Get Tx Juror Affidavit/declaration For Exemption From Jury Duty For Physical Or Mental Impairment 2017-2025
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How to fill out the TX Juror Affidavit/Declaration for Exemption From Jury Duty for Physical or Mental Impairment online
Filling out the TX Juror Affidavit/Declaration for Exemption From Jury Duty for Physical or Mental Impairment can be a straightforward process when you know the steps to take. This guide provides a clear, step-by-step approach to help you complete the form online.
Follow the steps to successfully fill out the form.
- Click ‘Get Form’ button to access the juror affidavit/declaration and open it in your chosen editor.
- Begin by entering your personal information in the corresponding fields, including your name, juror number, full address, date of birth, and contact phone numbers. Ensure accuracy in this section to prevent any issues with your application.
- Indicate your current employment status by answering whether you are working. If you are employed, provide details such as your occupation and employer's name.
- Clearly state the specific physical or mental condition that prevents you from serving on a jury. Do not just write 'medical'; provide a detailed explanation of your condition.
- Select the type of exemption you are requesting by checking either the 'Permanent' or 'Temporary' option.
- Sign the affidavit in the designated section, indicating whether you are the juror or the juror’s designee. Include your name, date of birth, and address in the required fields.
- If applicable, attach a physician's statement that confirms your condition and supports your request for exemption from jury duty. Ensure that this statement includes the duration of the requested exemption.
- Once all sections are completed, review your form for accuracy. Save your changes, and download or print a copy of the completed affidavit.
- Finally, submit your completed affidavit, including the physician's statement, by faxing it to 940-349-2231 or mailing it to Jury Services, P.O. Box 2146, Denton, TX 76202 for consideration by the court.
Be sure to complete your document online today to ensure a timely submission for your jury duty exemption.
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Fill TX Juror Affidavit/Declaration For Exemption From Jury Duty For Physical Or Mental Impairment
A person requesting an exemption due to a physical or mental impairment must attach to the affidavit a statement from a physician. Government Code Section 62.109 allows for a permanent or temporary exemption from jury service based upon a physical or mental impairment. It is impossible, or very difficult, for me to serve on a jury because of a physical or mental impairment. The following affidavit for excuse from Jury Service. A person requesting an exemption due to a physical or mental impairment must attach to the affidavit a statement from a physician. Please submit the request and completed physician's statement to the Jury Administrator at 112 West Beauregard, San Angelo, Tx 76903. Of jury service schedule changes. The period of time for which a temporary exemption is requested. This exemption requires a statement from your doctor explaining your condition and why you are unable to serve jury duty. If you have a physical or mental impairment you may request a permanent exemption from jury service.
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