Please correct the field(s) marked in red below:

Please complete the following form before the day you are scheduled to appear as a prospective juror.

 
 *
Check one:
 *
Check one:
 
 *
Are you a resident of Grand Prairie?
 *
Are you a resident of Grand Prairie?
If you are not a Grand Prairie resident, submit supporting documentation (upload a picture of your driver license or a bill in your name).
Have you ever served on a civil jury?
 *
Have you ever served on a civil jury?
Have you ever been party to a lawsuit?
 *
Have you ever been party to a lawsuit?
Have you ever served on a criminal jury?
 *
Have you ever served on a criminal jury?
 
 *
Date of Scheduled Jury Duty Service
 *
Grounds for Jury Exemption (select any that apply):
Grounds for Jury Exemption (select any that apply):
 
 
 *
This questionnaire is mandated by Government Code, Section 62.0132. Your answers are confidential and may be disclosed only to the Judge, court personnel, the litigant and the litigant's attorney.
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code