Jury Questionnaire

• You have two options for completing this Jury Questionnaire
  • Option One – Go online to our Jury Web Solution, use this option if you answered all of questions 6 through 14 with a “No” answer.
  • Option Two – Fill out the questionnaire and return via the United States Postal Service, this option must be used answering any of questions 6 through 14 with a “Yes” answer, as supporting documentation is required. Please Note: The Jury Department is only required to keep supporting documentation for a period of ninety (90) days. After the ninety (90) days has expired all supporting documentation is appropriately disposed of. Supporting documentation is required with each new mailing.
• Questionnaire must be completed in its entirety. Provide supporting documentation if necessary. The answers provided will determine if you qualify to be a potential juror.
• If the person to whom the questionnaire was addressed is deceased, check the box on the front of the questionnaire labeled – Addressee is deceased, and return it in the mail.
• If the person to whom the questionnaire was addressed has moved, please check the box on the front of the questionnaire labeled – Addressee has moved and return it in the mail.
• If the Jury Questionnaire was sent to a person currently on active duty in the military, please check the box on the front of your questionnaire labeled – addressee is active duty in the U.S. Armed forces and return it by mail.
• All questions are to be answered by checking the “Yes” or “No” box.
• If answered “Yes” to question number 4, please answer “Yes” or “No” to the question “Have your civil rights been restored” before continuing to Question number 5.
• If answered “Yes” to questions 6 through 14, documentation will need to be provided in order to verify answers.
• Please do not contact the Jury Department to verify qualifications or disqualifications as a potential juror. If qualified to serve, each potential juror will receive a summons by mail. The summons will indicate the appearance date, time and location.

Question 6

Provide the Jury Commissioner with Valid Documentation

Question 7

Provide documentation to opt out of Jury Service if you served as a Juror in this state within (2 years) or as a Grand Juror within (4 years).  Federal Grand Jury and Alternate Jurors are excluded.

Question 8

Arizona Revised Statute 21-202 provides that persons over the age of 75 years may request permanent or temporary excusal from jury services.  Provide a copy of a valid driver's license or a Government issued photo ID.

Question 9

Arizona Revised Statute 21-202 provides that certified Peace Officers may request excusal from jury service.  Provide the Jury commissioner with a copy of your AZPOST certification.

Question 10

The Court makes accommodations for qualified jurors with a disability.  You must provide a medical excuse form signed by your physician, physican's assistant or nurse practitioner.  To obtain the medical excuse form, visit Jury Department | Pinal County COSC, AZ (coscpinalcountyaz.gov)  under "Resources"

Question 11

Provide a notarized statement explaining why jury service is a hardship for you.

Question 12

Provide a notarized statement explaining why jury service is a hardship for you.

Question 13

Provide a written statement explaining the substantial adverse effect on the public interest.  Including supporting documentation.

Question 14

Provide a written statement explaining your situation.  Include supporting documentation.

Question 15

Attach verification of employment as a correctional officer, signed by a superior officer on employer letterhead.

You may also upload documentation using the Jury+ Web Solution by Jury Systems, Inc. - Login (az.gov)

Military

If the Jury Questionnaire was sent to a person is currently on active duty in the military, please check the box on the front of your questionnaire labeled – Addressee is active duty in the U.S. Armed forces and return it by mail.

Winter Visitors

If you are a winter visitor and are only in Pinal County for a certain period of time through the year, you may handwrite the dates that you are in Pinal County on the Jury Questionnaire prior to returning it.

College Student

If you are a full time student or is a student living outside of Pinal County during the school year, you may include a copy of your class schedule, a note from the college stating full time enrollment, or verification of residence outside of Pinal County, with the Jury Questionnaire.

Non-Resident of Pinal County

If you no longer live in Pinal County, provide proof of residence along with the complete Jury Questionnaire. (Driver’s license, utility bill, lease agreement, advertising material; anything that lists name and current address.)

Previously Excused or Previously Provided Documentation

There is no way to be “Permanently Excused” from jury selection.  Each time you receive a Jury Questionnaire you will need to provide an updated copy of supporting documentation.  Documentation is not valid for each new mailing (6 months – 1 year).

Prior Service

For previous service as a juror, meaning you were summoned and appeared for the selection process, your services are complete for 2 years from the date you served.  If you were summoned but you did not have to appear for the selection process, you are eligible to be summoned again.

Arizona Department of Corrections Officer 

 Working in, or with a law enforcement agency does not exclude you from being eligible. You must be a Certified Peace Officer to be exempt.

Law Enforcement

If you work or have worked for a law enforcement agency, but are not or no longer an Arizona Post Certified Peace Officer, you may still be eligible to be a juror.  Working in, or with a law enforcement agency does not exclude you from being eligible. You must be a Certified Peace Officer to be exempt.

Felony Conviction

If convicted of a felony but have had your civil rights restored, you may be still eligible to be a juror.

Transportation

The courts do not excuse for transportation issues.  It is your responsibility to find transportation to/from the courthouse.  A mileage check is provided to assist with the cost.

Vacations/Trips Out of Town

If you have a planned vacation or trip out of town, you can notate the date(s) on the Jury Questionnaire so that we can enter that information when we receive it.