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Fife Municipal Court Juror Questionnaire Form

  1. Instructions
    IF YOU HAVE RECENTLY RECEIVED A WHITE POSTCARD FROM FIFE MUNICIPAL COURT IDENTIFYING YOU AS A POTENTIAL JUROR, PLEASE COMPLETE THE FOLLOWING JUROR PROFILE TO DETERMINE IF YOU ARE ELIGIBILE. YOU WILL BE CONTACTED VIA EMAIL WITHIN ONE WEEK WITH INFORMATION REGARDING YOUR JURY TERM.
  2. Are you a citizen of the United States?*
  3. Are you a resident of Pierce County*
  4. Are you able to communicate in the English Language?*
  5. Have you ever been convicted of a felony?*
  6. Have your civil rights been restored?
  7. Address Changed?
    Is your current address different than the one that the postcard was mailed to?
  8. Jurors with sufficient reason will be considered for excusal from jury duty
  9. Declaration*
    I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT, AND THAT I ACKNOWLEDGE RECEIPT OF THIS SUMMONS. BY CHECKING THE BOX BELOW, YOU AGREE AND ACKNOWLEDGE THAT 1) YOUR APPLICATION WILL NOT BE SIGNED IN THE SENSE OF A TRADITIONAL PAPER DOCUMENT, 2) BY SIGNING IN THIS ALTERNATE MANNER, YOU AUTHORIZE YOUR ELECTRONIC SIGNATURE TO BE VALID AND BINDING UPON YOU TO THE SAME FORCE AND EFFECT AS A HANDWRITTEN SIGNATURE, AND 3) YOU MAY STILL BE REQUIRED TO PROVIDE A TRADITIONAL BINDING SIGNATURE AT A LATER DATE.
  10. Please type your name here
  11. Leave This Blank:

  12. This field is not part of the form submission.