JurorAffidavit

Mississippi 10th Circuit District

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Jury Summons

Online Excuse Affidavit

If you are over 65 years of age and do not wish to serve, you have a statutory exemption. Therefore, please so state on the affidavit and e-mail the Court Administrator immediately. However, you may serve if you desire.

If you have served on a petit jury panel in the Circuit Court or County Court in an actual trial within two (2) years and do not wish serve you have a statutory exemption. Therefore, please provide the dates upon which you served on the affidavit and e-mail the Court Administrator immediately. Once this information has been verified you will receive an email from the Court Administrator. However, you may serve if you desire.

If you claim an exemption because of illness please complete the online affidavit below and fax (601-486-4933) or e-mail (dwedgworth@lauderdalecounty.org) the doctor’s excuse to the Court Administrator immediately. You will receive an e-mail confirmation as to whether you are excused.

If your attendance would cause serious financial loss to yourself or your business, please e-mail the affidavit explaining this to the Court Administrator immediately. Please mention in the affidavit the type of business you work in, and why your absence will cause a financial hardship. If you are not notified that you are excused, then you are expected to appear at the time indicated on your summons or as per recorded instructions.

If you claim any other excuse because of emergency or hardship to yourself, please state your reasons on the affidavit and e-mail the Court Administrator immediately. You will receive an e-mail as to whether you are excused. If you are not notified that you are excused, then you are expected to appear at the time indicated on your summons or as per recorded instructions.

If you are under the age of twenty-one (21), or are unable to read or write, or are a convicted felon please indicate on the affidavit and e-mail the Court Administrator immediately. Once this has been verified, you will receive an e-mail as to whether you are excused.

Names are randomly selected from the County voter rolls. If you are no longer a resident of the County and have received a jury summons, you will need to contact the Circuit Clerk’s office to have your name removed from the voter roll.

AFFIDAVIT

I, , first being duly sworn, state that I have been summoned for jury duty before the Circuit Court of , Mississippi on and that I do not wish to serve for the following reason:

Enter your excuse here.

Work Phone Number: Ext:

Home Phone Number:

Email Address:

Age:

Date of Birth:

Juror Number:

Juror Physical Address:

Juror Mailing Address:

By Submitting this form, you hereby swear or affirm to the Circuit Court that the matters and facts set forth above are true and correct to the best of your knowledge.

General Information:

Current Week's Docket

- Next Week's Docket

* The dates and times are subject to change.

Court Costs

Procedure for Civil Trial Settings

Procedure for Obtaining a Hearing Date