P:FormsStock Forms1 thru 145 - office forms too05-A.wpd - courts ky 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out your personal information, including your last name, first name, and mailing address. Ensure that all entries are clear and legible.
  3. Complete the sections regarding your birth date, marital status, and occupation. If retired, provide your prior occupation.
  4. In Section A, check any statements that apply to you. This includes citizenship status and previous jury service.
  5. Answer the questions in Section B truthfully regarding any legal claims involving you or family members.
  6. If applicable, complete Section C if you are not the person named in the juror summons. Provide necessary details about the individual.
  7. For postponement or accommodation requests, fill out Section D with specific reasons and attach any required documentation.
  8. Review all answers for accuracy before signing at the bottom of the form. Ensure you sign and date it appropriately.
  9. Return the completed form within 5 days to the address provided on the back of the form.

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