Justice of the Peace #3 Online Jury Card Summons

Please fill out the information below and click the submit button.  If you fill out and submit this online form you no longer need to mail back the paper form.  While filling out this form you can advance through the form by pressing the TAB button on your keyboard or use your mouse. DO NOT Press the RETURN button on your keyboard. This will submit the form. If you do, you can use the back button in your browser to get back to the form. Complete the form and resubmit.

NOTE: Please be aware if you submit your summons electronically after 3:00 pm on the Friday before your jury date, it may not be processed before your jury duty check in time and you may be asked to fill out another summons card.

You will find two sets of numbers on the top right of your card. Please include these numbers in the first two spaces of this form.

Juror Number: How Long at Job:
Pool Number: Gender (Male Female):
Full Name: Race (Required by law):
Current Address: Age Range of Children:
City/State/Zip: Number of Children:
County Residence: Highest Level of Education Completed:
Home Phone: Marital Status (S M W D):
Age: Spouse's Name:
Email: Spouse's Employer:
Employer: Spouse's Occupation:
Occupation: (Spouse) How Long at Job:
Work Phone:
To be qualified to serve as a juror, you must: General Qualifications for Jury Service:  (Government Code, Section 62.102
  1. Be at least 18 years of age;
  2. Be a citizen of the United States:
  3. Be a resident of this state and a resident of the county in which you are to serve as a juror;
  4. Be qualified under the Constitution and laws to vote in the county in which you are to serve as a juror; (You do not have to be registered to vote)
  5. Be of sound mind and good moral character;
  6. Be able to read and write:
  7. Not have served as a juror for 6 days during the preceding 3 months in the county court or during the preceding 6 months in the district court, and
  8. Not have been convicted of, or be under indictment or other legal accusation for, misdemeanor theft or a felony. If true, please check one Misdemeanor Felony None


Yes, I Qualify to Serve No, I Don't Qualify to Serve

You may be exempted from jury service if: Exemptions: Section 62.106 Government Code of Texas
  1. You are over 70 years of age; Remove me permanently? Yes No
  2. You have legal custody of a child or children younger than 12 years of age and service on the jury would require leaving the child without adequate supervision;
  3. You are a student at a public or private high school;
  4. You are enrolled and in actual attendance at an institution of higher education;
  5. You are an officer or an employee of the senate, the house of representatives, or any department, commission, board, office, or agency in the legislative branch of the state government;
  6. You are the primary caretaker of a person who is an invalid unable to care for himself or herself (This exemption does not apply to health care workers);
  7. You are a member of the United States military forces serving on active duty and deployed to a location away from your home station and out of your county residence.


Yes, I'm Exempt No, I'm Not Exempt


If you claim not to be qualified to serve, or you claim to be exempt from jury duty, please explain.
Have you ever served on a Civil Jury: Yes No
Have you ever served on a Criminal Jury: Yes No
Are you a United States Citizen?: Yes No

By submitting this form you no longer need to mail in your jury card