PLEASE READ: DEARPROSPECTIVEJUROR:YOUAREHEREBY
SUMMONEDTOAPPEARFORJURYSERVICEONTHEDATE&TIMESPECIFIEDBELOW:
Jurorswillpassthroughmetaldetectors.Doorsclose15minutesaftertheassignedtime.Jurorsnotpresentbythattimemustreschedule.
Date: |
ChrisDaniel,DistrictClerk |
Time: |
1201CongressSt,Houston,Texas77002 |
Place:1201CongressAvenue |
Adrian Garcia, Sheriff Harris |
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DowntownHouston |
County Texas |
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Important: Please read carefully all information on the front and back of this form. Answer all question below. Bring entire summons with you to court. Please print legibly. You are to appear promptly as instructed by this summons. If you have a special need or disability you are encouraged to notify the court immediately concerning requests for reasonable accommodation.
JUROR # |
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Race (required by State Law): |
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Date of Birth: |
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Male |
Female |
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Name & Home Address: |
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Mailing address |
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City: |
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Zip: |
TDL# |
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(if different from Home:): |
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Home Phone: |
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County of residence: |
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Have you ever been accused, |
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complainant or witness of a |
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criminal case? |
Yes |
No |
Have you ever sustained any accidental |
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If yes, what type? |
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Please check the highest level of |
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bodily injury requiring medical attention? |
Yes |
No |
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education completed: |
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Have you ever served |
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Have you ever served |
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U.S.Citizen? |
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Attend H.S. but did not |
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on a civil jury? |
Yes |
No |
on a criminal jury? |
Yes |
No |
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Yes |
No |
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receive diploma |
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Your Occupation: |
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Work Phone |
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Marital Status: |
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H.S. diploma |
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Your Employer: |
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How Long?: |
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Single |
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GED |
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Spouse's Name: |
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Spouse's Occupation: |
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Married |
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2 yr college |
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Spouse's Employer: |
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How Long?: |
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Widowed |
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4 yr college |
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I CERTIFY THAT ALL ANSWERS ARE TRUE AND CORRECT. |
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Divorced |
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Post-graduate |
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Number of children |
Age range: |
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Signature |
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From ______ To ______ years |
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